Cholinergic Agonists · Pharmacology

Donepezil and Rivastigmine are used in the treatment of Alzheimer’s disease. What is their intended pharmacological effect?

  1. To decrease the levels of glutamate in the synaptic cleft
  2. To increase the levels of acetylcholine in the brain
  3. To block muscarinic receptors in the hippocampus
  4. To prevent the formation of amyloid plaques
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Correct answer: To increase the levels of acetylcholine in the brain

Alzheimer's is associated with a loss of cholinergic neurons. These drugs inhibit acetylcholinesterase in the CNS, increasing the availability of acetylcholine to improve cognitive function and memory.

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