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Sugammadex

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InChI=1S/C72H112O48S8/c73-33(74)1-9-121-17-25-57-41(89)49(97)65(105-25)114-58-26(18-122-10-2-34(75)76)107-67(51(99)43(58)91)116-60-28(20-124-12-4-36(79)80)109-69(53(101)45(60)93)118-62-30(22-126-14-6-38(83)84)111-71(55(103)47(62)95)120-64-32(24-128-16-8-40(87)88)112-72(56(104)48(64)96)119-63-31(23-127-15-7-39(85)86)110-70(54(102)46(63)94)117-61-29(21-125-13-5-37(81)82)108-68(52(100)44(61)92)115-59-27(19-123-11-3-35(77)78)106-66(113-57)50(98)42(59)90/h25-32,41-72,89-104H,1-24H2,(H,73,74)(H,75,76)(H,77,78)(H,79,80)(H,81,82)(H,83,84)(H,85,86)(H,87,88)/t25-,26-,27-,28-,29-,30-,31-,32-,41-,42-,43-,44-,45-,46-,47-,48-,49-,50-,51-,52-,53-,54-,55-,56-,57-,58-,59-,60-,61-,62-,63-,64-,65-,66-,67-,68-,69-,70-,71-,72-/m1/s1
704:, with a lipophilic core and a hydrophilic periphery. This gamma cyclodextrin has been modified from its natural state by placing eight carboxyl thio ether groups at the sixth carbon positions. These extensions extend the cavity size allowing greater encapsulation of the rocuronium molecule. These negatively charged extensions electrostatically bind to the quaternary nitrogen of the target as well as contribute to the aqueous nature of the cyclodextrin. Sugammadex's binding encapsulation of rocuronium is one of the strongest among cyclodextrins and their guest molecules. The rocuronium molecule (a modified 734: 823:. Although sugammadex has a lower affinity for vecuronium than for rocuronium, reversal of vecuronium is still effective because fewer vecuronium molecules are present in vivo for equivalent blockade: vecuronium is approximately seven times more potent than rocuronium. Sugammadex encapsulates with a 1:1 ratio and therefore will adequately reverse vecuronium as there are fewer molecules to bind compared to rocuronium. Shallow pancuronium blockade has been successfully reversed by sugammadex in phase III clinical trials. 858:. Also when the reversal times of each agent were compared "Data indicate that sugammadex was 10.22 minutes (6.6 times) faster than neostigmine (1.96 vs 12.87 minutes) in reversing moderate induced paralysis. Sugammadex was 45.78 minutes (16.8 times) faster than neostigmine (2.9 vs 48.8 minutes) in reversing deep induced paralysis." The time saved by rapid reversal and the reduction of postoperative residual paralysis may reduce the overall hospital costs and provide significant improvements in patient safety. 483: 38: 812:). It has been demonstrated to occur only rarely with sugammadex, and only when insufficient doses were administered. The underlying mechanism is thought to be related to redistribution of relaxant after reversal. It may occur for a limited range of sugammadex doses which are sufficient for complex formation with relaxant in the central compartment, but insufficient for additional relaxant returning to central from peripheral compartments. 847:
sugammadex. The results of this review article (especially the safety results) need to be confirmed by future trials on larger patient populations". The 2017 Cochrane review concluded that sugammadex has a better safety profile than neostigmine with 40% fewer adverse events. Specifically the risks of postoperative residual paralysis, bradycardia, nausea and vomiting are reduced if sugammadex is used as a reversal agent. The
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and it causes an increase in plasma potassium concentration which is dangerous in some circumstances. Rocuronium has a comparably quick onset in high dose (0.6 mg kg to 1 mg kg) and can be rapidly reversed with sugammadex (16 mg kg), so this drug combination offers an
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on sugammadex concluded that "sugammadex was shown to be more effective than placebo (no medication) or neostigmine in reversing muscle relaxation caused by neuromuscular blockade during surgery and is relatively safe. Serious complications occurred in less than 1% of the patients who received
800:'Recurarisation', a phenomenon of recurrence of neuromuscular block, may occur where the reversal agents wear off before a neuromuscular blocking drug is completely cleared. This is very unusual with all but the longest acting neuromuscular blocking drugs (such as 866:
Sugammadex was generally well tolerated in clinical trials in surgical patients or healthy volunteers. In pooled analyses, the tolerability profile of sugammadex was generally similar to that of placebo or neostigmine plus
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published an article in 2015 in which the incidence of residual neuromuscular blockade could be reduced to zero if sugammadex is used as the reversal agent and the correct dosage is selected with the use of
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Abrishami A, Ho J, Wong J, Yin L, Chung F (October 2009). Abrishami A (ed.). "Sugammadex, a selective reversal medication for preventing postoperative residual neuromuscular blockade".
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The most common side effects include cough, airway problems due to the anaesthesia wearing off, reduced blood pressure and other complications such as changes in heart rate.
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O=C(O)CCSC1O2O3(CSCCC(=O)O)O(O4(CSCCC(=O)O)O(O5(CSCCC(=O)O)O(O6(CSCCC(=O)O)O(O7(CSCCC(=O)O)O(O8(CSCCC(=O)O)O(O9(CSCCC(=O)O)O(O1(O)2O)(O)9O)(O)8O)(O)7O)(O)6O)(O)5O)(O)4O)(O)3O
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for sugammadex in 2008, but finally approved the medication for use in the United States in December 2015. Sugammadex was approved for use in the
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Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
2351: 1135: 945: 1718: 1481: 1078: 3186: 3182: 2445: 3969: 2434: 590: 3958: 2127: 1225:"A temporary decrease in twitch response during reversal of rocuronium-induced muscle relaxation with a small dose of sugammadex" 655: 1030: 1001: 3784: 2250: 793: 194: 94: 4392: 3988: 3327: 3236: 2805: 849: 781:) is not needed. Sugammadex might therefore be expected to have fewer adverse effects than the traditional reversal agents. 3322: 2769: 5047: 5018: 3906: 1646: 1614: 899: 784:
When muscle relaxant with rapid onset and short duration of action is required, there has been little choice apart from
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Decoopman M (2007). "Reversal of pancuronium-induced block by the selective relaxant binding agent sugammadex".
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Sugammadex has been shown to have affinity for two other aminosteroid neuromuscular blocking agents,
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Pühringer FK, Rex C, Sielenkämper AW, Claudius C, Larsen PB, Prins ME, et al. (August 2008).
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Brueckmann B, Sasaki N, Grobara P, Li MK, Woo T, de Bie J, et al. (November 2015).
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Welliver M (October 2006). "New drug sugammadex: a selective relaxant binding agent".
