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Cholinergic PCOL E2
Cholingergic PCOL E2 Drug List
| Drugs | MOA | SOA | Side Effects | Extra Information |
|---|---|---|---|---|
| Acetylcholine Methacholine Carbachol Bethanechol | Non-selective Muscarinic Agonist (M1,M2,M3) | Central and Periphery | DUMBBELSS | |
| Pilocarpine Cevimeline | Non-selective Muscarinic Agonist (M1,M2,M3) | Central and Periphery | DUMBBELSS | Treatment of dry mouth / glaucoma |
| Atropine | Non-selective Muscarinic Antagonist (M1,M2,M3) | Central and Periphery | Anti-DUMBBELSS | Treatment of Organophosphate poisoning (severe DUMBBELSS) Treatment of muscarinic agonist overdose |
| Scopalamine | Non-selective Muscarinic Antagonist (M1,M2,M3) | CNS - Penetrate CNS more rapidly | Anti-DUMBBELSS (anti-emesis) | Used to treat motion sickness |
| Benztropine | Non-selective Muscarinic Antagonist (M1,M2,M3) | CNS | Anti-DUMBBELSS | Used to treat Parkinson's |
| Tropicamide | Muscarinic Antagonist | Eyes | Anti-DUMBBELSS | Used for pupil dilation (block M3) |
| Tiotropium | Selective Muscarinic Antagonist (M1 & M3) | Lungs | Anti-DUMBBELSS Heart rate not affected since it does not target M2 | Long-Acting Muscarinic Antagonist (LAMA) |
| Aclidinium Umeclidinium | Muscarinic Antagonist | Lungs | Anti-DUMBBELSS | Long-Acting Muscarinic Antagonist (LAMA) |
| Oxybutynin Tolterodine Fesoterodine Solifenacin Darifenacin Trospium | Non-selective Muscarinic Antagonist (M1,M2,M3) All are more selective for M3 | M3 in Bladder | Potential for Anti-DUMBBELSS (xerostomia and constipation) M3 | Solifenacin, Darifenacin and Trospium are most selective for M3 ; Least likely to cause anti-DUMBBELSS |
| Nitroglycerin Nitroprusside Isosorbide di/mononitrate | Donate Nitric Oxide NO -> sGC -> Increase cGMP | Endothelium of Blood Vessels (M3) | Vasodilation; Lower Blood Pressure | cGMP is a potent Vasodilator |
| Sildenafil Tadalafil Vardenafil | Blocks PDE -> Increase cGMP | Endothelium of Blood Vessels (M3) | Vasodilation; Lower Blood Pressure | Blocks enzyme that breaks down cGMP = more cGMP ; Used for erectile dysfuntion |