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SYSTEM
[Document subtitle]
EFFECTS OF CHOLINERGIC AGONIST
CVS
Dec HR
Dec CO
Vasodil
Dec BP
EYE: Miosis
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