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17 Cards in this Set

  • Front
  • Back
Bethanechol mechanism of action
direct acting muscarinic agonist
Carbachol mechanism of action
direct acting muscarinic and nicotinic agonist
Pilocarpine mechanism of action
direct acting muscarinic agonist
Physostigmine mechanism of action
reversible AChE inhibitor
acts on muscarinic and nicotinic receptors
Neostigmine mechanism of action
reversible AChE inhibitor
acts on muscarinic and nicotinic receptors
Edrophonium mechanism of action
reversible AChE inhibitor
acts on muscarinic and nicotinic receptors
*brief duration of action
Pyridostigmine mecanism of action
reversible AChE inhibitor
acts on muscarinic and nicotinic receptors
Organophosphate mechanism of action
irreversible AChE and pseudocholinesterase inhibitor
*used as pesticide, easily causes death
Atropine mechanism of action
competitive muscarinic antagonist
binds to receptor sites on effector organ to prevent ACh binding
*may be overwhelmed by high levels of ACh
Glycopyrrolate mechanism of action
muscarinic antagonist
longer duration of action than atropine
*fewer CNS side effects b/c does not cross BBB well
What effects do muscarinic agonists have?
decrease HR
decrease or no effect on BP
increased secretions (SLUDD)
miosis
What effects do nicotinic agonists have?
muscle contraction, twitches
where are nicotinic receptors?
somatic NS (skeletal muscle)
where are muscarinic receptors?
autonomic NS (parasympathetic)
what does SLUDD stand for?
salivation, lacrimation, urination, defecation, death
what do direct acting cholinergic agonists bind to?
receptors on target
what do indirect acting cholinergic agonists bind to?
AChE or pseudocholinesterase
cause decreased breakdown of ACh