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REVERSIBLE potentiates ACh throughout the body, but used in ophthalmologic settings (glaucoma) and to increase tone in bladder and GI after surgery or postpartum. At high doses causes muscle paralysis (muscular fasciculation), can be a poison, or an antidote against atropine poisoning.
Crosses BBB and can be used to counteract restlessness, tremors, confusion, ataxia, convulsions, slurred speech and hallucinations caused by dextromethorphan abuse. “skittling”, “red devils”, “rowbowing”, ”robo‐trippin |
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pseudocholinesterase found in plasma, intestines, skin Important in the metabolism of drugs such as succinylcholine point mutations increase procaie duration to days |
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REVERSIBLE STIGMINE Synthetic version of physiostigmine but does not cross BBB Anecdote to tubocurarine poisening Improves myastinia gravis (Receptor Blocker) and Xerostoma Also good to improve tone GI/Bladder |
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REVERSIBLE STIGMINE Used in Tensilon Test to diagnose myasthenia gravis |
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IRREVERSIBLE ORGANOPHOSPHATE Insect Spray crosses BBB. Malthion = derivative used to treat headlice (metabolized quickly) |
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IRREVERSIBLE ORGANOPHOSPHATE covalently binds to AchE esteratic site and inactivates it Utilized for prolonged Tx Glaucoma |
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ORGANOPHOSPHATE ANECDOTE - nucleophile stops aging and removes inhibitor 2PAM |
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Atropine Scolopamine 2PAM
Pyridostigmine prophylaxis |
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