Study note
Pharmacology
CHOLINERGIC TRANSMISSION & CHOLINERGIC DRUGS
Muscarinic effects on glands and the eye
THE CONTEXT
Acetylcholine produces glandular secretion and ocular muscle contraction through its muscarinic actions.
Glandular secretion
•
Secretion from parasympathetically innervated glands increases through M3 and some M2 receptors.
•
The secretory effects include sweating, salivation, lacrimation, and increased tracheobronchial and gastric secretion.
•
Effects on pancreatic and intestinal glands
are not marked. Milk and bile secretion are unaffected.
Ocular effects
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Contraction of the circular muscle of the iris produces miosis.
•
Ciliary muscle contraction produces spasm of accommodation and increases aqueous outflow facility.
•
Intraocular tension decreases, especially in glaucomatous patients.
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