Presentation
This review presents an overview of toxicology and pharmacology of reversible and irreversible acetylcholinesterase inactivating compounds. [doi.org]
Abstract The present review focuses on the emerging evidence regarding the potential of polyphenols to act as acetylcholinesterase inhibitors. [content.iospress.com]
Respiratoric
- Pneumonia
[…] generalized exanthematous pustulosis 0/0 Acute graft-versus-host disease 0/0 Acute hemorrhagic conjunctivitis 0/0 Acute inflammatory demyelinating polyneuropathy 0/0 Acute intermittent porphyria 0/0 Acute interstitial nephritis 0/0 Acute interstitial pneumonia [visualdx.com]
Other diagnoses considered included head injury (n = 2), unspecified toxin ingestion (n = 2), suspected spider bite (n = 1), status epilepticus (n = 5), unspecified encephalopathy (n = 2), and pneumonia (n = 2). [adc.bmj.com]
Unfortunately, some of the above symptoms can be confused with influenza (flu), heat prostration, alcohol intoxication, exhaustion, hypoglycemia (low blood sugar), asthma, gastroenteritis, pneumonia, and brain hemorrhage. [pmep.cce.cornell.edu]
Short‐term ‐ Respiratory system Show forest plot 1 Risk Ratio (M‐H, Random, 95% CI) Subtotals only 34.1 Pneumonia 1 86 Risk Ratio (M‐H, Random, 95% CI) 3.14 [0.13, 74.98] 35 Adverse event: 10. [doi.org]
Jaw & Teeth
- Cheilitis
[…] lentiginous melanoma 0/0 Acroangiodermatitis 0/0 Acrochordon 0/0 Acrocyanosis 0/0 Acrodermatitis continua of Hallopeau 0/0 Acrokeratoelastoidosis 0/0 Acrokeratosis paraneoplastica 0/0 Acrokeratosis verruciformis 0/0 Acromegaly 0/0 Acroosteolysis 0/0 Actinic cheilitis [visualdx.com]
Skin
- Blister
[…] angle-closure glaucoma 0/0 Acute appendicitis 0/0 Acute bacterial endocarditis 0/0 Acute bronchitis 0/0 Acute cervicitis 0/0 Acute chest syndrome 0/0 Acute compartment syndrome 0/0 Acute dacryoadenitis 0/0 Acute demyelinating encephalomyelitis 0/0 Acute edema blister [visualdx.com]
Musculoskeletal
- Fracture
6 It is opportune to highlight that patients with dementia who suffer a femur fracture have an elevate risk of ulterior functional decline, institutionalization and death.11 The hypothetical mechanism of action Acetylcholinesterase inhibitors explicate [pharmaco-vigilance.eu]
However, concerns have been raised about the cardiac safety of these agents, as well as risks of falls and hospital visits due to syncope, bradycardia, pacemaker insertion and hip fracture [ 6, 7 ]. [academic.oup.com]
Psychiatrical
- Visual Hallucination
[…] related visual hallucinations. [bmcpsychiatry.biomedcentral.com]
Meanwhile, those with Alzheimer’s-induced mild cognitive impairment present with significant memory impairment, progressive cognitive decline, lack of Parkinsonism, visual hallucinations, extensive cerebrovascular disease, lack of behavior, and even language [pharmacytimes.com]
There is some evidence to suggest that AChEIs may attenuate psychotic symptoms (especially visual hallucinations) in Parkinson's disease. To treat cognitive impairments in patients with schizophrenia. [en.wikipedia.org]
He has visual hallucinations of people and episodic confusion. His medications include warfarin and digoxin for atrial fibrillation and congestive heart failure. Mr. L is diagnosed with probable dementia with Lewy bodies. [mdedge.com]
- Delusion
Factors associated with increased mortality in these models were increased age, psychotropic medication use prior to AD diagnosis (antipsychotic or hypnotic/anxiolytic), agitated behaviour, hallucinations or delusions, physical illness or disability, [academic.oup.com]
Studies of AChEI's use in schizophrenia tend to focus on cognitive symptoms as the primary area of investigation and non cognitive symptoms as a secondary area; the later includes psychopathology such as hallucinations and delusions. [bmcpsychiatry.biomedcentral.com]
It is characterised by symptoms that can be divided into three broad categories: 'positive' symptoms, such as hallucinations and delusions; 'negative' symptoms, such as emotional blunting and lack of motivation; and 'cognitive domain' symptoms, such as [doi.org]
Workup
Although dementia remains incurable, early recognition presents the opportunity to start cholinesterase inhibitors before substantial neuronal loss occurs. 3, 4 Patient workup. [mdedge.com]
PR Interval
- Prolonged PR Interval
PR interval on the ECG, till the development of atrioventricular block).12,13 In practice The data discussed above underline the necessity – especially for patients affected by important cardiologic comorbidities – of carefully evaluating the risks/benefits [pharmaco-vigilance.eu]
Bradycardia with a prolonged PR interval and atrioventricular blocks of various degrees occur as toxicity becomes more severe. QT interval prolongation has been reported in severe cases. [calpoison.org]
