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Summer PDA VT
| Generic Name | MOA | Therapeutic Use |
|---|---|---|
| Carbachol | non selective N and M agonist (not susceptible to AchE) | topical tx of glaucoma |
| Pilocarpine | M agonist | xerostomia (dry mouth) |
| Demecarium | long acting AchE inhibitor | open angle glaucoma |
| Donepezil | Oral AchE inhibitor; reversible; greater affinity for brain AchE than periph AchE | Alzheimer's |
| Echothiophate | long acting AchE inhibitor; organophosphate (wont be hydrolyzed) | open angle glaucoma |
| Edrophonium | AchE inhibitor OH binds reversibly to active site-lasts 2-10 min | diagnosing Myasthenia Gravis |
| Physostigmine | AchE inhibitor (lipophilic and will penetrate the CNS) | tx CNS effects of anticholinergic over dose; drug poisoning |
| Atropine | non selective muscarinic blocker | tachycardia (brady at low doses), mydriasis, inhibit excessive salvation and mucus secretion during surgery, prevent vagal reflexes induced by surgery trauma, and counteract the muscarinic poison effects of certain mushrooms |
| Darifenacin | selective M3 blocker | tx of overactive bladder |
| Flavoxate | anti M | urinary bladder spasms |
| Hyoscyamine | anti M (cousin to atropine) | tx of GI problems; some parkinsons symptoms |
| Ipratropium | M antagonist; cant cross BBB | tx of COPD (asthma) |
| Scopolamine | M antagonist; can cross BBB | motion sickness; nausea and vomiting |
| Solifenacin | selective M3 blocker | tx of over active bladder |
| Tiotropium | M antagonist | like ipratropium but causes greater bronchodilation to treat COPD |
| Tolterodine | anti M | tx of overactive bladder |
| Trimethaphan | N receptor antagonist (causes ganglia block) | tx of HTN crisis in pts with acute aortic dissection |
| Tubocurarine | long acting N antagonist (prefers Nm); reversed by AchE inhibitor | induction of neuromuscular blockade in surgery; intubation |
| pyridostigmine | ache inhibitor | orthostatic HTN, mysthenia gravis |
| Bethanechol | selective M3 agonist (not susceptible to AchE) | promote GI and bladder motility |