994:"Bridion 100 mg/ml solution for injection - Summary of Product Characteristics (SmPC)" 5071: 4982: 4812: 4782: 4722: 4672: 4667: 4557: 4527: 4473: 4302: 4117: 4052: 3870: 3710: 3696: 3692: 3684: 3632: 3292: 3287: 3154: 3089: 2572: 2487: 2255: 2021: 1915: 1832: 1513: 1497: 993: 970: 471: 2385: 1258: 708:) bound within sugammadex's lipophilic core, is rendered unavailable to bind to the 315: 307: 4897: 4827: 4822: 4737: 4547: 4537: 4488: 4469: 4267: 4187: 4177: 3774: 3770: 3704: 3700: 3652: 3644: 3462: 3427: 3342: 3242: 3227: 3164: 3094: 3044: 2949: 2914: 2885: 2881: 2877: 2865: 2682: 2642: 2617: 2115: 1985: 1824: 1731: 1365: 809: 792:
in susceptible individuals, it has a prolonged duration of action in patients with
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Left: Schematic of a sugammadex molecule encapsulating a rocuronium molecule.
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but this drug has important contraindications; for example, it can trigger
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Sugammadex was discovered by the pharmaceutical company Organon at the
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is indicated for the reversal of neuromuscular blockade induced by
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A study was carried out in Europe looking at its suitability in
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Hristovska AM, Duch P, Allingstrup M, Afshari A (August 2017).
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Eleveld DJ, Kuizenga K, Proost JH, Wierda JM (March 2007).
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Department of Health and Aged Care. Retrieved 30 March 2023
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Department of Health and Aged Care. Retrieved 30 March 2023
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of a sugammadex sodium molecule in the same orientation.
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Octatropine methylbromide (anisotropine methylbromide)
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in 2009. Sugammadex is now owned and sold by Merck.
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effects are not produced and co-administration of an
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Archived from 1649:. 2015-12-15. Archived from 1647:Food and Drug Administration 1615:Food and Drug Administration 1586:. 2008-08-01. Archived from 1334:10.1097/ALN.0b013e31817f5bc7 900:Food and Drug Administration 634:, sold under the brand name 4753:Methorphan (racemethorphan) 4083:Bephenium hydroxynaphthoate 3577:Tetracyclic antidepressants 3468:Profenamine (ethopropazine) 3090:Dicycloverine (dicyclomine) 887:. Organon was acquired by 700:Sugammadex is a modified γ- 5109: 4133:Dimethylphenylpiperazinium 3726:Tripitamine (tripitramine) 2950:Benzatropine (benztropine) 658:(SRBA). It is marketed by 490:Chemical and physical data 5011: 3899: 3629:Tricyclic antidepressants 3179:+beclometasone/formoterol 2756:3-Quinuclidinyl benzilate 2401: 2346: 2304:Prednisolone/promethazine 2285:Methylthioninium chloride 1480:Yang LP, Keam SJ (2009). 1408:10.1002/14651858.cd012763 1161:European Medicines Agency 1073:European Medicines Agency 611: 586: 566: 35: 26: 4993:Phosphatidylethanolamine 3881:Phosphatidylethanolamine 1544:Anesthesia and Analgesia 1229:Anesthesia and Analgesia 1188:Anesthesia and Analgesia 1182:Miller RD (March 2007). 856:neuromuscular monitoring 833:rapid sequence induction 4773:Morphanol (racemorphan) 4713:Laudexium (laudolissin) 4123:Desformylflustrabromine 3105:Diphemanil metilsulfate 2960:Benzilylcholine mustard 2907:Atypical antipsychotics 1538:Naguib M (March 2007). 3751:Typical antipsychotics 3523:Scopolamine (hyoscine) 3198:Hexahydrosiladifenidol 3175:Glycopyrronium bromide 2392:Acetylcholine receptor 2297:Potassium permanganate 1953:neuromuscular blockade 881:Newhouse Research Site 790:malignant hyperthermia 775:glycopyrronium bromide 737: 714:neuromuscular junction 710:acetylcholine receptor 640:neuromuscular blockade 4978:Glycerophosphocholine 3866:Glycerophosphocholine 3669:dosulepin (dothiepin) 3473:Propantheline bromide 3348:Otenzepad (AF-DX 116) 2902:Atropine methonitrate 2099:4-Dimethylaminophenol 1077:. 17 September 2018. 736: 4973:Dimethylethanolamine 4838:Rapacuronium bromide 4818:Pipecuronium bromide 4658:Gantacurium chloride 4618:Dizocilpine (MK-801) 4203:MEM-63,908 (RG-3487) 4153:Ethoxysebacylcholine 3861:Dimethylethanolamine 3781:Umeclidinium bromide 3661:desmethyldesipramine 3378:Oxyphenonium bromide 2588:Ethoxysebacylcholine 2187:Paracetamol toxicity 2031:direct Xa inhibitors 1752:Alcohol intoxication 1132:www.merckconnect.com 1037:. 