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atropine methonitrate The methylnitrate of atropine, with the same actions and uses as atropine, but less lipid-soluble and hence with fewer central nervous system effects; a quaternary compound.
(05 Mar 2000)
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atropine <drug> A toxic alkaloid extracted from belladonna and other members of thenightshade family, it is typically used to dilate the eye and to stopmuscular spasms.
Pharmacologic action: Parasympatholytic. Competitive blockade of acetylcholine at muscarinic receptors. Increases sinus node automaticity and AV conduction.
Uses: Treat bradycardia, asystole, and AV block
Dose: 0.5 - 1.0 mg for bradycardia every 3 - 5 min to a total dose of 0.04 mg/kg. Doses smaller than 0.5 mg can cause a paradoxical bradycardia due to sympathomimetic effects Typically 3 mg is adequate to completely block vagal effects Atropine is well absorbed via endotracheal route - administer 1-2 mg diluted in 10 mL sterile water or normal saline.
Potential complications: 1. Tachyarrhythmias 2. Exacerbation of myocardial ischemia 3. Low dose may cause paradoxical bradycardia 4. Dry mouth, urinary retention, flushed and hot skin 5. Crosses blood-brain barrier which can cause delirium
Note: The denervated heart will not respond to atropine.
(15 Mar 2000)
atropine dehydrase <enzyme> Proposed mechanism for conversion of atropine or scopolamine to apoatropine or aposcopolamine via a mechanism using hydroxysteroid sulfotransferase by guinea pig liver
Registry number: EC 2.8.2.-
Synonym: scopolamine dehydrase
(26 Jun 1999)
atropine derivatives Analogs and derivatives of atropine.
(12 Dec 1998)
atropine methylbromide A quaternary derivative of atropine that is less lipid soluble and hence produces fewer central nervous system actions; a cycloplegic.
Synonym: atropine methylbromide.
(05 Mar 2000)
atropine sulfate An anticholinergic; a widely used soluble salt of atropine.
(05 Mar 2000)
atropine test If an injection of atropine relieves bradycardia, the condition is due to action of the vagus; if it does not, the condition may be due to an affection of the heart itself.
Synonym: atropine test.
(05 Mar 2000)
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