Cardio 1 Med Chem Cholinergics

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Cardiology Med Chem FlashCards sobre Cardio 1 Med Chem Cholinergics, criado por Courtney P em 20-01-2019.
Courtney P
FlashCards por Courtney P, atualizado more than 1 year ago
Courtney P
Criado por Courtney P mais de 5 anos atrás
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Cholinergic agonist Carbachol (isopto-carbachol) C -->N (carbamate) More resistant to hydrolysis mAChRs and nAChRs Topical, glaucoma
Cholinergic agonist Methacholine (provocholine) Add methyl to B carbon Selective for mAChR S is more potent Asthma diagnosis
Cholinergic agonist Bethanechol (Urecholine) Carbamate and methyl Selective mAChRs Postsurgical and postpartum urinary retention and abdominal distention
*(Muscarinic agonist)* - non classical Pilocarpine (Isopto, Carpine, Salogen) N is in ring Top left C is chiral Easily degraded Glaucoma, dry mouth, sjogren's syndrome
*(Muscarinic agonist)* - non classical Cevimeline (Exovaac) Quinuclidine ring M3 selective Dry mouth, Sjogren's syndrome
AChE inhibitors -reversible Physostigmine Carbamate More resistant to hydrolysis (increase half-life) Glaucoma, anticholinergic drug overdsoe
AChE inhibitors -reversible Neostigmine Quaternary amine No CNS activity Myasthenia gravis, reverse nerve block, urinary retention
AChE inhibitors -reversible Pyridostigmine Bromide (Mestinon) N is in pyrimidine ring N is positive Oral Myasthenia gravis
AChE inhibitors -reversible Carbaryl (Servin) Carbamate NO N!! Toxic to insects
AChE inhibitor - non classical , reversible Donepezil (Aricept) No carbamate CNS activity, no hepatoxicity, affinity AChE > BChE, Alzheimer's
AChE inhibitor - non classical , reversible Rivastgmine (exelon) Carbamate CNS activity, reversible inhibitor, affinity AChE=BChE, Alzheimer's
AChE inhibitor - non classical , reversible Galatamine (Razadyne) Phenanthrene derivative Tertiary amine Reversible inhibitor (NO BChE affinity)
AChE inhibitor - non classical , irrreversible Echothiophate Iodide (Phospholine) Phosphate = serine target = aging Effective for 4 weeks Glaucoma eye drops
AChE inhibitor - non classical , irreversible Malathion (insecticide) P=S bond Altered to P=O in insects (NOT humans) Kill bugs not hoomans
AChE inhibitor reversal Pralidoxime chloride (2-PAM) Hydroxylamine (N-OH) STRONG nucleophile to cleave phosphate esters in site Reverse irreversible AChE inhibitors BEFORE aging happens
Muscarinic antagonist (anticholinergics) Atropine Bulky side chains Antagonists activity Bradycardia, decrease secretions, ophthalmology, AChE inhibitor poisoning
Muscarinic antagonist (anticholinergics) Scopolamine Bulky side chains Antagonist activity Motion sickness
Muscarinic antagonist (anticholinergics) Methscopolamine Quaternary amine NO CNS activity
Muscarinic antagonist - synthetic Tiotropium (Spiriva) Ester linkage 2 rings + -OH Bronchodilator for COPD
Muscarinic antagonist - synthetic Ipratropium (Atrovet) Ester linkage 1 ring, CH2OH and H Less potent? Bronchodilator for COPD
Muscarinic antagonist - synthetic Trospium (Sanctura) Ester linkage 2rings + OH Bulky on N Overactive bladder
Muscarinic antagonist - synthetic Oxybutynin (Ditropan) Ester linkage 2 rings and OH CΞC Can cross the BBB Overactive bladder
Muscarinic antagonist - synthetic Glycopyrrolate (Robinul) Ester linkage 2 rings + OH Preop dec secretions, hyperhidrosis
Muscarinic antagonist - synthetic Trihexyphenidyl (Artane) Amino-alcohol 2 rings and OH Parkinson's syndrome, EPS of antipsychotics
Muscarinic antagonist - synthetic Tolterodine (Detrol) Amino-alcohol Urinary incontinence/overactive bladder
Muscarinic antagonist - synthetic Fesoterodine (Toviaz) Amino alcohol + ester Nonselective M activity ** lyse ester to get active drug Urinary incontinence/overactive bladder
Muscarinic antagonist - synthetic Orphenadrine (Norflex) Amino-ether2 rings and H Non-selective anticholinergic and antihistamine activity Muscle pain, and improve muscle control for Parkinson's
Muscarinic antagonist - synthetic Benztropin (Cogentin) 2 rings and H Some antihistamine Parkinson's and dec EPS
Muscarinic antagonist - synthetic Umeclidinium Long lipophilic tail Increase action time/long acting COPD
Muscarinic antagonist - synthetic Aclidinium Long lipophilic tail Increase action time/long acting COPD

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