14 December 2018. 904:New Drug Application 763:acetylcholinesterase 53:soo GAM ma dex 4988:Phosphatidylcholine 4873:Threohydrobupropion 4858:Stercuronium iodide 4793:Pancuronium bromide 3876:Phosphatidylcholine 3538:Sofpironium bromide 3423:Pipenzolate bromide 3233:Ipratropium bromide 3035:Cimetropium bromide 1619:. 4 February 2016. 1300:Eur J Anaesthesiol. 1157:"Sugammadex Adroiq" 1102:"Sugammadex Adroiq" 761:, does not inhibit 757:Sugammadex, unlike 749:Space-filling model 652:general anaesthesia 236:(Prescription only) 212:(Prescription only) 23: 4908:Vecuronium bromide 4848:Rocuronium bromide 4758:Methyllycaconitine 4683:Hydroxynorketamine 4578:Dextropropoxyphene 4563:Dehydronorketamine 4553:Dacuronium bromide 3609:Tiotropium bromide 3604:Timepidium bromide 3363:Oxitropium bromide 3318:Muscarinic toxin 7 3193:Hexahydrodifenidol 3140:Emepronium bromide 2791:Ambutonium bromide 2766:Aclidinium bromide 2373:Never to phase III 2170:Primary alcohols: 2128:Sodium thiosulfate 2012:Digoxin immune fab 1458:10.1093/bja/aev104 951:2022-10-12 at the 932:2022-10-12 at the 738: 654:. It is the first 5043: 5042: 5037: 5036: 4998:Phosphorylcholine 4936: 4921: 4920: 4718:Levacetylmethadol 4598:Dihydrochandonium 4478:sodium thiopental 4148:Ethanol (alcohol) 3925: 3924: 3886:Phosphorylcholine 3824: 3809: 3808: 3746:Trospium chloride 3641:amitriptylinoxide 3614:Tiquizium bromide 3458:Prifinium bromide 3353:Otilonium bromide 3308:Methylscopolamine 3303:Methylhomatropine 3160:Fentonium bromide 3040:Clidinium bromide 2383: 2382: 2312: 2311: 2146:Calcium gluconate 2138:Hydrofluoric acid 2091:Cyanide poisoning 2068:Arsenic poisoning 2055: 2054: 1969: 1968: 1674:(Press release). 1645:(Press release). 1582:(Press release). 1000:. 18 March 2021. 742: 741: 629: 628: 557:Interactive image 256: 244: 231: 219: 207: 139: 106: 5100: 5083:Oligosaccharides 5060: 5059: 5058: 5051: 4930: 4868:Thiocolchicoside 4678:Hydroxybupropion 4573:Dextromethorphan 4445:Allopregnanolone 4399: 4395: 4298:Suberyldicholine 4008:6-Chloronicotine 3995: 3991: 3980: 3976: 3972: 3952: 3945: 3938: 3929: 3818: 3599:Tiemonium iodide 3554: 3550: 3418:Phenyltoloxamine 3373:Oxyphencyclimine 2874:phenyltoloxamine 2678:Suberyldicholine 2456: 2452: 2448: 2428: 2421: 2414: 2405: 2387: 2278:Potassium iodide 2104:Hydroxocobalamin 2064: 2004:Digoxin toxicity 1982: 1748: 1721: 1714: 1707: 1698: 1691: 1690: 1688: 1687: 1668: 1662: 1661: 1659: 1658: 1639: 1633: 1632: 1630: 1628: 1605: 1599: 1598: 1596: 1595: 1576: 1570: 1569: 1559: 1535: 1529: 1528: 1526: 1525: 1477: 1471: 1470: 1460: 1436: 1430: 1429: 1419: 1387: 1378: 1377: 1353: 1347: 1346: 1336: 1312: 1306: 1296: 1290: 1289: 1269: 1263: 1262: 1244: 1220: 1214: 1213: 1203: 1179: 1173: 1172: 1170: 1168: 1153: 1147: 1146: 1144: 1143: 1124: 1118: 1117: 1115: 1113: 1098: 1092: 1090: 1088: 1086: 1064: 1051: 1050: 1048: 1046: 1027: 1014: 1013: 1011: 1009: 990: 984: 983: 981: 979: 962: 956: 943: 937: 924: 727: 720: 696:Pharmacodynamics 625: 624: 617: 559: 539: 537: 520: 514: 508: 502: 485: 474: 463: 455: 435: 427: 407: 386: 378: 358: 338: 318: 310: 300: 299: 285: 254: 251: 242: 239: 229: 226: 218: 215: 205: 202: 180: 137: 134: 116: 105: 102: 89: 40: 31: 24: 22: 5108: 5107: 5103: 5102: 5101: 5099: 5098: 5097: 5068: 5067: 5066: 5056: 5054: 5046: 5044: 5039: 5038: 5033: 5007: 4929: 4917: 4523:Chlorisondamine 4397: 4390: 4382: 3993: 3986: 3974: 3964: 3956: 3926: 3921: 3895: 3817: 3805: 3759:chlorprothixene 3716:Trihexyphenidyl 3552: 3533:Silahexacyclium 3413:Phenglutarimide 3075:Desfesoterodine 3055:Cyclobenzaprine 2846:diphenhydramine 2810:brompheniramine 2742: 2693:Thiopilocarpine 2450: 2440: 2432: 2397: 2384: 2379: 2378: 2363:Clinical trials 2342: 2336:Syrup of ipecac 2308: 2291:oxidizing agent 2259: 2211: 2190:(Acetaminophen) 2189: 2181: 2162: 2161:Ethylene glycol 2159: 2150: 2132: 2085: 2051: 2016: 1998: 1976: 1965: 1951: 1945: 1908:Opioid overdose 1902: 1854: 1853:Organophosphate 1851: 1842: 1819: 1801: 1794: 1776: 1769: 1742: 1735: 1725: 1695: 1694: 1685: 1683: 1676:Schering-Plough 1670: 1669: 1665: 1656: 1654: 1641: 1640: 1636: 1626: 1624: 1607: 1606: 1602: 1593: 1591: 1584:Schering-Plough 1578: 1577: 1573: 1537: 1536: 1532: 1523: 1521: 1479: 1478: 1474: 1438: 1437: 1433: 1402:(8): CD012763. 1389: 1388: 1381: 1360:(4): CD007362. 