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When an acetylcholinesterase (AChE) inhibitor binds with acetylcholinesterase, regardless of whether it is reversible or irreversible, it prevents the ability of AChE to bind with acetylcholine (ACh) and break it down. Therefore, ACh accumulates in the synaptic gap, causing the postsynaptic neuron or muscle cell to fire/contract repeatedly. As this happens, a fatigue effect is reached due to depletion of chemical energy stores (ATP, etc.), and weakness results from the reduced ability of neurons/muscles to respond to further stimulation.

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Q: What is the mechanism of AchE inhibitor side effects of weakness?
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