Okay now next stop in
We've talked about the beta-2
adrenergic agonist in other videos,
we've tallked about
Now we're gonna look at the
They block the muscarinic
receptors in the lungs
So they're still blocking receptors,
just a different kind in the lungs.
They're hitting the muscarinic receptors and
this will decrease the bronchoconstriction.
Now, off-label use for asthma,
but we usually this predominantly
with patients with COPD
(Chronic Obstructive Pulmonary Disease)
But there is an off-label use for
asthma so it's not uncommon for you
to see an asthma patient
taking the anticholinergic.
It will be because they've worked
with their healthcare provider
and found what worked
best for them.
So predominantly used for COPDs.
So write yourself a note under
the "C" in anticholinergics
that we use this for COPD predominantly but
you may also see it with asthma patients.
So ipratropium, tiotropium - these are
examples of anticholinergic medications.
And look, they end in -opium.
So they're not opioids, these are antimuscarinics
but they have that last 4-5 letter in common,
so you might wanna underscore those
to help you remember the drug names.
Now, they have relatively
minimal systemic side effects.
That's pretty cool.
So they're not gonna get so jittery like
you did with all the other medications
but it can really dry out their mouth.
So patients will really complain
about this side effect,
it's not a deal killer but you
wanna help work with your patients
because it is uncomfortable
to have a dry mouth.
So anticholinergic medications cause a
really drying of the mucous membranes
so just encourage your patient to
maybe uptake their intake of water
a little bit and that should help.
It can also kind of irritate the pharynx.
That's not as common, I haven't
seen that as often with my patients
but I have definitely heard them complain about
the dry mouth with anticholinergic medications.
So, this family of medication also
works on the receptors of the lungs.
So which medications have we talked about that
worked on another type of receptor in your lungs?
Hey, hopefully you remembered.
that repiratory medications work
on beta-2 receptors in the lungs.
Anticholinergics work on
the muscarinic receptors.