Nair VP, Hunter JM 2004 Anticholinesterases and anticholinergic
drugs Continuing Education in Anaesthesia, Critical Care & Pain 4 164-168
discontinuation of anticholinergic
drugs in patients taking them.
Writing in the Journal of the American Medical Association, the authors said: "Inhaled anticholinergic
use for more than 30 days significantly increases the risk of cardiovascular death, heart attack, or stroke in patients with COPD by approximately 58%.
However, other anticholinergic
agents such as atropine have been used in the past to achieve the desired pulmonary effect.
For reliever therapy, the primary bronchodilators are the short-acting beta-agonists (SABA), although anticholinergic
agents may be suitable for older adults, for those intolerant of SABA, and for patients with nocturnal or intrinsic asthma.
Current labeling does not explicitly describe the potential for CNS anticholinergic
effects or the age-dependent pattern of CNS effects that have been reported," Dr.
In other words, the classic symptoms of atropine or anticholinergic
Treatment can sometimes include anticholinergic
medications, locally applied aluminium salts such as Anhydrol (which can be bought over the counter) and in some cases of excessive sweating in the underarm the sweat glands can be surgically excised.
sedatives, hypnotics, diuretics, and anticholinergic
agents), excessive urine production, restricted mobility, and fecal impaction.
drugs can be helpful when a hyperactive bowel is the underlying cause of incontinence.
desipramine, nortriptyline) exhibit fewer anticholinergic
and sedative effects than the tertiary amines (e.
release XL, QD frequency or hesitation, dry skin, dosing and immediate release) blurry vision (avoid driving until Spasmolytic and anticholinergic
visual effects evaluated), effect on urinary tract smooth mus- tachycardia, CNS confusion, cles and increased bladder restless, insomnia, somnolence, capacity.
To combat these effects, patients often are given anticholinergic
medication such as benztropine (Cogentin) or diphenhydramine (Benadryl).
4 times as likely to be taking any type of anti-Parkinson's drug (either dopaminergic or anticholinergic