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Pilocarpine lowers the heart rate.
Pilocarpine and atropine have opposing effects on the body. Pilocarpine is a muscarinic agonist that stimulates the parasympathetic nervous system, leading to increased salivation, lacrimation, and bronchial secretions. In contrast, atropine is a muscarinic antagonist that inhibits these actions, resulting in reduced secretions and increased heart rate. Thus, their effects are not the same; they act in opposite directions on the cholinergic system.
atropine sulfate is used as an antidote of anticholinesterase meds administered on patients with myasthenia gravis. Atropine sulfate should be also made available when performing the Tensilon Test to reverse the effect of Edrophonium injection.
Pilocarpine stimulates the release of acetylcholine from parasympathetic neurons. Therefore, it stimulates the effect of vagal stimulation on the heart.
Pilocarpine is actually a Muscarinic cholinergic receptor (mAChR) agonist. It works on the Parasypathetic nervous system; therefore, it makes sense that the agonist working on the PNS would result in decreased heart rate. Atropine, in contrast, is an muscarinic cholinergic receptor antagonist and will lead to increased heart rate due to the lowered effect of the parasympathetic system on the heart.
Mary Freyer Montgomery has written: 'Studies on the thirst mechanism' -- subject(s): Atropine, Pilocarpine, Salivary glands, Thrist, Thirst
pilocarpine as a muscuranic agonist, increases tone and motility of intestinal muscles and of urinary tract and billiary duct's smooth muscles.
Agonists of muscarinic receptors are substances that bind to the receptor and activate it, mimicking the action of the neurotransmitter acetylcholine. Examples include pilocarpine and muscarine. Antagonists, on the other hand, bind to the receptor without activating it, thus blocking the action of acetylcholine. Examples include atropine and scopolamine.
Check out the atropine page at wikipedia.org for your answer.
Atropine is a cholinergic antagonist which blocks the acetylcholine receptor causing increased sympathetic tone increasing the heart rate
Physostigmine inhibit AchE (the enzyme that hadrolyse Ach), so Ach accumulate at synaptic cleft and banish the effect of atropine
Ventricular fibrillation, and supraventricular or ventricular tachycardia.