1355: 1354: 1350: 1314: 1313: 1309: 1297: 1293: 1271: 1270: 1266: 1222: 1221: 1217: 1181: 1180: 1176: 1166: 1164: 1155: 1154: 1150: 1141: 1139: 1126: 1125: 1121: 1111: 1109: 1100: 1099: 1095: 1084: 1082: 1066: 1065: 1054: 1044: 1042: 1029: 1028: 1017: 1007: 1005: 992: 991: 987: 977: 975: 974:. 14 March 2017 964: 963: 959: 953:Wayback Machine 944: 940: 934:Wayback Machine 925: 921: 916: 889:Schering-Plough 877: 864: 844:Cochrane review 829: 786:succinylcholine 756: 754: 753: 752: 746: 698: 693: 674: 620: 618: 615:(what is this?) 612: 607: 604: 599: 594: 593: 582: 579: 574: 573: 562: 535: 533: 523: 517: 511: 505: 466: 438: 410: 389: 361: 341: 321: 296: 288: 263: 184: 152: 145: 126: 119: 17: 12: 11: 5: 5106: 5104: 5096: 5095: 5090: 5085: 5080: 5070: 5069: 5065: 5064: 5041: 5040: 5035: 5034: 5032: 5031: 5026: 5021: 5016: 5012: 5009: 5008: 5006: 5005: 5000: 4995: 4990: 4985: 4980: 4975: 4970: 4965: 4960: 4950: 4945: 4939: 4937: 4923: 4922: 4919: 4918: 4916: 4915: 4910: 4905: 4900: 4895: 4890: 4885: 4880: 4875: 4870: 4865: 4860: 4855: 4850: 4845: 4840: 4835: 4830: 4825: 4820: 4815: 4810: 4805: 4800: 4795: 4790: 4785: 4780: 4775: 4770: 4765: 4760: 4755: 4750: 4745: 4740: 4735: 4730: 4725: 4720: 4715: 4710: 4705: 4703:Kynurenic acid 4700: 4695: 4690: 4685: 4680: 4675: 4670: 4665: 4660: 4655: 4650: 4645: 4640: 4635: 4630: 4625: 4620: 4615: 4610: 4605: 4600: 4595: 4590: 4585: 4580: 4575: 4570: 4565: 4560: 4555: 4550: 4545: 4540: 4535: 4530: 4525: 4520: 4515: 4510: 4505: 4500: 4497:κ-bungarotoxin 4493:α-bungarotoxin 4486: 4481: 4467: 4462: 4457: 4452: 4447: 4442: 4437: 4432: 4431:, many others) 4421:α-bungarotoxin 4414: 4409: 4403: 4401: 4384: 4383: 4381: 4380: 4375: 4370: 4365: 4360: 4355: 4353:Tribendimidine 4350: 4345: 4340: 4335: 4330: 4325: 4320: 4315: 4310: 4305: 4300: 4295: 4290: 4285: 4280: 4278:Sebacylcholine 4275: 4270: 4265: 4260: 4255: 4250: 4245: 4240: 4235: 4230: 4225: 4220: 4210: 4205: 4200: 4195: 4190: 4185: 4180: 4175: 4170: 4165: 4160: 4155: 4150: 4145: 4140: 4135: 4130: 4125: 4120: 4115: 4110: 4105: 4100: 4095: 4093:Butyrylcholine 4090: 4085: 4080: 4075: 4070: 4065: 4060: 4055: 4050: 4045: 4040: 4035: 4030: 4025: 4020: 4015: 4010: 4005: 3999: 3997: 3977: 3966: 3965: 3957: 3955: 3954: 3947: 3940: 3932: 3923: 3922: 3920: 3919: 3914: 3909: 3904: 3900: 3897: 3896: 3894: 3893: 3888: 3883: 3878: 3873: 3868: 3863: 3858: 3853: 3848: 3838: 3833: 3827: 3825: 3811: 3810: 3807: 3806: 3804: 3803: 3798: 3793: 3788: 3778: 3755:chlorpromazine 3748: 3743: 3738: 3733: 3728: 3723: 3718: 3713: 3708: 3626: 3621: 3616: 3611: 3606: 3601: 3596: 3574: 3569: 3564: 3545: 3540: 3535: 3530: 3525: 3520: 3515: 3510: 3505: 3500: 3495: 3490: 3485: 3480: 3475: 3470: 3465: 3460: 3455: 3450: 3445: 3440: 3435: 3430: 3425: 3420: 3415: 3410: 3405: 3400: 3395: 3390: 3385: 3380: 3375: 3370: 3365: 3360: 3358:Oxapium iodide 3355: 3350: 3345: 3340: 3335: 3330: 3325: 3320: 3315: 3310: 3305: 3300: 3298:Methylatropine 3295: 3290: 3285: 3280: 3275: 3270: 3265: 3260: 3255: 3250: 3245: 3240: 3230: 3225: 3220: 3215: 3210: 3205: 3200: 3195: 3190: 3172: 3167: 3162: 3157: 3152: 3147: 3142: 3137: 3132: 3127: 3122: 3117: 3112: 3107: 3102: 3097: 3092: 3087: 3082: 3077: 3072: 3067: 3062: 3060:Cyclopentolate 3057: 3052: 3047: 3042: 3037: 3032: 3027: 3022: 3017: 3012: 3007: 3002: 2997: 2992: 2987: 2982: 2977: 2972: 2967: 2962: 2957: 2952: 2947: 2942: 2904: 2899: 2894: 2889: 2838:dimenhydrinate 2834:cyproheptadine 2803: 2798: 2793: 2788: 2783: 2778: 2773: 2763: 2758: 2752: 2750: 2744: 2743: 2741: 2740: 2735: 2730: 2725: 2720: 2715: 2710: 2705: 2700: 2695: 2690: 2685: 2680: 2675: 2673:Sebacylcholine 2670: 2665: 2660: 2655: 2650: 2645: 2640: 2635: 2630: 2625: 2620: 2615: 2610: 2605: 2600: 2595: 2590: 2585: 2580: 2575: 2570: 2565: 2560: 2555: 2550: 2545: 2540: 2535: 2530: 2528:Butyrylcholine 2525: 2520: 2515: 2510: 2505: 2500: 2495: 2490: 2485: 2480: 2475: 2470: 2464: 2462: 2453: 2442: 2441: 2433: 2431: 2430: 2423: 2416: 2408: 2402: 2399: 2398: 2390: 2381: 2380: 2377: 2376: 2375: 2374: 2371: 2360: 2354: 2348: 2347: 2344: 2343: 2341: 2340: 2339: 2338: 2328: 2326:Copper sulfate 2322: 2320: 2314: 2313: 2310: 2309: 2307: 2306: 2301: 2300: 2299: 2287: 2282: 2281: 2280: 2267: 2265: 2261: 2260: 2258: 2253: 2248: 2243: 2241: 2240: 2239: 2233: 2228: 2213: 2212: 2210: 2209: 2204: 2199: 2197:Acetylcysteine 2193: 2191: 2183: 2182: 2180: 2179: 2174: 2167: 2165: 2152: 2151: 2149: 2148: 2142: 2140: 2134: 2133: 2131: 2130: 2125: 2124: 2123: 2121:Sodium nitrite 2118: 2106: 2101: 2095: 2093: 2087: 2086: 2084: 2083: 2078: 2072: 2070: 2061: 2057: 2056: 2053: 2052: 2050: 2049: 2038: 2035:Andexanet alfa 2026: 2024: 2022:Anticoagulants 2018: 2017: 2015: 2014: 2008: 2006: 2000: 1999: 1997: 1996: 1990: 1988: 1979: 1971: 1970: 1967: 1966: 1964: 1963: 1957: 1955: 1947: 1946: 1944: 1943: 1938: 1933: 1928: 1923: 1918: 1912: 1910: 1904: 1903: 1901: 1900: 1898:Cholinesterase 1892: 1891: 1890: 1885: 1875: 1870: 1865: 1859: 1857: 1844: 1843: 1841: 1840: 1835: 1829: 1827: 1821: 1820: 1818: 1817: 1812: 1806: 1804: 1800:Benzodiazepine 1796: 1795: 1793: 1792: 1787: 1781: 1779: 1771: 1770: 1768: 1767: 1762: 1756: 1754: 1745: 1737: 1736: 1726: 1724: 1723: 1716: 1709: 1701: 1693: 1692: 1663: 1634: 1600: 1571: 1550:(3): 575–581. 