What are the 4 Choline Esters?
Acetylcholine; Methacholine; Carbachol; Bethanechol
What suffix helps identify Choline Esters?
-choline or -chol
Give a clinical anchor for Bethanechol.
Used post‑surgery for urinary retention and ileus
Give a clinical anchor for Methacholine.
Asthma diagnosis (bronchial challenge test)
Give a clinical anchor for Carbachol.
Eye drops for glaucoma
Give a clinical anchor for Acetylcholine.
Used experimentally in eye surgery to constrict pupil
What are the 3 Alkaloids?
Muscarine; Pilocarpine; Arecoline
Where is Muscarine found?
Poisonous mushrooms (causes cholinergic symptoms)
What is Pilocarpine used for?
Glaucoma and dry mouth (Sjogren’s syndrome)
Where is Arecoline found?
Betel nut (linked to oral cancer risk)
What are the 4 Reversible Carbamate Anticholinesterases?
Physostigmine; Neostigmine; Pyridostigmine; Rivastigmine
What suffix helps identify Carbamate Anticholinesterases?
-stigmine
What is Physostigmine used for?
Antidote for atropine poisoning (crosses BBB)
What is Neostigmine used for?
Myasthenia gravis and post‑op ileus
What is Pyridostigmine used for?
Long‑acting treatment for myasthenia gravis
What is Rivastigmine used for?
Alzheimer’s disease
What are the 3 Reversible Non‑Carbamates?
Edrophonium; Donepezil; Galantamine
What is Edrophonium used for?
Diagnostic test for myasthenia gravis (Tensilon test)
What is Donepezil used for?
Alzheimer’s disease
What is Galantamine used for?
Alzheimer’s disease
What are the 2 Irreversible Carbamates?
Carbaryl; Propoxur
What are Carbaryl and Propoxur used as?
Insecticides (toxic exposure risk)
What are the 6 Irreversible Organophosphates?
Echothiophate; Malathion; Diazinon; Tabun; Sarin; Soman
Which organophosphate is used clinically?
Echothiophate (long‑acting glaucoma treatment)