00:01
Okay now next stop in
bronchoconstriction.
00:04
We've talked about the beta-2
adrenergic agonist in other videos,
we've tallked about
the theophyllines.
00:09
Now we're gonna look at the
anticholinergic medications.
00:13
They block the muscarinic
receptors in the lungs
So they're still blocking receptors,
just a different kind in the lungs.
00:19
They're hitting the muscarinic receptors and
this will decrease the bronchoconstriction.
00:24
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.
00:41
It will be because they've worked
with their healthcare provider
and found what worked
best for them.
00:47
So predominantly used for COPDs.
00:50
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.
00:59
So ipratropium, tiotropium - these are
examples of anticholinergic medications.
01:06
And look, they end in -opium.
01:08
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.
01:19
Now, they have relatively
minimal systemic side effects.
01:23
That's pretty cool.
01:24
So they're not gonna get so jittery like
you did with all the other medications
but it can really dry out their mouth.
01:31
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.
01:41
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.
01:51
It can also kind of irritate the pharynx.
01:54
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.
02:04
So, this family of medication also
works on the receptors of the lungs.
02:09
So which medications have we talked about that
worked on another type of receptor in your lungs?
Hey, hopefully you remembered.
02:17
that repiratory medications work
on beta-2 receptors in the lungs.
02:22
Anticholinergics work on
the muscarinic receptors.
02:26
Good job.