M2 MOA
Gi/Go–>inhibits AC–>decrease cAMP–> activation of K+ channels–>Ca channel hyperpolarization and inhibition
M2 effect on SA node
slows spontaneous depolarization
decreases HR
M2 effect on AV node conduction
decrease
M2 effect on atrium
increases refractory period
decreases contraction
M2 effect on Ventricle
slight decrease in contraction
M2 effect on Smooth muscle
contraction
M2 effect on peripheral nerves
inhibition via auto/heteroreceptors (decreases ganglionic transmission)
M3 and M5 MOA
Gq–>PLC–>IP3 and DAG–> increase in Ca and PKC–>depolarization and excitation
**Synthesis of NO!!!