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Receptor stimulant & Cholinesterase-inhibitors

ACETYLCHOLINE

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• Makes up a large group of drugs that mimic acetylcholine () agents

cholinomimetic

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ACETYLCHOLINE RECEPTORS (ACHR) OR CHOLINERGIC RECEPTORS

• Muscarinic (mAChR)

• Nicotinic (nAChR)

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are drugs that mimic or potentiate the actions of acetylcholine

Cholinergic agonists

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TWO TYPES OF ACETYLCHOLINE RECEPTORS (ACHR) OR CHOLINERGIC RECEPTORS

1. Muscarinic(mAChR)

2. Nicotinic (nAChR)

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- found in ganglia, smooth muscle, myocardium, secretory glands & the CNS

M1 to M5 -

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located in autonomic ganglia

Neuronal nicotinic (NN)

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 located in the neuromuscular junction

Muscular nicotinic (Nm)

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WHERE IN THE BODY ARE CHOLINERGIC RECEPTORS FOUND? blank of the autonomic ganglia

Preganglionic fibers

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WHERE IN THE BODY ARE CHOLINERGIC RECEPTORS FOUND?

 that terminate in the adrenal medulla

• Preganglionic fibers

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of the parasympathetic system

• Postganglionic fibers

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of the somatic system CNS

Voluntary muscles

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innervated by the postganglionic sympathetic nervous system

Sweat glands

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TYPES OF CHOLINERGIC AGONISTS ARE AVAILABLE FOR CLINICAL USE?

DIRECT-ACTING AGONISTS

INDIRECT-ACTING AGONISTS

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chemically bind with and activate muscarinic and nicotinic receptors in the body.

DIRECT-ACTING AGONISTS -

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inhibit the enzyme acetylcholinesterase and therefore increase the concentration of acetylcholine within the synapse.

INDIRECT-ACTING AGONISTS

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M2 Other names

Cardiac M2

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Nm

Muscle type, end plate receptor

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Nn

Neuronal type, ganglion receptor

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M1  Location

Nerves

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