This invention relates to compounds that are agonists of the muscarinic M1 receptor 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 include those according to formula 1 or a salt thereof, wherein q, r, s, Q, R1, R2', R2", R3 and R4 are as defined herein.
这项发明涉及激动毒蕈碱M1受体和/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。化合物包括根据式1或其盐的化合物,其中q、r、s、Q、R1、R2'、R2"、R3和R4如本文所定义。