click below
click below
Normal Size Small Size show me how
pcol exam 2 drug lis
| DRUG | MOA | SOA | SE/ADRs | other shit |
|---|---|---|---|---|
| Acetylcholine | Nicotinic & Muscarinic Depolarizing agent (agonist) | all over body | DUMBBELSS | Diarrhea, Urination, Miosis, Bradycardia, Bronchial constrictions, Emesis, Lacrimation, Salivation, Stimulation (CNS) |
| Varenicline | alpha 4/beta 2 Nn partial agonist | CNS (Nn) | Headache, insomnia, suicidal thoughts, depression, flatulence | FDA warning of mod and behavioral changes; used for smoking cessation |
| succinylcholine | depolarizing agent (agonist) (Neuromuscular blockade - nicotinic) | NMJ (NM) can affect autonomic (PNS/SNS) ganglia | NMJ paralysis (agonist) Hyperkalemia, HTN & arrhythmias, muscle pain (myalgia), hyperthermia | phase 1: binds to Ach binding space and keeps all Na+ channels open (cannot repolarize) phase 2: blocks Na+ channels (cannot depolarize) |
| Physostigmine (indirect antagonist) | Cholinesterase inhibitor (AChE antagonist)(indirect antagonist) | CNS & periphery | DUMBBELSS (agonist) | penetrates CVS/cross BBB treatment for antimuscarinic poisoning (atropine) |
| Donepezil (indirect antagonist) Rivastigmine (Exelon)(indirect antagonist) | Cholinesterase inhibitor (AChE Antagonist)(indirect antagonist) | CNS & periphery | DUMBBELSS (agonist) | Lipophilic -> cross BBB used for dementia/alzheimer's |
| Galantamine (indirect antagonist) | longer 1/2 than physostigmine | |||
| PyriDOstigmine Neostigamine (indirect antagonist) | cholinesterase inhibitor (AChE Antagonist) (Indirect agonist) | NMJ | DUMBBELS (agonist) no CNS effects | DO NOT cross BBB Reverse the effects of Curare/treatment of myasthenia gravis |
| Edrophonium (indirect antagonist) |