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17- acetyl- 10,13- dimethyl- 1,2,6,7,8,9,10,11,12,13,14,15,16,17- tetradecahydrocyclopenta(a)phenanthren- 3- ylidenecarbamoyloxy)ethyl)trimethylammonium

activates both M2 muscarinic receptor and nitric oxide synthase; structure in first source
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