T1-Drugs Flashcards
Acetylcholine
cholinergic agonist- muscarinic miosis(pupil constriction) during surgery
carbachol
cholinergic agonist- muscarinicmiosis(pupil constriction) during surgery
bethanechol
cholinergic agonist- muscarinic. improve poor bladder tone and increase GI motility
methacholine
cholinergic agonist- muscarinic. used for asthma test
pilocarpine
cholinergic agonist- muscarinic. reduce IOP in open angle glaucoma
cevimeline
cholinergic agonist- muscarinic. dry mouth
chantix
cholinergic agonist- nicotinic. stop smoking
atropine
selective muscarinic antagonist: mydriases(dilate iris) and thicken lens.
- decrease mucosal secretion
- increase BP
- increase HR
- overactive bladder
- muscarinic agent or cholinesterase inhibitor poisoning treatment
hyoscyamine
selective muscarinic antagonist
ipratropium
selective muscarinic antagonist: bronchodilation in asthma
tiotropium (spiriva)
selective muscarinic antagonist:
tolterodine (detrol)
selective muscarinic antagonist: urinary urgency
oxybutynin
selective muscarinic antagonist: urinary urgency
solifenacin (vesicare)
selective muscarinic antagonist: urinary urgency
benztropine (cogentin)
selective muscarinic antagonist: parkinsons
scopolamine
selective muscarinic antagonist:
glycopyrrolate
selective muscarinic antagonist
darifenacin (enablex)
selective muscarinic antagonist
cyclopentolate
selective muscarinic antagonist
amitriptyline
nonselective muscarinic antagonist
dicyclomine
nonselective muscarinic antagonist
benadryl
nonselective muscarinic antagonist
ambenonium
cholinesterase inhibitor
demecarium
cholinesterase inhibitor
donepezil
cholinesterase inhibitor
echothiophate
irreversible cholinesterase inhibitor. treats glaucoma
galantamine
cholinesterase inhibitor
malathione
irreversible cholinesterase inhibitor
DFP
irreversible cholinesterase inhibitor for glaucoma
neostigmine
semi reversible cholinesterase inhibitor for glaucoma, and MG therapy
physostigmine
reversible cholinesterase inhibitor for glaucoma and atropine toxicity
pyridostigmine
semi reversible cholinesterase inhibitor for MG
rivastigmine (exelon)
cholinesterase inhibitor
tacrine
cholinesterase inhibitor
edrophonium (tensilon)
reversible cholinesterase inhibitor for diagnosing and dose assessment of MG
soman
irreversible cholinesterase inhibitor
tabun
irreversible cholinesterase inhibitor
pralidoxime (2-PAM)
cholinesterase regenerator
atracurium
non depolarizing nicotinic antagonist
doxacurium
non depolarizing nicotinic antagonist
mivacurium
non depolarizing nicotinic antagonist
pancuronium
non depolarizing nicotinic antagonist
rocuronium
non depolarizing nicotinic antagonist
tubocurarine
non depolarizing nicotinic antagonist
dantrolene
non depolarizing nicotinic antagonist
d-tubocurarine
non depolarizing nicotinic antagonist
vencuronium
non depolarizing nicotinic antagonist
succinylcholine
depolarizing nicotinic antagonist
decamethonium
depolarizing nicotinic antagonist
general receptor effects of cholinergic agonist
- decrease HR and BP
- increase GI motility
- pupil constriction
- increase secretion
- bronchial constriction
general receptor effects muscarinic antagonists :CNS
-increase vagal nerve activity
general receptor effects muscarinic antagonist: cardio
- decrease HR initially b/c of vagal nerve stimulation. eventually blocking of M2 receptors cause an increase in BP
general receptor effects muscarinic antagonist: respiratory
-bronchodilation
general receptor effects muscarinic antagonist: GI
- decrease in:
salivation, gastric secretion, and GI motility
general receptor effects muscarinic antagonist: urinary
urine retention (relaxed ureter and bladder smooth muscle)
general receptor effects muscarinic antagonist: sweating
atropine fever
general receptor effects cholinesterase
- decrease HR
- decrease BP
- increase Gi motility
- pupil constriction
- increase then decrease in IOP
- increase in secretions
- bronchial constriction
general receptor effects depolarizing nicotinic antagonist
- activation receptors to cause Na influx, causing partial depolarization and contraction.
- when Ach activates the receptor further, flaccid paralysis can occur
- the partially depolarized motor end plate results in inactive nicotinic channels and Ach cannot repolarize
general receptor effects non depolarizing nicotinic antagonist
- 2 Ach binds to nicotinic receptor to activate. if 1 is antagonist, the activity is decreased
- can be reversed by cholinesterase inhibitors