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84 Cards in this Set

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What are the two different nervous system (innervations) of the sensory-motor system?
- myoneural
- sensory-neural
What is the innervation of myoneural system?
It innervates the skeletal muscle during voluntary movement
What is the innervation of the sensory-neural system?
It innervates the sensory endings for touch and pain.
What is the function of the ANS?
It controls smooth, cardiac muscle and glandular secretion.
What is an agonist substance?
Substance that enhances a receptor.
What is an antagonist receptor?
Substance that directly or indirectly blocks a receptor.
What is acetylcholine?
Neurotransmitter released from preganglionic nerve fibers of parasympathetic and sympathetic NS and postganglionic nerve fibgers of parasympathetic NS and non muscarinic exocrine/sweat glands.
Acetylcholinesterase
enzyme that breaks down acetylcholine into choline and acetic acid
Anticholinesterase
compounds such as physostigmine that inhibit acetylcholinesterase resulting in accumulation of acetylcholine in the synapse
What is a cholinergic effect?
Related to effects on nerve cells or fibers that use acetylcholine as their neurotransmitter. Nicotinic receptors, muscarinic receptors and non-muscarinic exocrine/sweat gland receptors stimulated by cholinergic nerve fibers.
Cholinomimetic
having action similar to acetylcholine in cholinergic nerve fibers
parasympathomimetic
compounds (pilocarpine, arecoline, muscarine, physotigmine) whos actions have a similar effect to the stimulations of the parasympathetic NS. similar to cholinomimetic.
muscarinic effects
producing effects that resemble postganglionic parasympathetic receptor stimulation
cholinergic blocker
compounds that inhibit the action of parasympathetic and/or cholinergic fibers
sympathomimetic
compounds (exogenous epinephrine, ephedrine or cocaine) whose actions have physiological effects that is similar to the stimulation of the sympathetic NS
adrenergic
related to effects o nerve cells or fibers in the ANS that use norepinephrine as their neurotransmitter. molecules whose actions mimic the stimulation of the sympathetic NS
adrenomimetic
compounds that have effects similar to epinephrine and norepinephrine
What three substances have antagonistic effects on nicotinic myoneural receptors causing muscle paralysis?
D-tubocurarine, toxiferine, botox
How does ephedrine stimulate the adrenergic receptors of the sympathetic NS?
It directly stimulates the receptors
How does cocaine stimulate the adrenergic receptors of the sympathetic NS?
Cocaine increases levels of norepinephrine at the receptors
How does physostigmine cause a cholinomimetic/parasympathomimetic effect?
inhibits acetylcholinesterase
Which cholinomimetic compounds directly stimulate the muscarinic receptors?
muscarine, pilocarpine, arecoline
What two compounds cause an anticholinergic effect by blocking muscarine receptors?
Atropine and scopolamine
What neurotransmitter is involved in the parasympathetic NS?
Acetylcholine at both the autonomic ganglia and post-ganglionic cholinergic nerve ending
What neurotransmitters are involved in the sympathetic NS?
norepinephrine at the post ganglionic adrenergic nerve fiber ending.

Acetylcholine at the autonomic ganglia
Do the symp NS and parasymp NS always work independently?
no, may work synergistically such as during extreme fear
Is the symp NS catabolic or anabolic?
Catabolic
where do the symp NS berves originate?
thoraco-lumbar region
What impulses are fired by the endogenous symp response?
Ach transmits impulses to ganglia

Ach transmits impulses to cholinergic receptors of sweat glands

Norepinephrine transmits impulses at post ganglionic nerve endings in end-organds
Is the parasymp NS anabolic or catabolic?
anabolic
Where do the parasymp NS nerves originate?
cranial-sacral regions
What impulses are fired by the parasymp NS?
Ach transmits impulses in ganglia and at post-ganglia cholinergic nerve endings in end-organs
What are the two modes of action of parasymp agents?
direct agonistic action on the receptor

inactivation of acetylcholinesterase resulting in accumulation of acetylcholine at the synapse which enhances the receptor.
What is the common name of muscarine?
amanita, fly agaric mushroom
What is the geography of muscarine?
Siberia, N. America
Cultural background of muscarine
mushroom eaten by siberian indigenous ppl as hallucinogen.

