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AUTONOMIC NERVOUS

SYSTEM
[Document subtitle]
EFFECTS OF CHOLINERGIC AGONIST

CVS

 Dec HR

 Dec CO

 Vasodil

 Dec BP

GIT: Inc motility and secretions

GENITOURINARY: Inc urination

PULMONARY: Inc sec of bronchioles

EYE: Miosis

GLANDS: Inc secretions


CLASSIFICATION
DIRECT ACTING INDIRECT ACTING

MUSCURANIC AGONIST NICOTINIC AGONIST


MUSCURANIC AGONISTS

DIRECT ACTING
NAME KINETIC ACTION USES TOXICITY
ACETYLCHOLIN Prodrug All
E Acts on both
Met by acy
esterase

BETHANECHOL Poor lipid sol On bladder Atonic bladder All eff opp
Oral and git Neurogenic
X BBB blad
Dur of act: 1h Megacolon
CARBACHOL Inc dur of On CVS ( rel Dec IOP
action of epi) Glaucoma
On Eye and
GIT
PILOCARPINE Ter amine On eye Sjogren
Cross CNS syndrome
Treats
glaucoma

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