1530: 1492:(7): 919–942. 1472: 1451:(5): 743–751. 1431: 1379: 1348: 1327:(2): 188–197. 1321:Anesthesiology 1307: 1291: 1280:(5): 357–363. 1264: 1235:(3): 582–584. 1215: 1194:(3): 477–478. 1174: 1163:. 16 June 2023 1148: 1119: 1093: 1068:"Bridion EPAR" 1052: 1015: 985: 957: 938: 918: 917: 915: 912: 910:in July 2008. 908:European Union 876: 873: 869:glycopyrrolate 863: 860: 828: 825: 771:antimuscarinic 744: 743: 740: 739: 730: 728: 718: 697: 694: 692: 689: 673: 670: 627: 626: 609: 608: 606: 605: 602: 600: 597: 589: 588: 587: 584: 583: 581: 580: 577: 569: 568: 567: 564: 563: 561: 560: 552: 550: 542: 541: 531: 525: 524: 521: 515: 509: 503: 498: 492: 491: 487: 486: 476: 468: 467: 465: 464: 458:as salt:  456: 448: 446: 440: 439: 437: 436: 430:as salt:  428: 420: 418: 412: 411: 409: 408: 402:as salt:  399: 397: 391: 390: 388: 387: 381:as salt:  379: 371: 369: 363: 362: 360: 359: 351: 349: 343: 342: 340: 339: 331: 329: 323: 322: 320: 319: 313:as salt: 311: 303: 301: 290: 289: 287: 286: 278: 276: 270: 269: 265: 264: 262: 261: 258: 249: 237: 224: 213: 199: 197: 191: 190: 186: 185: 183: 182: 169: 167: 161: 160: 155: 153:administration 147: 146: 144: 143: 141: 131: 129: 121: 120: 118: 117: 99: 97: 91: 90: 83: 73: 72: 69: 65: 64: 61: 55: 54: 51: 47: 46: 42: 41: 33: 32: 15: 13: 10: 9: 6: 4: 3: 2: 5105: 5094: 5091: 5089: 5086: 5084: 5081: 5079: 5076: 5075: 5073: 5063: 5053: 5049: 5030: 5027: 5025: 5022: 5020: 5017: 5014: 5013: 5010: 5004: 5001: 4999: 4996: 4994: 4991: 4989: 4986: 4984: 4981: 4979: 4976: 4974: 4971: 4969: 4966: 4964: 4961: 4958: 4954: 4951: 4949: 4946: 4944: 4941: 4940: 4938: 4934: 4928: 4924: 4914: 4911: 4909: 4906: 4904: 4901: 4899: 4896: 4894: 4891: 4889: 4886: 4884: 4881: 4879: 4876: 4874: 4871: 4869: 4866: 4864: 4861: 4859: 4856: 4854: 4851: 4849: 4846: 4844: 4841: 4839: 4836: 4834: 4831: 4829: 4826: 4824: 4821: 4819: 4816: 4814: 4813:Phencyclidine 4811: 4809: 4806: 4804: 4801: 4799: 4796: 4794: 4791: 4789: 4786: 4784: 4783:Nitrous oxide 4781: 4779: 4776: 4774: 4771: 4769: 4766: 4764: 4761: 4759: 4756: 4754: 4751: 4749: 4746: 4744: 4741: 4739: 4736: 4734: 4731: 4729: 4726: 4724: 4723:Levomethadone 4721: 4719: 4716: 4714: 4711: 4709: 4706: 4704: 4701: 4699: 4696: 4694: 4691: 4689: 4686: 4684: 4681: 4679: 4676: 4674: 4671: 4669: 4668:Hexafluronium 4666: 4664: 4661: 4659: 4656: 4654: 4651: 4649: 4646: 4644: 4641: 4639: 4636: 4634: 4631: 4629: 4626: 4624: 4621: 4619: 4616: 4614: 4611: 4609: 4606: 4604: 4601: 4599: 4596: 4594: 4591: 4589: 4586: 4584: 4581: 4579: 4576: 4574: 4571: 4569: 4566: 4564: 4561: 4559: 4558:Decamethonium 4556: 4554: 4551: 4549: 4546: 4544: 4541: 4539: 4536: 4534: 4531: 4529: 4528:Cisatracurium 4526: 4524: 4521: 4519: 4516: 4514: 4511: 4509: 4506: 4504: 4501: 4498: 4494: 4490: 4489:Bungarotoxins 4487: 4485: 4482: 4479: 4475: 4474:pentobarbital 4471: 4468: 4466: 4463: 4461: 4458: 4456: 4453: 4451: 4448: 4446: 4443: 4441: 4438: 4436: 4433: 4430: 4426: 4422: 4418: 4417:α-Neurotoxins 4415: 4413: 4410: 4408: 4405: 4404: 4402: 4396: 4389: 4385: 4379: 4376: 4374: 4371: 4369: 4366: 4364: 4361: 4359: 4356: 4354: 4351: 4349: 4346: 4344: 4341: 4339: 4336: 4334: 4331: 4329: 4326: 4324: 4321: 4319: 4316: 4314: 4311: 4309: 4306: 4304: 4301: 4299: 4296: 4294: 4291: 4289: 4286: 4284: 4281: 4279: 4276: 4274: 4271: 4269: 4266: 4264: 4261: 4259: 4256: 4254: 4251: 4249: 4246: 4244: 4241: 4239: 4236: 4234: 4231: 4229: 4226: 4224: 4221: 4218: 4214: 4211: 4209: 4206: 4204: 4201: 4199: 4196: 4194: 4191: 4189: 4186: 4184: 4181: 4179: 4176: 4174: 4171: 4169: 4166: 4164: 4161: 4159: 4156: 4154: 4151: 4149: 4146: 4144: 4141: 4139: 4136: 4134: 4131: 4129: 4126: 4124: 4121: 4119: 4118:Decamethonium 4116: 4114: 4111: 4109: 4106: 4104: 4101: 4099: 4096: 4094: 4091: 4089: 4086: 4084: 4081: 4079: 4076: 4074: 4071: 4069: 4066: 4064: 4061: 4059: 4056: 4054: 4053:Acetylcholine 4051: 4049: 4046: 4044: 4041: 4039: 4036: 4034: 4031: 4029: 4026: 4024: 4021: 4019: 4016: 4014: 4011: 4009: 4006: 4004: 4001: 4000: 