| CPC C07D 471/08 (2013.01) [A61K 9/0048 (2013.01); A61P 27/10 (2018.01); C07D 243/38 (2013.01); C07D 471/04 (2013.01)] | 16 Claims |

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1. An ophthalmic pharmaceutical composition for treating a mammalian subject having or at risk of having an ocular disorder associated with modulation of a muscarinic receptor, which is ophthalmically compatible and comprises:
(1) a compound and/or a pharmaceutically acceptable salt, wherein the compound is represented by formula (I)
![]() wherein
Me=CH3;
A=O;
X=-OH;
R1 and R2 are independently a phenyl or benzyl group being optionally substituted with one or more substituents selected from C1-C20 straight, branched or cyclo alkyl groups, halo alkyl groups, hydroxyl, alkoxy, nitrile, nitro, amino, amide, ester, sulfone, sulfoxide, sulfonamide, and halogen atoms;
R3 and R4 are independently hydrogen, C1-C10 straight or branched or cyclo alkyl or halo alkyl groups; and
(2) one or more pharmaceutically acceptable carriers.
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