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Autonomic Pharm III
Indirect Acting Cholinomimetics
| Question | Answer |
|---|---|
| What are the 5 main indirect acting cholinomimetics? | Edrophonium, Physostigmine, Neostigmine/pyridostigmine, Donepezil/Tacrine, Organophosphates |
| What is Edrophonium's characteristic? Clinical use? | short acting; DX of myasthenia and used for Myasthenia |
| What is physostigmine's characteristic? Clinical use? | Tertiary amine that enters CNS and acts immediately; Rx for glaucoma and antecdote to atropine |
| Neostigmine and Pyridostigmine characteristics? Clinical use? | Quarternary amines (NO CNS); RX for ileus, urinary retention, myasthenia, and reversal of non-depolarizing NM blockers |
| Donepezil and Tacrine characteristics? Clinical use? | Lipid soluble (CNS entry); Alzheimer's |
| Organophosphate characteristics? Clinical uses? | lipid soluble, long lasting, and irreversible AchE inhibitors; RX for glaucoma (TOPICAL) and used in insecticides (POISONINGS) |