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17 Cards in this Set

  • Front
  • Back
Bethanechol
DIRECT CHOLINERGIC AGONIST

Clinical App: Postoperative and neurogenic ileus and urinary retention.

Action: Activates bowel and bladder smoot muscle; resistant to AchE
Carbachol
DIRECT CHOLINERGIC AGONIST

Clinical App: glaucoma, pupillary contraction, and realease of intraocular pressure
Pilocarpine
DIRECT CHOLINERGIC AGONIST

Clinical App: potent stimulator of sweat, tears, and saliva

Action: Contracts ciliary muscle of eye (open angle), pupillary sphincter (narrow angle); resistant to AChE
Methacholine
DIRECT CHOLINERGIC AGONIST

Clinical App: challenge test for diagnosis of asthma

Action: stimulates muscarinic receptors in airway when inhaled.
Neostigmine
INDIRECT CHOLINERGIC AGONIST (Anticholinesterase)

Clinical App: postoperative and neurogenic ileus and urinary retention, myasthenia gravis, reversal of neuromuscular junction blockade (postoperative)

Action: increase endogenous Ach (no CNS penetration)

NEO is NO CNS
Pyridostigmine
INDIRECT CHOLINERGIC AGONIST (Anticholinesterase)

Clinical App:Myasthenia gravis (long acting); does not penetrate CNS.

Action: increase endogenous Ach; increase strength
Edrophonium
INDIRECT CHOLINERGIC AGONIST (Anticholinesterase)

Clinical App: diagnosis of myasthenia gravis (extremely short acting)
Action: increase endogenous Ach
Physostigmine
INDIRECT CHOLINERGIC AGONIST (Anticholinesterase)

Clinical App:glaucoma (crosses BBB into CNS) and atropine overdose

Action: increase endogenous Ach

PHYS is for EYES
Echothiophate
INDIRECT CHOLINERGIC AGONIST (Anticholinesterase)

Clinical App:glaucoma

Action: increase endogenous Ach
Atropine
MUSCARINIC ANTAGONIST

Organ system: Eye, airway, stomach, gut, bladder

Application: increase pupil dilation and cycloplegia; decrease airway and stomach acid secretions; decrease gut motility, decrease urgency in cystitis.

Toxicity: increase body tempreature; rapid pulse, dry mouth, dry, flushed skin; cycloplegia, constipation; disorientation. Can cause acute angle-closure glaucoma in elderly, urinary retention in men with prostatic hypertrophy, and hyperthermia in infants. (Hot as a hare, dry as a bone, red as a beet, blind as a bat, mad as a hatter)
Homatropine, Tropicamide
MUSCARINIC ANTAGONIST

Organ system: Eye

Application: myadriasis and cycloplegia
Benztropine
MUSCARINIC ANTAGONIST

Organ system: CNS

Application: Parkinson's Disease

PARK my BENZ
Scopolamine
MUSCARINIC ANTAGONIST

Organ system: CNS

Application: Motion sickness
Ipratropium
MUSCARINIC ANTAGONIST

Organ system: Respiratory

Application: Asthma; COPD
Methscopolamine, oxybutinin, glycopyrrolate
MUSCARINIC ANTAGONIST

Organ system: Genitourinary

Application: Reduce urgency in mild cystitis and reduce bladder spasms
Pirenzepine, propatheline
MUSCARINIC ANTAGONIST

Organ system: Gastrointestinal

Application: Peptic ulcer treatment
Hexamethonium
NICOTINIC ANTAGONIST

Clnical use: ganglionic blocker. Used in experimental modesl to prevent vagal reflex responses to changes in blood pressure (eg prevents reflex brady cardia caused by NE)

Toxicity: severe orthostatic hypotension, blurred vision, constipation, sexual dysfunction.