3998: 3992: 3985: 3981: 3978: 3973: 3967: 3963: 3960: 3953: 3948: 3946: 3941: 3939: 3934: 3933: 3930: 3918: 3915: 3913: 3910: 3908: 3905: 3902: 3901: 3898: 3892: 3889: 3887: 3884: 3882: 3879: 3877: 3874: 3872: 3869: 3867: 3864: 3862: 3859: 3857: 3854: 3852: 3849: 3846: 3842: 3839: 3837: 3834: 3832: 3829: 3828: 3826: 3822: 3816: 3812: 3802: 3799: 3797: 3794: 3792: 3789: 3786: 3782: 3779: 3776: 3772: 3768: 3764: 3760: 3756: 3752: 3749: 3747: 3744: 3742: 3739: 3737: 3734: 3732: 3729: 3727: 3724: 3722: 3719: 3717: 3714: 3712: 3711:Tridihexethyl 3709: 3706: 3702: 3698: 3697:protriptyline 3694: 3693:nortriptyline 3690: 3686: 3685:nitroxazepine 3682: 3678: 3674: 3670: 3666: 3662: 3658: 3654: 3650: 3646: 3642: 3638: 3637:+perphenazine 3634: 3633:amitriptyline 3630: 3627: 3625: 3622: 3620: 3617: 3615: 3612: 3610: 3607: 3605: 3602: 3600: 3597: 3594: 3590: 3586: 3582: 3578: 3575: 3573: 3570: 3568: 3565: 3562: 3558: 3551: 3546: 3544: 3541: 3539: 3536: 3534: 3531: 3529: 3526: 3524: 3521: 3519: 3516: 3514: 3511: 3509: 3506: 3504: 3501: 3499: 3496: 3494: 3491: 3489: 3486: 3484: 3481: 3479: 3476: 3474: 3471: 3469: 3466: 3464: 3461: 3459: 3456: 3454: 3451: 3449: 3446: 3444: 3441: 3439: 3436: 3434: 3431: 3429: 3426: 3424: 3421: 3419: 3416: 3414: 3411: 3409: 3406: 3404: 3401: 3399: 3396: 3394: 3391: 3389: 3386: 3384: 3381: 3379: 3376: 3374: 3371: 3369: 3366: 3364: 3361: 3359: 3356: 3354: 3351: 3349: 3346: 3344: 3341: 3339: 3336: 3334: 3331: 3329: 3326: 3324: 3321: 3319: 3316: 3314: 3311: 3309: 3306: 3304: 3301: 3299: 3296: 3294: 3293:Methoctramine 3291: 3289: 3288:Methantheline 3286: 3284: 3281: 3279: 3276: 3274: 3271: 3269: 3266: 3264: 3263:Mamba toxin 7 3261: 3259: 3258:Mamba toxin 3 3256: 3254: 3251: 3249: 3246: 3244: 3241: 3238: 3234: 3231: 3229: 3226: 3224: 3221: 3219: 3216: 3214: 3211: 3209: 3206: 3204: 3201: 3199: 3196: 3194: 3191: 3188: 3184: 3180: 3176: 3173: 3171: 3168: 3166: 3163: 3161: 3158: 3156: 3155:Fenpiverinium 3153: 3151: 3148: 3146: 3143: 3141: 3138: 3136: 3133: 3131: 3128: 3126: 3123: 3121: 3118: 3116: 3113: 3111: 3108: 3106: 3103: 3101: 3098: 3096: 3093: 3091: 3088: 3086: 3083: 3081: 3078: 3076: 3073: 3071: 3068: 3066: 3063: 3061: 3058: 3056: 3053: 3051: 3048: 3046: 3043: 3041: 3038: 3036: 3033: 3031: 3028: 3026: 3023: 3021: 3018: 3016: 3013: 3011: 3008: 3006: 3003: 3001: 2998: 2996: 2993: 2991: 2988: 2986: 2983: 2981: 2978: 2976: 2973: 2971: 2968: 2966: 2963: 2961: 2958: 2956: 2953: 2951: 2948: 2946: 2943: 2940: 2936: 2932: 2928: 2924: 2920: 2916: 2912: 2908: 2905: 2903: 2900: 2898: 2895: 2893: 2890: 2887: 2883: 2879: 2875: 2871: 2867: 2863: 2859: 2855: 2851: 2847: 2843: 2839: 2835: 2831: 2827: 2823: 2819: 2815: 2811: 2807: 2804: 2802: 2799: 2797: 2794: 2792: 2789: 2787: 2784: 2782: 2779: 2777: 2774: 2771: 2767: 2764: 2762: 2759: 2757: 2754: 2753: 2751: 2749: 2745: 2739: 2736: 2734: 2731: 2729: 2726: 2724: 2721: 2719: 2716: 2714: 2711: 2709: 2706: 2704: 2701: 2699: 2696: 2694: 2691: 2689: 2686: 2684: 2681: 2679: 2676: 2674: 2671: 2669: 2666: 2664: 2661: 2659: 2656: 2654: 2651: 2649: 2646: 2644: 2641: 2639: 2636: 2634: 2631: 2629: 2626: 2624: 2621: 2619: 2616: 2614: 2611: 2609: 2606: 2604: 2601: 2599: 2596: 2594: 2591: 2589: 2586: 2584: 2581: 2579: 2576: 2574: 2573:cis-Dioxolane 2571: 2569: 2566: 2564: 2561: 2559: 2556: 2554: 2551: 2549: 2546: 2544: 2541: 2539: 2536: 2534: 2531: 2529: 2526: 2524: 2521: 2519: 2516: 2514: 2511: 2509: 2506: 2504: 2501: 2499: 2496: 2494: 2491: 2489: 2488:Acetylcholine 2486: 2484: 2481: 2479: 2476: 2474: 2471: 2469: 2466: 2465: 2463: 2461: 2457: 2454: 2449: 2443: 2439: 2436: 2429: 2424: 2422: 2417: 2415: 2410: 2409: 2406: 2400: 2396: 2393: 2388: 2372: 2370: 2367: 2366: 2364: 2361: 2358: 2355: 2353: 2350: 2349: 2345: 2337: 2334: 2333: 2332: 2329: 2327: 2324: 2323: 2321: 2319: 2315: 2305: 2302: 2298: 2295: 2294: 2293: 2292: 2288: 2286: 2283: 2279: 2276: 2275: 2274: 2273: 2269: 2268: 2266: 2262: 2257: 2256:Prussian blue 2254: 2252: 2249: 2247: 2244: 2242: 2237: 2234: 2232: 2229: 2227: 2224: 2223: 2222: 2218: 2214: 2208: 2205: 2203: 2200: 2198: 2195: 2194: 2192: 2188: 2184: 2178: 2175: 2173: 2169: 2168: 2166: 2164: 2157: 2153: 2147: 2144: 2143: 2141: 2139: 2135: 2129: 2126: 2122: 2119: 2117: 2114: 2113: 2112: 2111: 2107: 2105: 2102: 2100: 2097: 2096: 2094: 2092: 2088: 2082: 2079: 2077: 2074: 2073: 2071: 2069: 2065: 2062: 2058: 2047: 2043: 2039: 2036: 2032: 2028: 2027: 2025: 2023: 2019: 2013: 2010: 2009: 2007: 2005: 2001: 1995: 1992: 1991: 1989: 1987: 1983: 1980: 1978: 1972: 1962: 1959: 1958: 1956: 1954: 1948: 1942: 1939: 1937: 1934: 