Treatment
In addition, the pharmacological treatment of intoxication caused by organophosphates is presented, with emphasis on oxime reactivators of the inhibited enzyme activity administering as causal drugs after the poisoning. [doi.org]
To test the hypothesis that treatment with a cholinesterase inhibitor could change the levels of Abeta in plasma, we measured Abeta42 and Abeta40 plasma levels in AD subjects before tacrine treatment and at weeks 2 and 6 of treatment. [ncbi.nlm.nih.gov]
Prognosis
However, information on the evolution of nutritional status and its impact on the prognosis of AD is still scarce. [ncbi.nlm.nih.gov]
QTC prolongation indicates a poor prognosis in patients with organophosphate poisoning. Am J Emerg Med1996;14:451–3. Read the full text or download the PDF: Log in using your username and password [adc.bmj.com]
Etiology
Alzheimer’s disease (AD) is well-known as a severe neurodegeneration disease involving complicated etiologies, and cholinesterase inhibition remain the prevailing mode of clinical intervention in AD management. [pubs.acs.org]
Designed to serve as a trusted desktop reference on mental disorders seen across the lifespan for mental health professionals at all levels of experience, Diagnosis and Treatment of Mental Disorders Across the Lifespan, Second Edition expertly covers etiology [books.google.com]
[…] now convincing evidence for a powerful interaction between these disease processes when coexistent 6,7 and further evidence that these conditions coexist more often than would be expected by chance as a result of shared risk factors and possibly patho-etiological [stroke.ahajournals.org]
Etiology of acute coronary syndrome after noncardiac surgery. Anesthesiology. 2018;128:1084–1091. 39. Behling A, Moraes RS, Rohde LE, Ferlin EL, Nóbrega AC, Ribeiro JP. [journals.lww.com]
Epidemiology
An epidemiological study of the relations between exposure to organophosphate pesticides and indices of chronic peripheral neuropathy and neuropsychological abnormalities in sheep farmers and dippers. [doi.org]
Epidemiology In 2007, Californians reported over 700 exposures to OP and carbamate pesticides to the CPCS. Nationally, more than 15,000 poisonings with these chemicals are reported to poison control centers each year, with five or six fatalities. [calpoison.org]
Dr Gill is an assistant professor in the departments of Medicine and Community Health and Epidemiology at St Mary’s of the Lake Hospital in Kingston, Ontario. Dr Rochon is V.P. Research at Women’s College Research Institute in Toronto, Ontario. [bcmj.org]
Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. PLoS Med. 2007;4:e297. Cited Here | PubMed 17. van Buuren S. [journals.lww.com]
Pesticide Unit, Epidemiological Studies Laboratory, California Department of Health, 2151 Berkeley Way, Berkeley, CA. 94704. Telephone: (415)-540-3063. [pmep.cce.cornell.edu]
Pathophysiology
Abstract Several lines of evidence suggest that cholinergic deficits may contribute to the pathophysiology of psychiatric disorders as well as Alzheimer's disease. [ncbi.nlm.nih.gov]
[…] month after transplantation, the graft survival rate in Donepezil group was 46.7% than that in SHAM group (P Conclusions: Our results reveal that recipient treatment with Donepezil protects donor hearts through TNF inhibition and TNF related downstream pathophysiological [circ.ahajournals.org]
[…] odacheis Acetylcholinesterase inhibitor poisoning Organophosphate & Carbamate Insecticide Poisoning: Pathophysiology: Both organophosphate & carbamate insecticides are acetylcholinesterase inhibitors which are readily absorbed through intact skin or mucosa [ozemedicine.com]
Cognitive improvement by activation of alpha7 nicotinic acetylcholine receptors: from animal models to human pathophysiology. Curr Pharm Des. 2010 Micheau J, Marighetto A. [nootriment.com]
The pathophysiology of the visual hallucinatory experience remains unclear and available pharmacological treatments are disorder rather than symptom specific. [bmcpsychiatry.biomedcentral.com]
Prevention
ACE inhibitor Any of a class of drugs that block the effects of angiotensin-converting enzyme, preventing the formation of angiotensin II and therefore preventing a rise in blood pressure. [medical-dictionary.thefreedictionary.com]
These findings indicate that Lamiaceae species are a rich source of various natural AChE inhibitors and antioxidants that could be useful in the prevention and treatment of Alzheimer’s and other related diseases. [doi.org]
In contrast, ROS production and mitochondrial activity were totally prevented by addition of PMS777 but not galanthamine. PMS777 also inhibits butylcholinesterase and it shows selectivity for acetylcholinesterase. [ncbi.nlm.nih.gov]