Acetylcholine

Table of contents

  • Brand Names
  • Chemistry
  • Pharmacologic Category
  • Mechanism of Action
  • Therapeutic Use
  • Contraindications
  • Warnings and Precautions
  • Adverse Reactions
  • Caution and personalized dose adjustment in patients with the following genotypes
  • Other genes that may be involved
  • Drug Interactions
  • Dosage

Brand Names

Europe

Belgium: Miochole; Finland: Miochol; France: Miochole; Germany: Miochol; Greece: Acetylcholinum, Miochol; Ireland: Miochol; Italy: Miovisin; Luxembourg: Miochol; Malta: Miovisin; Netherlands: Miochol; Portugal: Miochol; Romania: Miochol; Spain: Acetilcolina; Sweden: Miochol; UK: Miochol.

North America

Canada: Miochol, Miogan; USA: Miochol.

Latin America

Mexico: Iloc Ofteno.

Asia

Japan: Neucholin, Ovisot.

Drug combinations

Chemistry

Acetylcholine Chloride: C~7~H~16~ClNO~2~. Mw: 181.66. (1) Ethanaminium, 2-(acetyloxy)-N,N,N-trimethyl-, chloride; (2) Choline acetate (ester) chloride. CAS-60-31-1; CAS-51-84-3(acetylcholine).

Pharmacologic Category

Antiglaucoma Agents; Miotics; Parasympathomimetics. Neurotransmitters; Cholinergic Agonists. (ATC-Code: S01EB09).

Mechanism of action

Causes contraction of the sphincter muscles of the iris, resulting in miosis and contraction of the ciliary muscle, leading to accommodation spasm.

Therapeutic use

Produces complete miosis in cataract surgery, keratoplasty, iridectomy, and other anterior segment surgery.

Pregnancy and lactiation implications

Unlabeled use

Contraindications

Hypersensitivity to acetylcholine chloride or any component of the formulation. Acute iritis and acute inflammatory disease of the anterior chamber.

Warnings and precautions

Problems in asthma, gastrointestinal spasm, acute heart failure, hyperthyroidism, Parkinson’s disease, peptic ulcer disease, and/or urinary tract obstruction.

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