“…The second category of agents producing up-regulation and supersensitivity of muscarinic cholinergic systems is comprised of at least five classes of agents which act at the presynaptic nerve terminal to inhibit the release of acetylcholine (Dilsaver, in press). Opiate agonists (Domino and Wilson, 1973;Jhamandas et al, 1973a,b), cannabinoids (Kumbarachi and Nastuk, 1980;Layman and Milton, 1971;Yoshimura et al, 1974), barbiturates (Nordberg and Wahlstrom, 1981;Nordberg and Sundwall, 1977;Wahlstrom and Nordberg, 1979;Wahlstrom and Ekwall, 1976;Wahlstrom, 1978)) ethanol (Rabin et al, 1980;Smith, 1983;Tabakoff et al, 1979), and certain serotinergic (ijgren et al, 1985a,b), dopaminergic (Ehlert et al, 1981) and adrenergic (Blosser, 1983) agonists are in this class. Nomura et al (1982a), for example, reported that isoproterenol induced cholinergic system supersensitivity and up-regulation of QNB binding sites in rat myocardium.…”