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Cholinergic - Agonists Table
Cholinergic - Agonists Table
PharmaIdea Publications©
Cholinergic Agonists
Demecarium -Actions similar to NEOSTIGMINE -Used to treat chronic open- -Salivation -Quaternary amine
(Indirect) angle glaucoma and closed- -Flushing that is structurally
angle glaucoma after -Decreased BP related to
irredectomy -Nausea NEOSTIGMINE
-Diagnosis and treatment of -Abdominal pain
accommodative esotropia -Diarrhea
(strabismus) -Bronchospasm
Edrophonium -Similar to NEOSTIGMINE, but is -Diagnosis of myasthenia -Duration of action -Excess drug causes -Quaternary amine
(Indirect) more rapidly absorbed gravis is 10-20 minutes cholinergic crisis -Antidote: ATROPINE
- IV injection leads
to rapid increase in
muscle strength
Tacrine - Donepezil, Galantamine, -used in the treatment of -First line of drugs: -Tacrine: -Tacrine was the first
Donepezil Rivastigmine delay the progression Alzheimer’s disease Donepezil, hepatotoxicity one to become
Rivastigmine of the disease but can’t stop it Galantamine, -First line of drugs available
Galantamine Rivastigmine cause GI distress
Echothiophate -Binds via its P-group to the serine- -Treatment of open-angle -Effect on -Cataracts -Organophosphate
(Indirect, OH group at the active site of Ach- glaucoma glaucoma can last -ATROPINE can
Irreversible) esterase, permanently inactivating - up to one week reverse the
it after single muscarinic and
-After covalent modification of Ach- administration central effects of the
esterase, the enzyme slowly drug
releases one of its ethyl groups -PRALIDOXIME can
(aging) reactivate inhibited
-Paralysis of motor function, Ach-esterase; if given
convulsions before aging of the
alkylated enzyme it
can reverse the
effects of the drug,
except those in the
CNS
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