Page 229 - Pharmacology Mnemonics and Short Notes
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            1) Cholinesterase inhibitors

               Neostigmine and physostigmine overcome action of

               nondepolarizing neuromuscular blockers

            2) Halogenated hydrocarbon anesthetics

               Increase neuromuscular blockage  like halothane

            3) Aminoglycoside antibiotics


               Gentamicin and toberamicin  inhibit Acetylcholine release by
                               +2
               inhibiting Ca  release
            4) Ca channel blockers


               Increase neuromuscular blockage

                      Depolarizing neuromuscular blockers


        Succinylcholine.

        Mechanism


        Attaches to Nicotinic receptors  persist at high concentration in
        synaptic cleft and remain attached to the receptor for longer time 
        provide constant stimulation.


        Phase I

        Membrane depolarization result in initial discharge which produces
        transient fasciculations followed by flaccid paralysis

        Phase II


        Full neuromuscular blockage is achieved and receptor is desensitized to
        effect of acetylcholine


              Now receptor is resistant to depolarization (closed or blocked)

        Actions

      Contents    Sequence of paralysis little different.





   Pharmacology Mnemonics and Short Notes                                              By Muhammad Ramzan Ul Rehman
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