Cholinergic Antagonists · Pharmacology

Which of the following is a GANGLIONIC blocker once used to treat hypertension but now rarely used due to widespread autonomic side effects?

  1. Mecamylamine
  2. Phentolamine
  3. Propranolol
  4. Tamsulosin
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Correct answer: Mecamylamine

Mecamylamine blocks nicotinic (Nn) receptors at both sympathetic and parasympathetic ganglia. Because it shuts down the entire autonomic nervous system, it causes severe orthostatic hypotension, constipation, and blurred vision.

Difficulty: Medium Question 16 of 20

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