1932: 1929: 1927: 1924: 1922: 1919: 1917: 1916:Diprenorphine 1914: 1913: 1911: 1909: 1905: 1899: 1896: 1893: 1889: 1886: 1884: 1881: 1880: 1879: 1876: 1874: 1871: 1869: 1866: 1864: 1861: 1860: 1858: 1856: 1849: 1845: 1839: 1836: 1834: 1833:Physostigmine 1831: 1830: 1828: 1826: 1822: 1816: 1813: 1811: 1808: 1807: 1805: 1803: 1797: 1791: 1788: 1786: 1783: 1782: 1780: 1778: 1772: 1766: 1763: 1761: 1758: 1757: 1755: 1753: 1749: 1746: 1744: 1738: 1733: 1729: 1722: 1717: 1715: 1710: 1708: 1703: 1702: 1699: 1682:on 2008-09-24 1681: 1677: 1673: 1667: 1664: 1653:on 2015-12-15 1652: 1648: 1644: 1638: 1635: 1622: 1618: 1616: 1610: 1604: 1601: 1590:on 2008-08-10 1589: 1585: 1581: 1575: 1572: 1567: 1563: 1558: 1553: 1549: 1545: 1541: 1534: 1531: 1519: 1515: 1511: 1507: 1503: 1499: 1495: 1491: 1487: 1483: 1476: 1473: 1468: 1464: 1459: 1454: 1450: 1446: 1442: 1435: 1432: 1427: 1423: 1418: 1413: 1409: 1405: 1401: 1397: 1393: 1386: 1384: 1380: 1375: 1371: 1367: 1363: 1359: 1352: 1349: 1344: 1340: 1335: 1330: 1326: 1322: 1318: 1311: 1308: 1305: 1301: 1295: 1292: 1287: 1283: 1279: 1275: 1268: 1265: 1260: 1256: 1252: 1248: 1243: 1238: 1234: 1230: 1226: 1219: 1216: 1211: 1207: 1202: 1197: 1193: 1189: 1185: 1178: 1175: 1162: 1158: 1152: 1149: 1137: 1133: 1129: 1123: 1120: 1108:. 30 May 2023 1107: 1103: 1097: 1094: 1080: 1076: 1074: 1069: 1063: 1061: 1059: 1057: 1053: 1040: 1036: 1032: 1026: 1024: 1022: 1020: 1016: 1003: 999: 995: 989: 986: 973: 972: 971:Health Canada 967: 961: 958: 954: 950: 947: 942: 939: 935: 931: 928: 923: 920: 913: 911: 909: 905: 901: 896: 894: 890: 886: 882: 874: 872: 870: 861: 859: 857: 852: 851: 845: 840: 838: 834: 826: 824: 822: 818: 813: 811: 807: 803: 798: 795: 791: 787: 782: 780: 776: 772: 768: 764: 760: 750: 735: 731: 729: 726: 722: 721: 717: 715: 711: 707: 703: 695: 690: 688: 686: 682: 678: 671: 669: 666: 663: 661: 657: 653: 649: 645: 641: 637: 633: 623: 616: 610: 601: 596: 592: 585: 576: 572: 565: 558: 554: 553: 551: 548: 543: 532: 530: 526: 499: 497: 493: 488: 484: 480: 477: 475: 473:ECHA InfoCard 469: 462: 461:ChEMBL2107374 457: 454: 453:ChEMBL2111107 450: 449: 447: 445: 441: 434: 429: 426: 422: 421: 419: 417: 413: 406: 401: 400: 398: 396: 392: 385: 380: 377: 373: 372: 370: 368: 364: 357: 353: 352: 350: 348: 344: 337: 333: 332: 330: 328: 324: 317: 312: 309: 305: 304: 302: 295: 291: 284: 280: 279: 277: 275: 271: 266: 259: 257: Rx-only 250: 248: 238: 235: 225: 223: 214: 211: 201: 200: 198: 196: 192: 187: 179: 174: 171: 170: 168: 166: 162: 159: 156: 154: 148: 142: 133: 132: 130: 128: 122: 115: 110: 101: 100: 98: 96: 92: 88: 84: 82: 78: 74: 70: 66: 62: 60: 56: 52: 50:Pronunciation 48: 45:Clinical data 43: 39: 34: 30: 25: 4898:Tubocurarine 4828:Promegestone 4823:Progesterone 4738:Mecamylamine 4548:Cyclopropane 4538:Coronaridine 4470:Barbiturates 4455:Anatruxonium 4425:α-cobratoxin 4268:Sazetidine A 4188:JNJ-39393406 4178:Ispronicline 3775:thioridazine 3771:mesoridazine 3705:trimipramine 3701:quinupramine 3653:clomipramine 3645:butriptyline 3463:Procyclidine 3428:Piperidolate 3343:Orphenadrine 3243:Isopropamide 3228:Imidafenacin 3187:+neostigmine 3183:+indacaterol 3165:Fesoterodine 3095:Dihexyverine 3045:Cloperastine 2915:fluperlapine 2886:triprolidine 2882:propiomazine 2878:promethazine 2866:phenindamine 2683:Talsaclidine 2643:Oxotremorine 2618:Methacholine 2608:LY-2,033,298 2289: 2270: 2217:Toxic metals 2116:Amyl nitrite 2108: 1986:Beta blocker 1960: 1894: 1825:GHB overdose 1684:. Retrieved 1680:the original 1666: 1655:. Retrieved 1651:the original 1637: 1625:. Retrieved 1612: 1603: 1592:. Retrieved 1588:the original 1574: 1547: 1543: 1533: 1522:. Retrieved 1489: 1485: 1475: 1448: 1444: 1434: 1399: 1395: 1357: 1351: 1324: 1320: 1310: 1303: 1302:24(Suppl 39) 1299: 1294: 1277: 1274:AANA Journal 1273: 1267: 1232: 1228: 1218: 1191: 1187: 1177: 1165:. Retrieved 1160: 1151: 1140:. Retrieved 1131: 1122: 1110:. Retrieved 1105: 1096: 1083:. Retrieved 1071: 1043:. Retrieved 1034: 1006:. Retrieved 997: 988: 976:. Retrieved 969: 960: 941: 922: 897: 878: 865: 862:Tolerability 848: 841: 830: 814: 810:tubocurarine 799: 783: 755: 702:cyclodextrin 699: 691:Pharmacology 676: 675: 672:Medical uses 667: 664: 635: 631: 630: 619:   613:   195:Legal status 189:Legal status 95:License data 5003:Pirisudanol 4968:Cyprodenate 4948:Adafenoxate 4863:Surugatoxin 4853:Sevoflurane 4808:Pentolinium 4788:Norketamine 4708:Laudanosine 4638:Erythravine 4628:Encenicline 4613:Dipyrandium 4583:Dextrorphan 4429:α-conotoxin 4388:Antagonists 4373:WAY-317,538 4368:Varenicline 4358:Tropisetron 