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Indirect-Acting Parasympathomimetics:

  • These drugs inhibit acetylcholinesterase, the enzyme responsible for the breakdown of acetylcholine, thereby increasing the concentration of acetylcholine in the synaptic cleft.

  • They can be further subdivided based on their action duration:

1.Reversible Acetylcholinesterase Inhibitors:

  • These drugs temporarily inhibit acetylcholinesterase. Examples include physostigmine and donepezil (used in Alzheimer's disease).

2.Irreversible Acetylcholinesterase Inhibitors:

  • These drugs permanently inhibit acetylcholinesterase. An example is echothiophate (used in glaucoma).

Indirect-Acting / Cholinesterase Inhibitors
Indirect-Acting / Cholinesterase Inhibitors

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