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24 Cards in this Set

  • Front
  • Back
Myasthenia Graves
autoimmune disease against skeletal muscle's nicotinic receptors

treatment?

parasympthomimetic agents
what receptors are coupled to ion channels?
nicotinic and GABA

changes in membrane potential and ion conc within cell
what receptors are coupled to adenyl cyclase?
beta

conversion of ATP-->cAMP, protein phosphorylation, intracellular effects
what receptors are coupled to DAG and IP3?
alpha-1 and muscarinic

protein phosphorylation, increase intracellular Ca2++
relaxation of uterus. sym? or parasym?
sympathetic
Alzheimer's disease
loss of NTs

Treatment?

treat with indirect acting parasympathomimetic
where are 3 subtypes of muscarinic receptors found?
M1= gastric parietal cells
M2= cardiac cells, smooth m.
M3= endocrine glands, smooth m.

All are found on neurons.
where are nicotinic receptors found?
autonomic ganglia and neuromuscular end-plate
Name all 6 muscarinic agonists and their f(x)nal class.
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
Indirect acting parasympathomimetic agents are called...
AchE inhibitors

What are the two divisions?

Reversible inhibitors and Irreversible inhibitors (organophosphates)
Name the 5 reversible AchE inhibitors.
rivastagmine
galantamine
physotigmine
neostigmine
tacrine
Name the 2 irreversible AchE inhibitors.
sarin (nerve gas)
parathion (insecticide)
Name a AchE reactivator.
pralidozime (PAM)
atropine. classification?
muscarinic antagonist
what two drugs are approved to treat xerostomia?
pilocarpine and cevimeline

Classify these drugs.

pilocarpine = muscarinic agonist (alkaloid)

cevimeline = muscarine agonist (non-ester)
what class of drugs are used to treat glaucoma?
parasympthomimetic agents
what class of drugs are used to treat postsurgical bladder atony and paralytic ileus?
parasympthomimetic agents
bethanechol has been indicated for treatment of...
urinary retention

this drug has been off-label to treat what?

xerostomia
name 5 antimuscarinic drugs.
atropine
scopolamine
methantheline
propantheline
glycopyrrolate

classify atropine and scopolamine.

belladonna alkaloids
name 3 drugs that can interact with antimuscarinic drugs. *drug interaction*

and what if their effect?
additive anticholinergic effect

phenothiazines
tricyclic antidepressants
antihistamines
name 3 drugs that can interact with antimuscarinic drugs. *drug interaction*

and what if their effect?
delayed absorption

acetaminophen
levodopa
cemetidine
what receptors are found on smooth muscle cells?
M2, M3, beta

activation of each of these receptors leads to...

M2 = inhibits relaxation of SM
M3 = contraction
beta = relaxation
what receptors are found on BVs?
M3

activation of each of this receptor leads to...

relaxation of smooth muscle surrounding BV
what receptors are found on smooth muscle cells of the gastrointestinal sphincter?
M1

activation of each of this receptor leads to...

relaxation of gastrointestinal sphincter