Muscle Relaxants Flashcards
Non-depolarizing NMB drugs are reversed by
AChE inhibitors
Side effects of non-depol NMB toxicity?
DUMBBELSS
What antibiotic interacts w/ non-depol NMB?
Aminoglycosides
What are the isoquinoline derivatives of non-depolarizing NMB?
Atracurium, cisatracurium, doxacurium, mivacurium, tubocurarine
What are the steroid derivatives of non-depolarizing NMB?
Pancuronium, pipercuronium, rocuronium, succinylcholine
What is the short acting isoquinoline derivative?
Mivacurium
What has the most rapid onset for steroid NMB drug?
Rocuronium
What steroid NMB is practical for securing the airway rapidly?
Succinylcholine
What are the central acting spasmolytics?
Baclofen, Carisprodol, Chlorzoxazone, Cyclobenzaprine, Diazepam, Tizanidine
What are the non central acting spasmolytics?
Dantrolene
Botulism
What are the immuno drugs for MS?
Glucocorticoids
Glatiramer acetate
INF-B1a/b
Mitoxantrone
Baclofen
Central spasmolytic
GABA-B receptor agonist => hyperpolarize
Carisprodol
Very addictive
Chlorzoxazone
Central spasmolytic
Acts on spinal cord and subcortical levels by depressing polysynaptic reflexes
Cyclobenzaprine
Central spasmolytic
Reduces tonic somatic motor activity by influencing alpha and gamma motor neurons
Cyclobenzaprine side effects
Xerostomia
Diazepam
Central spasmolytic
Promotes binding of major inhibitory NT in CNS y-GABA to a-GABA
Schedule IV controlled substance
Tizanidine
Central spasmolytic
a2 agonist that decreases excitatory input to alpha motor neurons
Danrolene
Non-central spasmolytic
Inhibits RyD receptor
Used to treat spasticity with UMN disorders
Botulism
Treats stabismus, blepharospasm w/ dystonia, cervical dystonia, axillary hyperhidrosis, prophylaxis of chronic migraines
Dantrolene side effect
Focal muscle weakness in areas of injection
Glatiramer acetate
MS drug
Mixes random polymers of 4 AA to activate T cell suppressors specific for myelin Ag
Interferon-B-1a and Interferon-B-1b
MS drug
acts on BBB interfering w/ T cell adhesion to endothelium by binding VLA-4 on T cells or by inhibiting T cell expression of MMP
Mitoxantrone
MS drug and anti-neoplastic for prostate CA
intercalates into DNA resulting in cross link and strand break