This invention relates to compounds that are agonists of the muscarinic M1 and/or M4 receptor and which are useful in the treatment of muscarinic M1/M4 receptor mediated diseases. Also provided are pharmaceutical compositions containing the compounds and the therapeutic uses of the compounds. Compounds provided are of formula. (I) where p, q, r, s, X, Z, Y, R1, R2, R3and R4 are as defined herein.
这项发明涉及激动毒蕈碱M1和/或
M4受体的化合物,这些化合物在治疗毒蕈碱M1/
M4受体介导的疾病中有用。还提供了含有这些化合物的药物组合物以及这些化合物的治疗用途。提供的化合物的
化学式为(I),其中p、q、r、s、X、Z、Y、R1、R2、R3和R4如本文所定义。