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490     SECTION V  Drugs That Act in the Central Nervous System


                 PREP AR A TIONS                                     Lien CA et al: Fumarates: Unique nondepolarizing neuromuscular blocking agents
                                                                         that are antagonized by cysteine. J Crit Care 2009;24:50.
                 A V AIL ABLE                                        Llauradó S et al: Sugammadex ideal body weight dose adjusted by level of
                                                                         neuromuscular blockade in laparoscopic bariatric surgery. Anesthesiology
                                                                         2012;117:93.
                       GENERIC NAME             AVAILABLE AS         Mace SE: Challenges and advances in intubation: Rapid sequence intubation.
                           NEUROMUSCULAR BLOCKING DRUGS                  Emerg Med Clin North Am 2008;26:1043.
                 Atracurium               Generic                    Marshall CG, Ogden DC, Colquhoun D: The actions of suxamethonium (suc-
                 Cisatracurium            Generic, Nimbex                cinyldicholine) as an agonist and channel blocker at the nicotinic receptor of
                                                                         frog muscle. J Physiol (Lond) 1990;428:155.
                 Pancuronium              Generic                    Martyn JA: Neuromuscular physiology and pharmacology. In: Miller RD (editor):
                 Rocuronium               Generic, Zemuron               Anesthesia, 7th ed. Churchill Livingstone, 2010.
                 Succinylcholine          Generic, Anectine, Quelicin  Meakin GH: Recent advances in myorelaxant therapy. Paed Anaesthesia
                 Tubocurarine             Generic                        2001;11:523.
                 Vecuronium               Generic, Norcuron          Murphy GS, Brull SJ: Residual neuromuscular block: Lessons unlearned. Part I:
                                  REVERSAL AGENTS                        Definitions, incidence, and adverse physiologic effects of residual neuromus-
                                                                         cular block. Anesth Analg 2010;111:120.
                 Neostigmine              Generic                    Naguib M: Sugammadex: Another milestone in clinical neuromuscular pharma-
                 Edrophonium              Generic                        cology. Anesth Analg 2007;104:575.
                 Sugammadex               Bridion                    Naguib M, Brull SJ: Update on neuromuscular pharmacology. Curr Opin Anaes-
                            SPASMOLYTICS, ANTISPASMODICS                 thesiol 2009;22:483.
                 Baclofen                 Generic, Lioresal, Gablofen  Naguib M, Kopman AF, Ensor JE: Neuromuscular monitoring and postoperative
                                                                         residual curarisation: A meta-analysis. Br J Anaesth 2007;98:302.
                 Botulinum toxin type A   Botox, Dysport, Xeomin     Naguib M et al: Advances in neurobiology of the neuromuscular junction: Impli-
                 Botulinum toxin type B   Myobloc                        cations for the anesthesiologist. Anesthesiology 2002;96:202.
                 Carisoprodol             Generic, Soma, Vanadom     Nicholson WT, Sprung J, Jankowski CJ: Sugammadex: A novel agent for the rever-
                                                                         sal of neuromuscular blockade. Pharmacotherapy 2007;27:1181.
                 Chlorzoxazone            Generic                    Pavlin JD, Kent CD: Recovery after ambulatory anesthesia. Curr Opin Anaesthe-
                 Cyclobenzaprine          Generic, Amrix, Fexmid, Flexeril  siol 2008;21:729.
                 Dantrolene               Generic, Dantrium, Revonto  Puhringer FK et al: Reversal of profound, high-dose rocuronium-induced neuro-
                 Diazepam                 Generic, Valium, Diastat       muscular blockade by sugammadex at two different time points. Anesthesiol-
                 Gabapentin               Generic, Neurontin, Gabarone   ogy 2008;109:188.
                   Note: This drug is labeled for use only in epilepsy and postherpetic   Sacan O, Klein K, White PF: Sugammadex reversal of rocuronium-induced neu-
                                                                         romuscular blockade: A comparison with neostigmine-glycopyrrolate and
                   neuralgia.                                            edrophonium-atropine. Anesth Analg 2007;104:569.
