Where do M1 receptors act?
At the ganglia- the facilitate transmission mediated by ACh on nicotinic receptors
Where do the M2 act?
Post ganglionic- reduce ACh production
Where do M3 act?
Smooth muscle- mediate contraction to ACh
What does activation of M3 receptors cause
coupling with Gq receptors activates phospholipase C which increases Calcium induced calcium release from SR and causes contraction
Name two SAMAs
Ipratropium
Oxitropium
Name two LAMAs
Tiotropium
Aclidinium
Which one is non selective?
Ipratropium
Whihc receptro do you not want to block
M2
Name an ultra LAB
indacaterol
What other drug can be used to control COPD?
Phosphodiesterase 4 inhibitors
Name a PDE4 inhibitor
Rofumilast