The activation of the muscarinic acetylcholine receptor subtype M2 (mAChR M2), encoded by the CHRM2 gene, is finely tuned by a spectrum of chemical compounds. Acetylcholine, the principal neurotransmitter, plays a pivotal role in directly enhancing mAChR M2 by binding to its acetylcholine binding site. This interaction serves as the trigger for downstream signaling cascades, resulting in the elevation of functional activity. The cholinergic agonists, including bethanechol, carbachol, pilocarpine, oxotremorine methiodide, methacholine, McN-A-343, arecoline, and muscarine, intricately contribute to the direct enhancement of mAChR M2. Functioning as mimics of acetylcholine, these compounds activate the receptor and robustly amplify downstream signaling, elucidating the diverse ways through which cholinergic agonists modulate mAChR M2 activity.Moreover, the specific muscarinic receptor agonists McN-A-329 and cevimeline emerge as key players in directly enhancing mAChR M2 activity. Their mode of action involves activating the acetylcholine binding site, leading to a pronounced increase in downstream signaling. On the flip side, aclidinium bromide, a muscarinic receptor antagonist, employs a distinct strategy to indirectly enhance mAChR M2. By competitively inhibiting acetylcholine, this antagonist prompts a compensatory mechanism that elevates acetylcholine release, culminating in heightened mAChR M2 activation. The delicate balance between agonists and antagonists contributes to the nuanced regulation of mAChR M2, showcasing the intricate interplay within cholinergic signaling. Collectively, these chemical compounds provide a comprehensive understanding of the multifaceted mechanisms orchestrating the functional activation of mAChR M2, unraveling the complexity underlying cholinergic modulation in cellular processes.