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OU autonomic drugs
autonomic drugs, classes, indication
| drug | class | indication |
|---|---|---|
| bethanechol | cholinergic agonist (M) | ileus, urinary retention |
| methacholine | cholinergic agonist (M & N) | Dx--bronchial hyperreactivity |
| nicotine | cholinergic agonist (N) | (blank) |
| pilocarpine | cholinergic agonist (M) | glaucoma (topical); xerostomia (oral) |
| edrophonium | AChE inhibitor: reversible | Dx--myasthenia gravis (t1/2=10min) |
| physostigmine | AChE inhibitor: reversible | glaucoma; antidote for atropine OD |
| neostigmine | AChE inhibitor: reversible | myasthenia; reversal of nondepolarizing NM blockers |
| echothiophate | AChE inhibitor: irreversible | organophosphate |
| malathion | AChE inhibitor: irreversible | organophoshate |
| parathion | AChE inhibitor: irreversible | organophosphate |
| tacrine | AChE inhibitor | Alzheimer's (CNS entry) |
| donezipil | AChE inhibitor: reversible | Alzheimer's (CNS entry) |
| atropine | M blocker | antispasmodic, antisecretory, antidiarrheal, mgmt of AChE inhibitor OD |
| tropicamide | M blocker | ophthamology (topical) |
| ipratroprium | M blocker | asthma, COPD (inhalational)--no CNS entry or change in mucus viscosity |
| scopolamine | M blocker | motion sickness, causes sedation and short-term memory block |
| glycopyrrolate | M blocker | antispasmodic, antisecretory, antiulcer--no CNS entry |
| benzotropine | M blocker | parkinsonism, drug-induced EPS--CNS entry |
| trihexyphenidyl | M blocker | parkinsonism, drug-induced EPS--CNS entry |
| hexamethonium | NN (ganglion) blocker | prototype, with no clinical use |
| mecamylamine | NN (ganlion) blocker | severe HTN, for controlled hypotension during surgery, smoking cessation, Tourette's |