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136     SECTION II  Autonomic Drugs


                 PREP AR A TIONS                                     Cahill K et al: Pharmacological interventions for smoking cessation: An overview
                                                                         and network meta-analysis. Cochrane Database Syst Rev 2013;5:CD009329.
                 A V AIL ABLE                                        Carrière I et al: Drugs with anticholinergic properties, cognitive decline, and
                                                                         dementia in an elderly general population. Arch Intern Med 2009;169:1317.
                      GENERIC NAME             AVAILABLE AS          Casaburi R et al: Improvement in exercise tolerance with the combination of tiotropium
                                                                         and pulmonary rehabilitation in patients with COPD. Chest 2005;127:809.
                       ANTIMUSCARINIC ANTICHOLINERGIC DRUGS *        Chapple CR et al: A comparison of the efficacy and tolerability of solifenacin
                 Aclidinium             Tudorza Pressair                 succinate and extended release tolterodine at treating overactive bladder
                 Atropine               Generic                          syndrome: Results of the STAR trial. Eur Urol 2005;48:464.
                 Belladonna alkaloids, extract,   Generic            Cohen JS et al: Dual therapy strategies for COPD: The scientific rationale for
                 or tincture                                             LAMA+LABA. Int J Chron Obstruct Pulmon Dis 2016;11:785.
                 Botulinum toxin A      Botox                        Ehlert FJ, Pak KJ, Griffin MT: Muscarinic agonists and antagonists: Effects on
                                                                         gastrointestinal function. In: Fryer AD et al (editors): Muscarinic Receptors.
                 Clidinium              Generic, Quarzan, others         Handb Exp Pharmacol 2012;208:343.
                 Cyclopentolate         Generic, Cyclogyl, others    Filson CP et al: The efficacy and safety of combined therapy with α-blockers and
                 Darifenacin            Generic, Enablex                 anticholinergics for men with benign prostatic hyperplasia: A meta-analysis.
                                                                         J Urol 2013;190:2013.
                 Dicyclomine            Generic, Bentyl, others      Fowler CJ, Griffiths D, de Groat WC: The neural control of micturition. Nat Rev
                 Fesoterodine           Toviaz                           Neurosci 2008;9:453.
                 Flavoxate              Generic, Urispas             Kranke P et al: The efficacy and safety of transdermal scopolamine for the preven-
                 Glycopyrrolate         Generic, Robinul (systemic)      tion of postoperative nausea and vomiting: A quantitative systematic review.
                                        Seebri Neohaler (oral inhalation)  Anesth Analg 2002;95:133.
                 Homatropine            Generic, Isopto Homatropine, others  Kruse AC et al: Muscarinic acetylcholine receptors: Novel opportunities for drug
                                                                         development. Nat Rev Drug Discov 2014;13:549.
                 l-Hyoscyamine          Anaspaz, Cystospaz-M, Levsin, others  Lawrence GW, Aoki KR, Dolly JO: Excitatory cholinergic and purinergic signal-
                 Ipratropium            Generic, Atrovent                ing in bladder are equally susceptible to botulinum neurotoxin A consistent
                 Mepenzolate            Cantil                           with co-release of transmitters from efferent fibers. J Pharmacol Exp Ther
                 Methscopolamine        Generic, Pamine                  2010;334:1080.
                 Oxybutynin             Generic, Ditropan, Gelnique, others  Marquardt K: Mushrooms, amatoxin type. In: Olson K (editor): Poisoning & Drug
                                                                         Overdose, 6th ed. New York: McGraw-Hill, 2012.
                 Propantheline          Generic, Pro-Banthine, others  Profita M et al: Smoke, choline acetyltransferase, muscarinic receptors, and fibro-
                 Scopolamine                                             blast proliferation in chronic obstructive pulmonary disease. J Pharmacol
                   Oral                 Generic                          Exp Ther 2009;329:753.
                   Ophthalmic           Isopto Hyoscine              Rai BP et al: Anticholinergic drugs versus non-drug active therapies for non-
                                                                         neurogenic overactive bladder syndrome in adults. Cochrane Database Syst
                   Transdermal          Transderm Scop                   Rev 2012;12:CD003193.
                 Solifenacin            Vesicare                     Tauterman CS et al: Molecular basis for the long duration of action and kinetic
                 Tiotropium             Spiriva                          selectivity of tiotropium for the muscarinic M3 receptor. J Med Chem
                 Tolterodine            Generic, Detrol                  2013;56:8746.
                 Tropicamide            Generic, Mydriacyl Ophthalmic,    Thai DM et al: Crystal structures of the M1 and M4 muscarinic acetylcholine
                                                                         receptors. Nature 2016;335:2016.
                                        others                       Wallukat G, Schimke I: Agonistic autoantibodies directed against G-protein-
                 Trospium               Generic, Sanctura                coupled receptors and their relationship to cardiovascular diseases. Semin
                 Umeclidinium           Incruse Ellipta                  Immunopathol 2014;36:351.
                                 GANGLION BLOCKERS                   Young JM et al: Mecamylamine: New therapeutic uses and toxicity/risk profile.
                                                                         Clin Ther 2001;23:532.
                 Mecamylamine           Vecamyl                      Zhang L et al: A missense mutation in the CHRM2 gene is associated with familial
                            CHOLINESTERASE REGENERATOR                   dilated cardiomyopathy. Circ Res 2008;102:1426.
                 Pralidoxime            Generic, Protopam
                                                                     Treatment of Anticholinesterase Poisoning
                 * Antimuscarinic drugs used in parkinsonism are listed in Chapter 28.
                                                                     Nachon F et al: Progress in the development of enzyme-based nerve agent bioscav-
                                                                         engers. Chem Biol Interact 2013;206:536.
                 REFERENCES                                          Thiermann H et al: Pharmacokinetics of obidoxime in patients poisoned with
                 Brodde OE et al: Presence, distribution and physiological function of adrenergic   organophosphorus compounds. Toxicol Lett 2010;197:236.
                    and muscarinic receptor subtypes in the human heart. Basic Res Cardiol   Weinbroum AA: Pathophysiological and clinical aspects of combat anticholinesterase
                    2001;96:528.                                         poisoning. Br Med Bull 2005;72:119.

                   C ASE  STUD Y  ANSWER

                   JH’s symptoms are often displayed by patients following   frequency can diminish with time after prostatectomy as
                   prostatectomy to relieve significant obstruction of bladder   detrusor  muscle instability subsides. JH  can  be  helped  by
                   outflow. Urge incontinence can occur in patients whose pros-  daily administration of  a single tablet of extended-release
                   tatic hypertrophy caused instability of the detrusor muscle.   tolterodine (4 mg/d) or oxybutynin (5–10 mg/d). A transder-
                   JH should be advised that urinary incontinence and urinary   mal patch containing oxybutynin (3.9 mg/d) is also available.
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