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Pharm Ch 8 Cholinerg
LECOM Pharm Ch 8 Cholinergic
| Question | Answer |
|---|---|
| Prevents Ach vesicle fusion and release by degrading synaptobrevin | Botulinum Toxin |
| Short acting AChE inhibitor used for myasthenia gravis Dx | edrophonium |
| Use for atropine overdose w/ good CNS & glaucoma penetration | physostigmine |
| AChE inhibitor used for best increased GI motility etc | Neostigmine |
| Long..er acting AChE inhibitors | Neostigmine, Pyridostigmine, Ambenonium |
| AChE Inhibitor used for AD associated w/ hepatotoxicity | Tacrine |
| “pseudo irreversible” AChE inhibitor used for AD | Rivistigmine |
| Longest half-life of AChE inhibitors used for AD | Donepazil |
| Muscarinic agonist used for asthma Dx | Methacholine |
| Methacholine contraindications | MI, HTN stroke, aneurysm |
| Muscarinic Agonist selective for CV receptors | Methacholine |
| Decrease urinary retention post surgery | bethanechol |
| Topical glaucoma treatment both mACh & nACh | carbachol |
| Used to treat Xerostomia in Sjogren’s syndrome | pilocarpine & Cevemeline |
| Depolarizing NMJ- blockading agent | succinylcholine |
| Don’t use this paralytic with cranial injuries | succinylcholine |
| Paralytic that can cause cardiac arrest | succinylcholine |
| Succinylcholine can cause what electrolyte imbalance | hypercalcemia & hyperkalemia |
| Prototypical mAChR antagonist | atropine |
| Treatment of choice for organophosphate poisoning | atropine |
| Atropine side effects | hot, dry, red, blind, “mad as a hatter” constipated, decrease gut acid |
| Treats motion sickness with CNS side effects | scopolamine |
| Added to PUD treatment | pirenzapine, methscopalamine, glycopyrrolate |
| Treats surgically or vagally induced bradycardia | glycopyrrolate |
| Treats COPD>asthma | ipratropium & <tiotropium |
| Non-specific mAChR antagonists used for GU hyperactivity | oxybutynin, propantheline, tolteradine, trospium |
| M3AChR Antagonists that treat GU hyperactivity | darafenicin, solifenacin |
| Long acting non-depolarizing paralytics | Pancuronium & tubocuronium |
| Intermediate acting non-depolarizing paralytics | vecuronium & rocuronium |
| Short acting non-depole paralytic | mivacuronium |
| Drops BP and blocks sympathetics in AAA | trimethaphan & mecamylamine |