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Mechanism of Action: Selective muscarinic agonist, resistant to hydrolysis by different cholinesterase isoenzymes The same backbone structure as acetylcholine, but with a methyl side group (Figure 1), which is responsible for its selectivity for muscarinic vs nicotinic receptors (Vardanyan & Hruby, 2006)
Avoid shaking the vial
Overuse can lead to side effects such as joint pain, water retention, or fatigue
C.AgarwalR.et al (2020)
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