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43 Cards in this Set

  • Front
  • Back

Methacholine

Diagnosis of Bronchospasms

Carbachol


glaucoma


Eye Surgery

Bethanechol


urinary retention and atony of muscles

Pilocarpine


0.5% solution in treatment of Glaucoma



muscuranic-specific



S.E.: sweating, salivation & gastric secretion

physostigmine


Glaucoma


Treat overdoses of anticholinergics


Investigational in Alzheimers



neostigmine


Post surgical atony of muscles


improve myasthenia gravis, ptosis and diplopia



longer DOA than Physostigmine


not affected by pH

Pyridostigmine

Tx of myasthenia gravis




1/5th as toxic as Neostigmine



edrophonium

Diagnosis of myasthenia gravis

ambenonium

Tx of Myasthenia Gravis (alternative to neostigmine or pyridostigmine)


demacarium



Tx of open/wide angle glaucoma

tacrine


Alzheimer's

donepezil


Alzheimer's; dementia

rivastigmine


Alzheimer's

Isofluorophate

Glaucoma

echothiophate

Glaucoma

atropine

Mydriatic/cycloplegic agent duration refraction studies in iritis and uveitis



suppress toxicity from organophosphate

scopolamine

Motion sickness

Homatropine


Mydriatic/cycloplegic property


ipratropium


Asthma, COPD

Tiotropium

Asthma, COPD

Clidinium

Antispasmodic & antisecretory



with chlordiazepoxide (tranquilizer) for peptic ulcer and GI secretory disease

Dicyclomine

antispasmodic effect on GIT smooth muscle


irritable bowel syndrome




affinity for M1 and M3 > M2 & M4

Glycopyrrolate

Hyperhidrosis and sialorrhea



with Neostigmine to balance heart rate



asthma &COPD



affinity for M1 > M2 & M3



In high doses, can block gang. & NMJ receptors

Propantheline

Antispasmodic & antisecretory

Diphenhydramine

Antihistaminic agent; allergies



alleviates some PD symptoms



S.E: drowsiness & CNS depression

Benztropine

Management of PD



minimizes sialorrhea, oculogyric crisis & muscular cramps



as potent as atropine


Biperiden

Useful for idiopathic and induced PD



alleviates akinesia, rigidity and tremors



spastic disorder e.g. spinal cord injury, cerebral palsy & multiple sclerosis



more affinity for M1

Procyclidine

improves rigidity or bradykinesia

Trihexyphenidyl

All forms PD



reduces mydriasis and sialorrhea



Binds M1



half of atropine's potency - safe!

Isopropamide

peptic ulcers



long DOA

Darifenacin

antidiuretic



M3 selective

Ethopropazine

PD; antidyskinetic



improves tremors, sialorrhea, rigidity & oculogyric crisis

Papaverine

Raynaud's Disease



lacks potency



inhibits hydrolisis of cAMP & cGMP


Nicotine

Stimulant at low dose



Gang. Blocker @ high dose

Hexamethonium

Hypertension



strong gang. blocker; weak curariform activity




Decamethonium

Hypertension



Weak gang. blocker; strong curariform activity

Trimethaphan

Hypertension



administered by IV

Mecamylamine

Hypertension



absorbed in GIT



Both comp. and non-comp. inhibitor



S.E. orthostatic hyprtension


Tubocurarine

Adjunct in gen. anesthesia



administered by IV



reversed by neostigmine and edrophonium

Atracurium

skeletal muscle relaxant for short surg. procedures



2.5X as potent as tubocurarine



reversed by pyridostigmine, neostigmine and edrophonium

Doxacurium

skeletal muscle relaxant surg. procedures > 90 mins

Pancuronium

skeletal muscle relaxant DURING surgery



Effect increased by gen. anestetics



acts on nicotinic receptor and in ion channel



5X as potent as tubocurarine

Succinyl

skeletal muscle relaxant DURING surgery



used in intratracheal intubation and endoscopic procedures



unstable in alkaline solution (should not be mixed with thiopental sodium)



Effect not reversed by AChE inhibitors