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Various Direct-Acting Parasympathomimetic Agents

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Various Indirect-Acting Agents (Cholinesterase Inhibitors)

Cholinesterase Reactivator

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Solanaceous Alkaloids AND Analogues

Various Synthetic Cholinergic Blocking Agents

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Medicinal Chemistry I

Other Subjects of B Pharmacy 4th Semester

Topic wise notes of:

Pharmacology I


Topic wise notes of:

Physical Pharmaceutics II


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Topic wise notes of:

Pharmacognosy & Phytochemistry I


Topic wise notes of:

Pharmaceutical Organic Chemistry III

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Cholinergic Neurotransmitters and Agents – Summary

Unit III explores the pharmacology of cholinergic neurotransmitters and their corresponding agents that act on the parasympathetic nervous system. It begins with the biosynthesis and catabolism of acetylcholine, a key neurotransmitter responsible for transmitting nerve impulses in cholinergic neurons.

The unit explains the cholinergic receptors, divided into muscarinic and nicotinic types, and their distribution in various organs. It then focuses on parasympathomimetic agents, both direct-acting (e.g., acetylcholine, methacholine, carbachol, bethanechol, pilocarpine) and their structure-activity relationships (SAR).

Further, it details indirect-acting cholinergic agents, specifically cholinesterase inhibitors. These are classified into reversible (e.g., neostigmine, physostigmine, edrophonium) and irreversible inhibitors (e.g., isofluorophate, echothiophate, parathion, malathion). These drugs prevent the breakdown of acetylcholine, enhancing its action at synapses. Additionally, pralidoxime chloride is covered as a cholinesterase reactivator, used in poisoning cases.

The unit also includes cholinergic blocking agents, highlighting SAR of cholinolytics. These include natural alkaloids like atropine and scopolamine, as well as synthetic analogues like ipratropium, dicyclomine, glycopyrrolate, and benztropine. These agents block acetylcholine at muscarinic receptors, useful in treating conditions like asthma, peptic ulcers, and Parkinson’s disease.

Overall, this unit gives a thorough understanding of cholinergic pharmacology and its clinical applications.

At FirstHope, we provide BPharm notes that are topic-wise, easy to understand, and designed strictly as per the AKTU and Other Universities, hence designed according to PCI syllabus.

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