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Neuromuscular drug information


The neuromuscular junction

Neuromuscular drugs are chemical agents that are used to alter the transmission of nerve impulses to muscles, causing effects such as temporary paralysis of targeted skeletal muscles. Most neuromuscular drugs are available as quaternary ammonium compounds which are derived from acetylcholine (ACh).[1] This allows neuromuscular drugs to act on multiple sites at neuromuscular junctions, mainly as antagonists or agonists of post-junctional nicotinic receptors.[2] Neuromuscular drugs are classified into four main groups, depolarizing neuromuscular blockers, non-depolarizing neuromuscular blockers, acetylcholinesterase inhibitors, and butyrylcholinesterase inhibitors.[2]

Clinically, neuromuscular drugs are used in anesthesia to cause paralysis of targeted skeletal muscles. It is most commonly applied in endotracheal intubation by reducing the incidence of hoarseness in vocal cord and esophageal injuries.[2] It is also applied to improve surgical operating conditions by aiding mechanical ventilation in patients with lowered lung compliance.[1] Other than surgical indications, neuromuscular drugs can also be indicated for the use of Alzheimer's disease, Parkinson's disease, etc.[3] Common adverse effects of neuromuscular drugs include abnormal heart rate, blood pressure, and cardiac output.[4]

  1. ^ a b Cite error: The named reference Cook_2022 was invoked but never defined (see the help page).
  2. ^ a b c Cite error: The named reference Drew_2022 was invoked but never defined (see the help page).
  3. ^ Cite error: The named reference Colović_2013 was invoked but never defined (see the help page).
  4. ^ Cite error: The named reference Bowman_2006 was invoked but never defined (see the help page).

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Neuromuscular drug

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Neuromuscular drugs are chemical agents that are used to alter the transmission of nerve impulses to muscles, causing effects such as temporary paralysis...

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Neuromuscular junction

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A neuromuscular junction (or myoneural junction) is a chemical synapse between a motor neuron and a muscle fiber. It allows the motor neuron to transmit...

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Neuromuscular junction disease

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Neuromuscular junction disease is a medical condition where the normal conduction through the neuromuscular junction fails to function correctly. In diseases...

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Muscle relaxant

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therapeutic groups: neuromuscular blockers and spasmolytics. Neuromuscular blockers act by interfering with transmission at the neuromuscular end plate and...

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Medication

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medicine, pharmaceutical drug, medicinal drug or simply drug) is a drug used to diagnose, cure, treat, or prevent disease. Drug therapy (pharmacotherapy)...

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Rocuronium bromide

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receptors at the neuromuscular junction. Of the neuromuscular-blocking drugs it is considered to be a non-depolarizing neuromuscular junction blocker...

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Recreational drug use

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Recreational drug use is the use of one or more psychoactive drugs to induce an altered state of consciousness, either for pleasure or for some other...

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Neuromuscular medicine

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recent drug therapies have been developed to address the acquired neuromuscular diseases including but not limited to immune suppression and drugs that...

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Sugammadex

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before a neuromuscular blocking drug is completely cleared. This is very unusual with all but the longest acting neuromuscular blocking drugs (such as...

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Gantacurium chloride

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new experimental neuromuscular blocking drug or skeletal muscle relaxant in the category of non-depolarizing neuromuscular-blocking drugs, used adjunctively...

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Cholinergic blocking drug

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S2CID 37305853. Hunter JM (July 1993). "Histamine release and neuromuscular blocking drugs". Anaesthesia. 48 (7): 561–3. doi:10.1111/j.1365-2044.1993.tb07114...

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Mivacurium chloride

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non-depolarizing neuromuscular-blocking drug or skeletal muscle relaxant in the category of non-depolarizing neuromuscular-blocking drugs, used adjunctively...

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Anticholinergic

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receptors at the neuromuscular junction, although the term is sometimes used to refer to agents which do so. Anticholinergic drugs are used to treat...

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Gallamine triethiodide

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now superseded by new neuromuscular blocking drugs with less side effects. It was developed by Daniel Bovet in 1947. The drug is no longer marketed in...

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Ketamine

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agent followed by neuromuscular blocker and tracheal intubation In particular, children with cyanotic heart disease and neuromuscular disorders are good...

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Myopathy

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be classified as neuromuscular or musculoskeletal in nature. Some conditions, such as myositis, can be considered both neuromuscular and musculoskeletal...

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Suxamethonium chloride

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performed.[medical citation needed] Mivacurium, a non-depolarizing neuromuscular blocking drug, is also metabolized via the same route with a similar clinical...

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Cisatracurium besilate

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bisbenzyltetrahydroisoquinolinium that has effect as a neuromuscular-blocking drug non-depolarizing neuromuscular-blocking drugs, used adjunctively in anesthesia to facilitate...

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List of neuromuscular disorders

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Below is a partial list of neuromuscular disorders. Duchenne muscular dystrophy Becker muscular dystrophy DMD-associated dilated cardiomyopathy Limb girdle...

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Nusinersen

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spinal muscular atrophy (SMA), a rare neuromuscular disorder. In December 2016, it became the first approved drug used in treating this disorder. Since...

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Neuromuscular monitoring

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phonomygraphy and mechanomyography. Neuromuscular monitoring is recommended when neuromuscular-blocking drugs have been part of the general anesthesia...

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Lethal injection

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anesthesia and although these drugs rapidly and reliably induce anesthesia, wear off quickly. A neuromuscular-blocking drug may then be given to cause paralysis...

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Electrical muscle stimulation

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Electrical muscle stimulation (EMS), also known as neuromuscular electrical stimulation (NMES) or electromyostimulation, is the elicitation of muscle...

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Myasthenia gravis

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Myasthenia gravis (MG) is a long-term neuromuscular junction disease that leads to varying degrees of skeletal muscle weakness. The most commonly affected...

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Anesthetic

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English) or anaesthetic (British English; see spelling differences) is a drug used to induce anesthesia ⁠— ⁠in other words, to result in a temporary loss...

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Vecuronium bromide

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in pregnancy is safe for the baby. Vecuronium is in the aminosteroid neuromuscular-blocker family of medications and is of the non-depolarizing type. It...

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Cholinergic crisis

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A cholinergic crisis is an over-stimulation at a neuromuscular junction due to an excess of acetylcholine (ACh), as a result of the inactivity of the...

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Acetylcholine

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or hyperactivating muscles through their influences on the neuromuscular junction. Drugs that act on muscarinic acetylcholine receptors, such as atropine...

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Pancuronium bromide

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competitively inhibits the nicotinic acetylcholine receptor at the neuromuscular junction by blocking the binding of acetylcholine. It has slight vagolytic...

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