TY - CHAP M1 - Book, Section TI - Chapter 5. Drugs Affecting the Cholinergic System A1 - Panus, Peter C. A1 - Jobst, Erin E. A1 - Masters, Susan B. A1 - Katzung, Bertram A1 - Tinsley, Suzanne L. A1 - Trevor, Anthony J. PY - 2009 T2 - Pharmacology for the Physical Therapist AB - When synaptic transmission depends upon acetylcholine as the primary neurotransmitter, it is labeled cholinergic. The termination of acetylcholine activity is mediated by the enzymeacetylcholinesterase. There are two subtypes of cholinergic receptors, muscarinic (M) and nicotinic (N). Agonists that mimic the effects of acetylcholine are defined as cholinomimetics. Some drugs are direct-acting agonists for the cholinergic receptors (Figure 5–1). Other drugs function as indirect-acting agonists by preventing the inactivation of acetylcholine. Antagonists that inhibit acetylcholine at muscarinic or nicotinic receptors are defined as anticholinergics. Drugs that selectively inhibit muscarinic receptors are called antimuscarinics (Figure 5–2), whereas those that selectively inhibit nicotinic receptors are antinicotinics. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=6090455 ER -