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Pirenzepine

Mechanism of action:
Pirenzepine is a selective muscarinic acetylcholine receptor antagonist. It mainly antagonizes M₁ muscarinic receptors in the enteric nervous system and in central and peripheral cholinergic neurons. Blocking M₁ receptors suppresses the stimulatory effect of the vagus nerve on gastric acid secretion, thereby reducing gastric acid secretion.
Reference(s):
1. Chen X et al. (2002). TTD: Therapeutic Target Database. Nucleic Acids Res.
2. Pedretti RF et al. (2003). Autonomic modulation during acute myocardial ischemia by low-dose pirenzepine in conscious dogs with a healed myocardial infarction: a comparison with beta-adrenergic blockade. J Cardiovasc Pharmacol.
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