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Index
»
PHARMACOLOGY 1
»
Chapter 4 - Cholinergic Agonists
»
Level 3
level: Level 3
Questions and Answers List
level questions: Level 3
Question
Answer
• MOA: forms covalent bond with AChE, but hydrolyzed and released • Effect: like Edrophonium but longer-acting • CA: Myasthenia gravis, antidote for NMB toxicity
NEOSTIGMINE • Prostigmin®
• Like neostigmine, but longer-acting • also used in myasthenia gravis Intermediate-Acting Cholinesterase Inhibitors
PYRIDOSTIGMINE • Mestinon®, Regonol®
• like neostigmine • a natural alkaloid tertiary amine • enters CNS
PHYSOSTIGMINE • Eserine®
•Exelon®
RIVASTIGMINE
• MOA: like neostigmine, BUT RELEASED MORE SLOWLY • Obsolete - was used in glaucoma
Echothiophate
• insecticide • relatively safe for mammals and birds because metabolized by other enzymes to inactive products • some medical use as ECTOPARASITICIDE
Malathion
• Insecticide • Dangerous for all animals • Toxicity is important because of agricultural use and exposure of farm workers
Parathion
• "Nerve gas" • used exclusively in warfare and terrorism
Sarin
Antidote FOR Organophosphate Poisoning:
ATROPINE DIAZEPAM (Reduce convulsion) PRALIDOXIME