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260759
Muscarinic Antagonists
Description
Doctorate Pharmacology Mind Map on Muscarinic Antagonists, created by melian.yates on 08/10/2013.
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pharmacology
pharmacology
doctorate
Mind Map by
melian.yates
, updated more than 1 year ago
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Created by
melian.yates
about 11 years ago
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Resource summary
Muscarinic Antagonists
Parasympatholytics
Competitive Antagonists for Ach at Muscarinic receptors
Limited effect at the Neuromuscular junction or in Ganglionic transmission
Nicotinic Receptors
Sympathetic control
Similar structure to Ach, but bulkier aromatic group in place of Acetyl group
Synthetic
Glycopyrronium Bromide
Does NOT cross placenta and BBB
Less CNS effects; useful in caesarian sections
Less tachycardias
Used in ocular surgery to prevent Vagal Stimulation
Ipratopium Bromide
Bronchodilation (horses)
Tx for Chronic Obstructive Pulmonary Disease
Given Inhalation: Poor absorption, poor distribution; minimal side effects, local effect in respiratory tract
Tropicamide
Mydriatic
Drug of choice: Intra-ocular exam
Rapid onset, Shorter duration (hrs)
Cyclopentolate
Mydriatic
Cycloplegic
Tx of Uveitis
Long duration of action
Natural
Atropine
Belladona (dilates pupils, toxic)
Given I/M, I/V, S/C and P.O.
Metabolized in Liver; Excreted by Kidneys
Tertiary Amine; Ionized at physiological pH yet crosses the gut, conjunctival sac (eye), and BBB
Premed - to decrease Salivation
Antispasmodic effect in the gut; Decreases gastric secretion
Not recommended in Horses
Decreases GI motility, can cause central excitation
Tx of organophosphorus toxicity
Mydriasis - examination
Increase HR
Used with AChEI: to prevent side effects from Muscarinic stimulation when AChEI used to reverse neuromuscular blockade
Toxicity
CNS stimulation: Problem in horse
Constipation
Tachycardia
Urinary retention
AChEI can be used Tx Toxicity
Increase Ach to compete w/ Atropine
Scopolamine (Hyoscine)
Used for drying secretions
Contained in Antispasmodic Buscopan (+ Dipyrone metamizole - analgesic)
Decreases GI contractions
Antiemetic properties
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