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10 Cards in this Set

  • Front
  • Back
Which membranes are AChesterases present on? Why?
both the post and presynaptic membrane because they are present by any ACh receptor and there is M2 on the presynaptic membrane
What do the direct cholinergic drugs do?
anything that acts directly on receptors, pre or post synaptic
Are indirect drugs necessarily directed on cholinergic receptors?
no, they just kind of increase ACh or it's effects. they can act at totally different receptors/
What are the two main classes of direct muscarinic agonists?
1. Choline esters
2. Alkaloids from plants
What does a choline ester look like compared to ACh?
almost the same except instead of acetate they have another group attached to choline
What are some examples of choline esters?

What root word do they all have in common?
CHOL

1. ACh
2. Methacholine
3. Carbachol
4. Bethanechol
For these drugs, say whether they act on Nicotinic, Muscarinic, or both.
1. ACh
2. Methacholine
3. Carbachol
4. Bethanechol
1. ACh (both)
2. Methacholine (M)
3. Carbachol (M and some N)
4. Bethanechol (M)
What are some examples of muscarinic alkaloids?
1. Muscarine
2. Pilocarbine
Do we usually use ACh pharmacologically? Why? (3 reasons)
No because
1.. Short half life- it is broken down very quickly by cholinesterases (in seconds)
2. Not selective- if you put in a high dose, you could put you in hypotension and you have a bunch of other side effects with nicotinic and muscarinic receptors.
3. Can't cross BBB because too polar and large
Why do these other cholinesterases last longer in the system to be useful?
Acetylcholinesterases don't break them down as effectively or at all (fit is not as good)