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PCOL Drug List
| Drug | MOA | SOA | SE | KI |
|---|---|---|---|---|
| Acetylcholine | Depolarizing agent/ agonist | All over body | DUMBELSS (agonist) | DUMBELLS |
| Vernicline | a4/b2 Nn partial agonist | CNS/ Nn | Headache suicidal thoughts, depression, flatulence | BBW |
| Succinylcholine | Depolarizing agent | NMJ/ Nm | NMJ paralysis (agonist) | P1: Ach bind to open Na channels/ P2: Blocks Na channels |
| Physostigmine | Cholinesterase Inhibitor/ Indirect antagonist | CNS & Periphery | DUMBBELSS (agonist) | Tx for Anti muscarini poisioning |
| Donepezil | Cholinesterase Inhibitor/ Indirect antagonist | CNS & Periphery | DUMBBELSS (agonist) | Lipophilic -> Cross BBB / Dementia/ Alzheimer |
| Rivastigmine | Cholinesterase Inhibitor/ Indirect antagonist | CNS & Periphery | DUMBBELSS (agonist) | Lipophilic -> Cross BBB / Dementia/ Alzheimer |
| Galantamine | Cholinesterase Inhibitor/ Indirect antagonist | CNS & Periphery | DUMBBELSS (agonist) | Lipophilic -> Cross BBB / Dementia/ Alzheimer |
| Pyridostigmine | Cholinesterase Inhibitor/ Indirect antagonist | NMJ | DUMBBELS (agonist)/ No CNS effects | Do not cross BBB Reverse effects of Curare/tx of myasthenia graves |
| Neostigmine | Cholinesterase Inhibitor/ Indirect antagonist | NMJ | DUMBBELS (agonist)/ No CNS effects | Do not cross BBB Reverse effects of Curare/tx of myasthenia graves |
| Edrophonium | Cholinesterase Inhibitor/ Indirect antagonist | NMJ | DUMBBELS (agonist)/ No CNS effects | Diagnosis of myasthenia gravis or medication adjustment Short duration of action |
| Echothiopate | Organophosphate inhibitor of ACHesterase enzyme/ Indirect antagonist | M3 receptor in ciliary muscle (eye) | Miosis, blurred vision, lacrimation, stinging/red eye | Ophthalmology tx glaucoma |
| Botulinum Toxin | Prevent ACh release/ Antagonist | Presynaptic terminal | Muscle relaxation | Cleaves sites on SNARE protein |
| Curare & Curare like (-cur-) | Non-depolarizing agents/ Antagonist Direct comp antagonist | NMJ | NMJ Paralysis, Histamine release, hypotension & tachycardia No CNS effect | Doesn't let Ach to bind |
| Acetylcholine/ Methacholine/Carbachol/Bethanechol | Non-selective/ Muscarinic Agonist (M1, M2, M3 agonist) | Central and periphery | DUMBBELSS |