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Activities of the cholinergic system are divided into two main categories: muscarinic and nicotinic. Both actions involve modulation of pain perception. Anything which increases the presence of Acetylcholine in the synaptic space is found to produce analgesia.

Neostigmine and donepezil being cholinesterase inhibitors are used in pain relief because of increasing acetylcholine in synapses through this action. Benzodiazepines act as analgesics through their action of enhancing Ach release.

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