Acetylcholine [Acetylene torch with coal] activates nicotinic [cigarettes] receptors in neuromuscular junction
Shortly after release into the synaptic cleft, acetylcholine [Acetylene torch with coal] is normally degraded by acetylcholinesterase [Pac man]
Reversible blockers tend to end with "-stigmine" [Stick mine]
Physostigmine [Pfizer stick mine]
Causes miosis and can be used to treat glaucoma [glued eye]
Causes bradycardia since acetylcholine is a parasympathetic mediator [snail heart]
Can enter CNS [Brain], causing convulsions [shaking spinal cord]
Reverses the actions of atropine [atrophying pine], tricyclic antidepressants, and phenothiazines [Fan sulfur zine]
Duration of action is approximately 3 hours [3 hour glasses]
Neostigmine [Neon stick mine]
Does not enter CNS [Crossed-out brain in "Neo"]
Antidote for tubocurarine [Curare arrow]
Treatment of myasthenia gravis [Esthetic grave]
Duration of action is approximately 3 hours [3 hour glasses]
Pyridostigmine [Pyramid stick mine]
Ancient, long duration (6 hours) [Pyramids, clock]
Edrophonium [E=mc2 dropping phone]
Quickly dropping, with short duration of 20 minutes
Diagnostic agent for myasthenia gravis, where rapid transient improvement is seen upon administration
Tacrine [Tack rhino] [Tack with rhino on the end]
Used to treat Alzheimer's disease
Isoflurophate [is four flouro hate] [F-swastika]
Organophosphate - damages the acetylcholinesterase enzyme [Pac man] and is therefore irreversible.
Causes miosis and can be used to treat wide-angle glaucoma [glued eye]
Echothiophate is a newer variant [Not drawn]
Pralidoxime [Pee rail ox chime] can displace organophosphates from acetylcholinesterase, but only if administered before organophosphates damage (alkylate) the enzyme