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24 Cards in this Set
- Front
- Back
Myasthenia Graves
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autoimmune disease against skeletal muscle's nicotinic receptors
treatment? parasympthomimetic agents |
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what receptors are coupled to ion channels?
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nicotinic and GABA
changes in membrane potential and ion conc within cell |
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what receptors are coupled to adenyl cyclase?
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beta
conversion of ATP-->cAMP, protein phosphorylation, intracellular effects |
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what receptors are coupled to DAG and IP3?
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alpha-1 and muscarinic
protein phosphorylation, increase intracellular Ca2++ |
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relaxation of uterus. sym? or parasym?
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sympathetic
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Alzheimer's disease
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loss of NTs
Treatment? treat with indirect acting parasympathomimetic |
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where are 3 subtypes of muscarinic receptors found?
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M1= gastric parietal cells
M2= cardiac cells, smooth m. M3= endocrine glands, smooth m. All are found on neurons. |
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where are nicotinic receptors found?
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autonomic ganglia and neuromuscular end-plate
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Name all 6 muscarinic agonists and their f(x)nal class.
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alkaloids = muscarine, pilocarpine
esters = Ach, methacholine carbamate = bethanechol non-ester = cevimeline Rate of hydrolysis for each f(x)nal class alkaloids = none non-ester = none esters = fast carbamate = fast |
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Indirect acting parasympathomimetic agents are called...
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AchE inhibitors
What are the two divisions? Reversible inhibitors and Irreversible inhibitors (organophosphates) |
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Name the 5 reversible AchE inhibitors.
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rivastagmine
galantamine physotigmine neostigmine tacrine |
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Name the 2 irreversible AchE inhibitors.
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sarin (nerve gas)
parathion (insecticide) |
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Name a AchE reactivator.
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pralidozime (PAM)
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atropine. classification?
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muscarinic antagonist
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what two drugs are approved to treat xerostomia?
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pilocarpine and cevimeline
Classify these drugs. pilocarpine = muscarinic agonist (alkaloid) cevimeline = muscarine agonist (non-ester) |
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what class of drugs are used to treat glaucoma?
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parasympthomimetic agents
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what class of drugs are used to treat postsurgical bladder atony and paralytic ileus?
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parasympthomimetic agents
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bethanechol has been indicated for treatment of...
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urinary retention
this drug has been off-label to treat what? xerostomia |
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name 5 antimuscarinic drugs.
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atropine
scopolamine methantheline propantheline glycopyrrolate classify atropine and scopolamine. belladonna alkaloids |
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name 3 drugs that can interact with antimuscarinic drugs. *drug interaction*
and what if their effect? |
additive anticholinergic effect
phenothiazines tricyclic antidepressants antihistamines |
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name 3 drugs that can interact with antimuscarinic drugs. *drug interaction*
and what if their effect? |
delayed absorption
acetaminophen levodopa cemetidine |
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what receptors are found on smooth muscle cells?
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M2, M3, beta
activation of each of these receptors leads to... M2 = inhibits relaxation of SM M3 = contraction beta = relaxation |
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what receptors are found on BVs?
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M3
activation of each of this receptor leads to... relaxation of smooth muscle surrounding BV |
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what receptors are found on smooth muscle cells of the gastrointestinal sphincter?
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M1
activation of each of this receptor leads to... relaxation of gastrointestinal sphincter |