                 Metaxalone               Generic, Skelaxin          Savarese JJ et al: Preclinical pharmacology of GW280430A (AV430A) in the rhesus
                 Methocarbamol            Generic, Robaxin               monkey and in the cat: A comparison with mivacurium. Anesthesiology
                 Orphenadrine             Generic, Norflex, others       2004;100:835.
                 Riluzole                 Generic, Rilutek           Sine SM: End-plate acetylcholine receptor: Structure, mechanism, pharmacology,
                                                                         and disease. Physiol Rev 2012;92:1189.
                   Note: This drug is labeled only for use in amyotrophic lateral sclerosis.  Staals LM et al: Reduced clearance of rocuronium and sugammadex in patients
                 Tizanidine               Generic, Zanaflex              with severe to end-stage renal failure: A pharmacokinetic study. Br J Anaesth
                                                                         2010;104:31.
                                                                     Sugammadex: BRIDION (sugammadex) Injection, for intravenous use initial U.S.
                                                                         Approval: 2015. Retrieved from http://www.accessdata.fda.gov/drugsatfda_docs/
                                                                         label/2015/022225lbl.pdf.
                 REFERENCES                                          Sunaga H et al: Gantacurium and CW002 do not potentiate muscarinic receptor-
                 Neuromuscular Blockers                                  mediated airway smooth muscle constriction in guinea pigs. Anesthesiology
                                                                         2010;112:892.
                 Belmont MR et al: Clinical pharmacology of GW280430A in humans. Anesthe-  Viby-Mogensen J: Neuromuscular monitoring. In: Miller RD (editor): Anesthesia,
                    siology 2004;100:768.                                5th ed. Churchill Livingstone, 2000.
                 Brull SJ,  Murphy  GS: Residual neuromuscular  block:  Lessons  unlearned.
                    Part II: Methods to reduce the risk of residual weakness. Anesth Analg   Spasmolytics
                    2010;111:129.
                 De Boer HD et al: Reversal of rocuronium-induced (1.2 mg/kg) profound neuro-  Caron E, Morgan R, Wheless JW: An unusual cause of flaccid paralysis and coma:
                    muscular blockade by sugammadex. Anesthesiology 2007;107:239.  Baclofen overdose. J Child Neurol 2014;29:555.
                 Gibb AJ, Marshall IG: Pre- and postjunctional effects of tubocurarine and other   Corcia P, Meininger  V: Management of amyotrophic lateral sclerosis. Drugs
                    nicotinic antagonists during repetitive stimulation in the rat. J Physiol   2008;68:1037.
                    1984;351:275.                                    Cutter NC et al: Gabapentin effect on spasticity in multiple sclerosis: A placebo-
                 Hemmerling TM, Russo G, Bracco D: Neuromuscular blockade in cardiac sur-  controlled, randomized trial. Arch Phys Med Rehabil 2000;81:164.
                    gery: An update for clinicians. Ann Card Anaesth 2008;11:80.  Draulans N et al: Intrathecal baclofen in multiple sclerosis and spinal cord injury:
                 Hirsch NP:  Neuromuscular  junction in  health  and  disease.  Br J Anaesth   Complications and long-term dosage evolution. Clin Rehabil 2013;27:1137.
                    2007;99:132.                                     Frydrych V, Oderda G: Skeletal muscle relaxants drug class review: University of
                 Kampe S et al: Muscle relaxants. Best Prac Res Clin Anesthesiol 2003;17:137.  Utah College of Pharmacy. Final Report 2016. Retrieved from https://www.
                 Lee C: Structure, conformation, and action of neuromuscular blocking drugs. Br   medicaid.utah.gov/pharmacy/.
                    J Anaesth 2001;87:755.                           Gracies JM, Singer BJ, Dunne JW: The role of botulinum toxin injections in
                 Lee C et al: Reversal of profound neuromuscular block by sugammadex adminis-  the management of muscle overactivity of the lower limb. Disabil Rehabil
                                                                         2007;29:1789.
                    tered three minutes after rocuronium. Anesthesiology 2009;110:1020.
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