Muscarinic Receptor Agonists and Antagonists Muscarinic Receptor Agonists Methacholine • Diagnosis of bronchial airway Carbachol • Glaucorna (topical administration) Bethanechol • Ileus (postoperative, neurogenic) • Urinary retention Pilocarpine • Glaucorna (topical administration) • Xerostomia due to Sjögren syndrome, Head and neck irradiation Cevimeline • Xerostomia due to Sjögren syndrome Muscarinic Receptor Antagonists Atropine • Acute symptomatic bradycardia (e.g., AV block) • Cholinesterase inhibitor intoxication • Aspiration prophylaxis Scopolamine • Motion sickness Homatropine, cyclopentolate, tropicamide • Ophthalmological examination (cycloplegia and mydriasis induction) Ipratropium, tiotropium, aclidinium. umeclidinium • COPD • Rhinorrhea (ipratropium) Pirenzepine, telenzepine • Peptic ulcer disease (notin US.) Oxybutynin, trospium, darifenacin, solifenacin, tolterodine, fesoterodine • Overactive bladder, enuresis, neurogenic bladder Glycopyrrolate • Duodenal ulcer • Sialorrhea Dicyclomine, hyoscyamine • Diarrhea-predominant irritable bowel syndrome (IBS) Trihexyphenidyl, benztropine • Parkinson disease #AntiMuscarinic #Agonists #Antagonists #Medications #Pharmacology #Table