Cholinergic Agonists · Pharmacology

Which of the following agents is a tertiary amine and can cross the blood-brain barrier, making it the preferred antidote for Atropine poisoning?

  1. Neostigmine
  2. Pyridostigmine
  3. Physostigmine
  4. Edrophonium
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Correct answer: Physostigmine

Unlike Neostigmine and Pyridostigmine, which are quaternary amines, Physostigmine is a tertiary amine. Its lipid solubility allows it to enter the central nervous system to reverse both central and peripheral anticholinergic toxicity.

Difficulty: Medium Question 5 of 20

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