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