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Physostigmine

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Chemical structure of physostigmine
Chemical structure of physostigmine

Physostigmine is a parasympathomimetic, specifically, a reversible cholinesterase inhibitor. By interfering with the metabolism of acetylcholine, physostigmine inderectly stimulates both nicotinic and muscarinic receptors. Physostigmine is used to treat glaucoma. Because it crosses the blood-brain barrier, it is also used to treat the central nervous system effects of atropine overdose.