Muscle Relaxants Flashcards
List the peripheral muscle relaxants
- Dantrolene
List the centrally acting muscle relaxants?
- Methocarbamol
- Guaifenasin
Others: Benzodiazepines, Phenothiazines
Which of the following does not cross the BBB?
A. Dantrolene
B. Methocarbamol
C. Guaifenasin
A. Dantrolene
Dantrolene is the DRUG OF CHOICE for treatment of ____________
Malignant hyperthermia (idiosyncratic drug reactions leading to rhabdomyolysis)
Infection with ________ can be treated with Dantrolene
Tetanus
- Decreases muscle rigidity, spasms, and sympathetic tone
50% mortality despite best treatment
What is the MOA of Dantrolene?
Peripherally acting muscle relaxant
- Interferes with release of Calcium from SR by binding to RYR1 ryanodine receptor
MOA of Methocarbamol?
Centrally acting muscle relaxant
- Blocks nerve impulse transmission in the spinal cord
Methocarbamol has a _____ half time
Short
Methocarbamol has rapid ______ absorption
Oral
How can methocarbamol be administered?
Oral or IV
- Oral more common due being less expensive
Clinical uses for Methocarbamol?
- IVDD
- Tetanus
- Intoxication (tremorogenic)