Cholinergic blocking drugs

In 1900, Reid Hunt, a pharmacologist (1870-1948), realised a fall in blood pressure in rabbits after removing adrenaline (epinephrine) from adrenal glands extract. While he initially attributed this effect to choline, he later discovered acetylcholine was 100 000 times more potent in lowering blood pressure.[2]

Sir Henry Hallett Dale

British physiologist Sir Henry Hallett Dale (1875-1968) observed acetylcholine for causing blood vessel dilation and slowing down heart rate. In 1914, Dale noted that the physiological effect of acetylcholine resembled the stimulation of parasympathetic nervous system and hypothesized acetylcholine as the neurotransmitter. Later, Dale named substances that mimic acetylcholine action as “cholinergics”.[5]

In 1914, Dale also distinguished two types of activities of acetylcholine, namely muscarinic and nicotinic, as they mimic the effects of injecting muscarine, extracted from poisonous mushroom Amanita muscaria, and nicotine.[2]

Naturally occurring antimuscarinics were found in alkaloids from Belladonna (Solanaceae) plants. They were used as deadly poison in Roman Empire and Middle Ages. The name Belladonna, meaning beautiful ladies, was derived from women using berry juice from the plant cosmetically to dilate their pupils.[4]

The mydriatic effect was studied by the German chemist Friedlieb Ferdinand Runge (1795-1867), in which the active ingredient, atropine, was first discovered by Vaquelin in 1809 and was first isolated by Heinrich F. G. Mein in 1813.[4]

In the 1850s, atropine was used as antispasmodic in asthma treatment and as morphine antidote for its mydriatic effect.[4] Bezold and Bloebaum showed that atropine blocked the effects of vagal stimulation on the heart in 1867. Subsequently in 1872, Heidenhain found its ability to prevent salivary secretion.[6]

Curare, derived from Chondrodendron and Strychnos, was used as poison by South American Indians to coat arrow tips or blow-pipe darts for hunting animals. It is first identified when Spanish soldiers were attacked by these indigenous tribes in the 16th century.[1][3]

In 1906, Langley studied the actions of nicotine and curare on chicken and frog muscles. Curare was found to block the stimulant action of nicotine in both innervated and chronically denervated muscles. In 1940, Jenkinson identified tubocurarine as a competitive antagonist of acetylcholine.  

Curare and tubocurarine had important roles in establishing the concept of specific cholinoceptors in the motor end plate.[3] At right dose, they are used as general anesthetic for relaxing abdominal muscles in operations.[1]

Muscarinic receptors are G-protein coupled receptors that present mainly in the parasympathetic system and sweat gland. Antimuscarinc agents, therefore, generally produce effects that are opposite to the stimulation of the parasympathetic system, which is responsible for “rest and digest”.[1][2]

Nicotinic receptors are ligand-gated ion channels that present in both parasympathetic and sympathetic ganglions, while the antagonistic effect of antinicotinic agents depend on which system predominates in a particular site. Nicotinic receptors are also present in neuromuscular junctions and the brain.[1][2]

Antimuscarinic agents are muscarinic antagonists and they bind to muscarinic cholinergic receptors postsynaptically without activating them. They occupy and prevent acetylcholine from binding to the active sites of receptors to elicit their effect.[1][2]

Antinicotinic agents are classified into ganglionic blockers and neuromuscular blockers.

Ganglionic blockers are of little clinical use as they act at all autonomic ganglions.[1][2] They act by:

• Interfering acetylcholine release
• Prolonged depolarization (depolarisation block), i.e. stimulation then block stimulation
• Competitive inhibition of nicotinic receptor

Neuromuscular blockers act at neuromuscular junction by:[1][2]

• Inhibiting acetylcholine synthesis
• Inhibiting acetylcholine release
• Blocking acetylcholine receptors postsynaptically
• Prolonged depolarization of motor end plate

The following are some side effects after taking either antinicotinic or anticholinergic medications. They vary from mild to severe and some of these effects depends on the duration of drug usage.

Cognitive function decline (Confusion, memory loss and difficulty in concentration)[18] paralysis, Tachycardia,[19] Hypotension (Anticholinergics are histamine-inducing, leading to vasodilation during anaphylactic reaction, hence a dropping in blood pressure),[20] constipation, dry mouth, dry eyes, hypohidrosis/ anhidrosis, blurry vision, or Increase in intraocular pressure, increase in the risk of glaucoma.

Anticholinergic overdose, both antinicotinic and antimuscarinic, can exert toxic effects on both central and peripheral systems. The following symptoms could be presented:[21][22]

Mydriasis

Mild symptoms include tachycardia, flushed face, mydriasis and blurred vision, fever, dry mouth and skin, and urinary retention. Early stage of overdose can lead to central nervous system stimulation, for instance, hyperactivity, followed by depression, such as agitation (Anxiety or nervous), delirium, disorientation, hallucinations, seizures, hypertension, or hyperthermia. In late or severe stage of overdose, it could lead to coma, medullary paralysis, death.

Physostigmine structure

Supportive care is usually performed in anticholinergic toxicated patients. Intravenous benzodiazepine is used as a first-line treatment for agitation. Cooling measures are employed if there is any significant hyperthermia. Activated charcoal is only given within one hour of anticholinergic ingestion. Physostigmine is given only if presenting both peripheral and central signs and symptoms of anticholinergic poisoning.[23] Physostigmine is an central and peripheral acting acetylcholinesterase inhibitor and generally given to patients with pure anticholinergic poisoning.[24]

Drooping of eyelid in myasthenia gravis

For all antimuscarinics,

• Angle-closure glaucoma
• Bladder outlet obstruction (BOO)
• Myasthenia gravis
• Gastro-intestinal obstruction
• Toxic megacolon
• Urinary retention
• Paralytic ileus
• Intestinal atony (paralysis of muscles)
• Severe ulcerative colitis
• Hypertension, especially M2 receptor antagonists

For anticholinergics, such as

• Trimethoprim:
  • Blood dyscrasias[28]
• Suxamethonium:
  • Hyperkalemia
  • Low plasma-cholinesterase activity e.g. severe liver disease
  • Major trauma
  • Personal or family history of congenital myotonic disease
  • Personal or family history of malignant hyperthermia
  • Prolonged immobilisation
  • Severe burns
  • Skeletal muscle myopathies e.g. Duchenne muscular dystrophy