CHOLINERGIC ANTAGONISTS / ANTICHOLINERGIC DRUGS

CHOLINERGIC ANTAGONISTS / ANTICHOLINERGIC DRUGS
DRUG CLASS DRUGS MECHANISM OF ACTION  INDICATIONS SPECIAL FEATURES
 

MOTION SICKNESS DRUGS 

 

Scopolamine

 

Unknown mechanism in the CNS

 

 

Prevention of motion sickness and postoperative nausea and vomiting.

 

Scopolamine has the highest propensity to cause CNS symptoms compared to all the other anticholinergics
 

 

GASTROINTESTINAL DISORDER DRUGS 

 

 

Dicyclomine

Competitive antagonism at M2 receptors.

 

 

Irritable bowel syndrome

Minor diarrhea

 

 

OPHTHALMOLOGY DRUGS 

 

 

Atropine

Competitive antagonism at all M receptors.

 

 

Retinal examination

Prevention of synechiae after surgery

 

 

 

 

 

 

 

RESPIRATORY (ASTHMA) DRUGS

 

 

 

Ipratropium

Competitive non-selective antagonism at M receptors.

 

 

Prevention and relief of acute episodes  of bronchospasms

 

 

URINARY DRUGS

 

 

Oxybutynin

Slightly M2 selective muscarinic antagonist.

 

 

Urge incontinence

Postoperative spasms

 

 

 

 

 

 

 

 

DRUGS FOR CHOLINERGIC POISONING

 

 

 

 

Atropine

Non-selective competitive antagonist at all muscarinic receptors in the CNS and periphery.

 

 

Mandatory antidote for severe cholinesterase inhibitor poisoning

 

 

 

Pralidoxime

Very high affinity for phosphorus atom but does not enter CNS.

 

 

Usual antidote for early stage (48 hours) cholinesterase inhibitor poisoning.

kindly answer the missing parts and put some other drugs

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