Choloinergic Drugs 1 Flashcards

(28 cards)

1
Q
A
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2
Q

What type of agonist is Acetylcholine (Miochol)?

A

Muscarinic & Nicotinic agonist

Acetylcholine is short-acting.

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3
Q

Inhibitors of Acetylcholine Release

What is the clinical use of Botulinum toxin (Botox)?

A

Strabismus, wrinkle removal (chemical surgery)

It is a potent toxin.

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4
Q

Inhibitors of Acetylcholinesterase

What is the primary use of Donepezil (Aricept)?

A

Prevention and management of Alzheimer’s disease

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5
Q

Inhibitors of Acetylcholinesterase

What is Edrophonium (Tensilon) used for?

A

Diagnosis of Myasthenia gravis

It is short acting (5-10 min).

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6
Q

Inhibitors of Acetylcholinesterase

What is the duration of action for Pyridostigmine (Mestinon)?

A

Long acting (3-6 hr)

It is used for the treatment of Myasthenia gravis.

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7
Q

Muscarinic Receptor Agonists

What is the primary use of Bethanechol (Urecholine)?

A

Overcome urinary retention and abdominal distension

Bethanechol is a muscarinic receptor agonist that stimulates bladder contraction.

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8
Q

Muscarinic Receptor Agonists

What condition is Pilocarpine (Isopto) used to treat?

A

Treatment of Glaucoma

Pilocarpine reduces intraocular pressure by increasing aqueous humor outflow.

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9
Q

Nicotinic Receptor Agonists

What is Nicotine commonly used for?

A

Smoking cessation programs

Nicotine replacement therapies such as Nicorette and NicoDerm help individuals quit smoking.

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10
Q

Nicotinic Receptor Agonists

What is Succinylcholine used for?

A

Muscle relaxant (surgery)

Succinylcholine is used to induce muscle relaxation during surgical procedures.

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11
Q

Nicotinic Receptor Agonists

What mechanism does Succinylcholine utilize?

A

Persistent depolarization

Succinylcholine causes continuous stimulation of the neuromuscular junction, leading to muscle relaxation.

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12
Q

Nicotinic Receptor Agonists

Fill in the blank: Nicotine is found in products like _______.

A

[Nicorette, NicoDerm]

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13
Q

Nicotinic Receptor Agonists

True or False: Succinylcholine is a muscle relaxant used for pain relief.

A

False

Succinylcholine is specifically used for muscle relaxation during surgeries, not for pain relief.

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14
Q

Muscarinic Receptor Antagonists

What is the primary use of Atropine (Atropisol)?

A

Cholinergic toxicity, sinus bradycardia, mydriatic (eye exam)

Atropine is often utilized in emergency situations to counteract cholinergic toxicity.

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15
Q

Muscarinic Receptor Antagonists

Ipratropium (Atrovent) is primarily used as a _______.

A

[bronchodilator]

Ipratropium is commonly prescribed for asthma patients to help open airways.

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16
Q

Muscarinic Receptor Antagonists

What type of agent is Oxybutynin (Ditropan LX)?

A

Antispasmotic agent, Cholinergic blocker

Oxybutynin is primarily used to treat overactive bladder symptoms.

17
Q

Muscarinic Receptor Antagonists

Tolterodine (Detral LA) is used to treat _______.

A

[urinary urgency]

Tolterodine helps manage symptoms of an overactive bladder.

18
Q

Nicotinic Receptor Antagonists

What type of drug is Pancuronium?

A

Muscle relaxant, a competitive ach receptor blocker

Pancuronium is commonly known by its brand name Pavulon.

19
Q

Nicotinic Receptor Antagonists

What is the mechanism of action for Tubocurarine?

A

Competitive ach receptor blocker

Tubocurarine is also a muscle relaxant.

20
Q

Nicotinic Receptor Antagonists

True or False: Tubocurarine is a non-competitive ach receptor blocker.

A

False

Tubocurarine is a competitive ach receptor blocker.

21
Q

Nicotinic Receptor Antagonists

Fill in the blank: Pancuronium is a _______.

A

muscle relaxant, a competitive ach receptor blocker

22
Q

Nicotinic Receptor Antagonists

What are the two examples of nicotinic receptor antagonists mentioned?

A
  • Pancuronium
  • Tubocurarine
23
Q

Other drugs

What is the primary use of Cisapride (Propulsid)?

A

GI, antiulcer, anti-GERD, ↑ Ach, binds serotonin receptor

Cisapride is used to treat gastrointestinal disorders by increasing acetylcholine release and binding to serotonin receptors.

24
Q

Other drugs

What type of receptor does Metoclopramide (Reglan) block?

A

Dopamine receptor

Metoclopramide is used as an antinauseant and works by blocking dopamine receptors, enhancing gastrointestinal motility.

25
# Other drugs What is the function of Ondansetron (Zofran)?
GI, antinauseant, a serotonin receptor antagonist ## Footnote Ondansetron is primarily used to prevent nausea and vomiting by antagonizing serotonin receptors.
26
# Other drugs What is the action of Paregoric?
GI, antidiarrheal, ↓ GI motility, ↑ muscle tone ## Footnote Paregoric is used to treat diarrhea by decreasing gastrointestinal motility and increasing muscle tone.
27
# Other drugs Fill in the blank: Metoclopramide (Reglan) is known for blocking the _______ receptor.
dopamine ## Footnote This action enhances gastrointestinal motility and is effective as an antinauseant.
28
# Other drugs True or False: Ondansetron (Zofran) is a dopamine receptor antagonist.
False ## Footnote Ondansetron is a serotonin receptor antagonist, not a dopamine receptor antagonist.