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Atropinelike peripheral side effects and impairment of cognitive function limit the tolerable dosage. Amantadine. Early or mild parkinsonian manifestations may be temporarily relieved by amantadine. The underlying mechanism of action may involve, inter alia, blockade of ligandgated ion channels of the glutamate/ NMDA subtype, ultimately leading to a diminished release of acetylcholine.
Inhibition of exocrine glands Bronchial secretion. Premedication with atropine before inhalation anesthesia prevents a possible hypersecretion of bronchial mucus, which cannot be expectorated by coughing during intubation (anesthesia). Gastric secretion.

 

Its poor absorption (N.B.quaternary N; absorption rate <10%) necessitates parenteral administration. Because the therapeutic effect is usually weak, a potent analgesic is given concurrently, e.g., the opioid meperidine. Note that some spasms of intestinal musculature can be effectively relieved by organic nitrates (in biliary colic) or by nifedipine (esophageal hypertension and achalasia).
Other nondepolarizing muscle relaxants include: alcuronium, derived from the alkaloid toxiferin; rocuronium, gallamine, mivacurium, and atracurium. The latter undergoes spontaneous cleavage and does not depend on hepatic or renal elimination. In this drug class, only succinylcholine (succinyldicholine, suxamethonium, A) is of clinical importance.

 

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