Indication |
Primarily used in the treatment of glaucoma, but is also used during ophthalmic surgery. |
Pharmacodynamics |
Carbachol is a potent cholinergic (parasympathomimetic) agent
which produces constriction of the iris and ciliary body resulting in
reduction in intraocular pressure. The exact mechanism by which
carbachol lowers intraocular pressure is not precisely known. In the cat
and rat, carbachol is well-known for its ability to induce rapid eye
movement (REM) sleep when microinjected into the pontine reticular
formation. Carbachol elicits this REM sleep-like state via activation of
postsynaptic muscarinic cholinergic receptors (mAChRs). |
Mechanism of action |
Carbachol is a parasympathomimetic that stimulates both muscarinic
and nicotinic receptors. In topical ocular and intraocular
administration its principal effects are miosis and increased aqueous
humour outflow. |
Absorption |
Not well absorbed in the gastro-intestinal tract, and does not cross the blood-brain barrier. |
Volume of distribution |
Not Available |
Protein binding |
Not Available |
Metabolism |
Not Available |
Route of elimination |
Not Available |
Half life |
Not Available |
Clearance |
Not Available |
Toxicity |
Oral, mouse: LD50 = 15 mg/kg; Oral, rat: LD50 = 40 mg/kg. |
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