dried mushrooms repel flies
Active compounds of muscarine
ibotenic acid, muscinole, muscazone
medical use of muscarine
understanding of muscarinic receptors and neurohumoral theory
genus/species of pilocarpine
Pilocarpus jaborandi
Pilocarpus microphyllus
common name of pilocarpine
jaborandi
geography of pilocarpine
tropical Americas and West Indies
thnomedical uses if pilocarpine
Tupi culture in Brazil chew leaves to induce salivation and sweating
active agent of pilocarpine
pilocarpine
Therapeutic uses of pilocarpine
- topical application to eye constricts pupil. Tx open-angle glaucoma

- oral administration for dry mouth (xerostoma)

- reduce morphine treatment side-effects such as dry mouth, constipation and urinary retention

-
Common name of Areca catechu
betelnut, betel, areca nut
what are the ethnomedical uses of areca catechu?
- digestive by increasing salivary and intestinal secretions

- energizer/euphoretic

- antihelminthic
active compounds of areca catechu
- arecoline

- nipecotic acid
Therapeutic uses of areca catechu
glaucoma (aceclidine)

seizures (gabitril)
what plant compound acts as a anticholinesterase?
physostigmine from Physostigma venenosum
what synthetic compounds display anticholinesterase activity?
- insecticides (parathion, malathion)

- nerve poisons (sarin, tabun)
genus/species of physostigmine
physostigma venenosum
common name of phytostigmines
calabar, ordeal, esere bean
geography of physostigmine plants
rainforests of W. Africa
Cultural origin of physostigmine
Efik people of Calabar region of S.E. nigeria
ethnomedical use of physostigmine
Dry beans as ordeal poison in trials for witchcraft.

reported ability to reveal and destroy witchcraft.
Chemical derivatives of physostigmine
physostigmine -> neostigmine

neostigmine -> edrophonium
Therapeutic use of physostigmine
- physostigmine
- glaucoma
- antedote for anticholinergic poisoning (atropine)

- neostigmine
- intestinal stimulant
- Tx of myasthenia gravis (muscle weakness from defect in myoneuraql conduction)

- edrophonium
- diagnose and Tx myasthenia gravis
What plant medicines were used by mesopotamia?
opium
mandrake
henbane
hellebore
Famous ancient egyptian physician
Imhotep - he had a significant amount of empiricism in his philosophy
4 fundamental elements of egyptian medicine
earth, air, fire and water
What is the kahun papyrus?
A manuscript written about 2000 BC focusing on gynecology and veterinary medicine
What is the most well known egyptian papyrus?
Ebers Papyrus (1550 BC)

- medical text book describing how to examine patients, diagnose diseases, establish prognosis, and how to treat.

- 876 prescriptions from over 500 substances

- henbane, castor oil seed, senna, pomegranite, gentian
What are the two primary anticholinergic compounds?
atropine and scopolamine
common name of atropa belladonna
belladonna
active compounds of atropa belladonna
atropine scopolamine
chemical derivatives of tropane alkaloids
atropine -> ipatropium bromide (atrovent)
does atropine or scopolmine have stronger effects?
scopolmine bc it can cross the BBB
therapeutic use of scopolamine
- pupil dilator
- hallucinations
therapeutic use of atropine
- pupil dilator
- cardiac stimulant
- tx of bradycardia
- tx of organophosphate or insecticide poisoning

atropine-diphenoxylate (lomotil) decreases intestinal motility ot tx diarrhea

ipatropium bromie (atrovent) bronchiodilator to treat asthma
genus/species of henbane
hyoscyamus niger & H. muticans
active compounds of hyoscyamus niger
atropine and scopolamine
geography of hyoscyamus niger
Eurasia, N. Africa,
therapeutic uses of hyoscyamus niger
scopolamine - pupil dilator, motion sickness

atropine - pupil dilator, asthma and instestinal antispasmodic
genus/species of mandrake
mandragora officinarum
geography of mandrake
europe to the himalayan mountains
cultural origins of mandrake
- used by many in Europe and Asia

- used in "witches brew" prepared and consumed in Middle Ages in Europe

- S. European myth that plant screams when pulled from ground
active compounds of mandrake
atropine
therapeutic uses of mandrake
- antipasmodic
- used as anesthetic in surgery before introduction of ether
Datura stramonium common name
jimson weed, jamestown weed, thorn apple, wysoccan
geography of Datrum stramonium
N. America (native) but naturalized around the world
active compounds of Datrum stramonium
scopolamine
atropine
therapeutic uses of datrum stramonium
atropine
- pupil dilator
- antispasmodic

scopolamine
- pupil dilator
- motion sickness
What is the common name of brugmansia spp?
trumpet flower
ethnomedical use of brugmansia
hallucination