“…Physostigmine exerts stimulating, desensitizing, and blocking actions at nicotinic receptors in addition to its AChE-inhibitory actions at the neuromuscular junction. The agonist effects of physostigmine were observed as early as 1977 (137) and confirmed a number of times (11,202,203,228,233,234). Further support for these actions additional to AChE inhibition, stems from observations that (+) physostigmine, which is virtually devoid of AChE-inhibitory activity, is an agonist at nicotinic acetylcholine receptors (11).…”