4348:Tebanicline 4293:SSR-180,711 4258:Rivanicline 4248:Pozanicline 4243:PNU-282,987 4238:PNU-120,596 4233:PHA-709,829 4228:PHA-543,613 4168:Galantamine 4143:Epiboxidine 4138:Epibatidine 4058:Altinicline 3891:Pirisudanol 3856:Cyprodenate 3836:Adafenoxate 3801:Zamifenacin 3785:+vilanterol 3741:Tropicamide 3736:Tropatepine 3721:Trimebutine 3681:lofepramine 3657:desipramine 3624:Tolterodine 3593:mirtazapine 3585:maprotiline 3567:Telenzepine 3543:Solifenacin 3518:SCH-217,443 3493:Revefenacin 3478:Propiverine 3438:Piroheptine 3433:Pirenzepine 3398:Penthienate 3283:Mepenzolate 3278:Meladrazine 3253:Hyoscyamine 3237:+salbutamol 3223:Homatropine 3208:Hexocyclium 3065:Darifenacin 3025:CAR-302,668 3020:CAR-302,537 3015:CAR-302,368 3010:CAR-302,282 3005:CAR-302,196 3000:CAR-301,060 2995:CAR-226,086 2965:Benzydamine 2945:Benactyzine 2923:+fluoxetine 2870:pheniramine 2858:mequitazine 2842:dimetindene 2826:cinnarizine 2796:Anisodamine 2770:+formoterol 2748:Antagonists 2728:WAY-132,983 2698:Vedaclidine 2668:SDZ 210-086 2663:Sabcomeline 2653:Pilocarpine 2523:Bethanechol 2359:from market 2331:Ipecacuanha 2246:Dimercaprol 2202:Glutathione 2076:Dimercaprol 1975:Circulatory 1950:Reversal of 1888:Pralidoxime 1848:Nerve agent 1810:Cyprodenate 1775:Barbiturate 821:pancuronium 806:pancuronium 767:cholinergic 759:neostigmine 642:induced by 540: g·mol 479:100.121.931 433:CHEBI:90952 425:CHEBI:90953 283:343306-71-8 268:Identifiers 158:Intravenous 68:Other names 59:Trade names 5093:Thioethers 5078:Anesthesia 5072:Categories 4963:Citicoline 4943:Acetyl-coA 4927:Precursors 4903:Vanoxerine 4893:Tropeinium 4878:Toxiferine 4843:Reboxetine 4833:Radafaxine 4778:Neramexane 4768:Mivacurium 4763:Metocurine 4728:Malouetine 4693:Isoflurane 4648:Fazadinium 4643:Esketamine 4623:Doxacurium 4608:Dioscorine 4568:Desflurane 4533:Coclaurine 4465:Atracurium 4450:Amantadine 4440:Alcuronium 4193:Levamisole 4183:Ivermectin 4128:Dianicline 4088:Butinoline 4073:Anatoxin-a 3962:modulators 3851:Citicoline 3831:Acetyl-coA 3815:Precursors 3796:Xanomeline 3677:imipramine 3665:dibenzepin 3572:Terodiline 3561:paroxetine 3557:femoxetine 3513:SCH-72,788 3508:SCH-57,790 3498:Rociverine 3393:PD-0298029 3388:PD-102,807 3368:Oxybutynin 3273:Mebeverine 3218:HL-031,120 3203:Hexbutinol 3145:Etanautine 3100:Difemerine 3080:Dexetimide 3030:Caramiphen 2985:Bornaprine 2935:tenilapine 2931:quetiapine 2919:olanzapine 2850:doxylamine 2830:clemastine 2818:captodiame 2776:Abediterol 2733:Xanomeline 2723:VU-0238429 2718:VU-0152100 2713:VU-0152099 2708:VU-0090157 2703:VU-0029767 2688:Tazomeline 2648:PD-151,832 2638:Ocvimeline 2623:Milameline 2598:LY-593,039 2563:Cevimeline 2508:Alvameline 2483:Aceclidine 2478:AC-260,584 2468:77-LH-28-1 2438:modulators 2395:modulators 2272:iodine-131 2207:Methionine 2177:Fomepizole 1961:Sugammadex 1941:Naltrexone 1931:Nalorphine 1815:Flumazenil 1760:Metadoxine 1686:2008-08-02 1657:2015-12-15 1594:2008-08-02 1524:2010-03-29 1142:2019-01-11 914:References 837:rocuronium 817:vecuronium 685:vecuronium 681:rocuronium 677:Sugammadex 648:vecuronium 644:rocuronium 632:Sugammadex 545:3D model ( 529:Molar mass 384:ERJ6X2MXV7 376:361LPM2T56 347:ChemSpider 274:CAS Number 114:Sugammadex 21:Sugammadex 4803:Pentamine 4798:Pempidine 4748:Methadone 4743:Memantine 4663:Halothane 4653:Gallamine 4633:Enflurane 4588:Diadonium 4503:Bupropion 4288:SIB-1553A 4283:SIB-1508Y 4273:SB-206553 4098:Carbachol 4078:AR-R17779 4068:Anatabine 4063:Anabasine 4028:A-867,744 4023:A-582,941 4018:A-366,833 3731:Tropacine 3649:cidoxepin 3619:Tofenacin 3589:mianserin 3581:amoxapine 3503:RU-47,213 3483:Quinidine 3443:Pizotifen 3403:Pethidine 3268:Mazaticol 3248:J-104,129 3213:Himbacine 3170:Flavoxate 3115:Drofenine 2990:Camylofin 2980:Biperiden 2955:Benzilone 2911:clozapine 2892:AQ-RA 741 2862:perlapine 2854:meclizine 2814:buclizine 2801:Anisodine 2786:AF-DX 384 2781:AF-DX 250 2628:Muscarine 2603:L-689,660 2593:Itameline 2578:Clozapine 2533:Carbachol 2518:Arecoline 2369:Phase III 2357:Withdrawn 2163:poisoning 2046:Protamine 1926:Nalmefene 1895:see also: 1883:Obidoxime 1868:Biperiden 1855:poisoning 1838:SCH-50911 1790:Ethamivan 1785:Bemegride 1728:Antidotes 1514:195685307 1304::110-111. 802:gallamine 151:Routes of 125:Pregnancy 87:Monograph 81:Drugs.com 71:ORG-25969 5062:Medicine 5015:See also 4957:lecithin 4933:prodrugs 4883:Tramadol 4733:ME-18-MC 4698:Ketamine 4688:Ibogaine 4508:BW284C51 4263:RJR-2429 4253:Pyrantel 4213:Nicotine 4208:Morantel 4198:Lobeline 4163:EVP-6124 4158:EVP-4473 4113:Cytisine 4108:Cotinine 4013:A-84,543 3984:Agonists 3903:See also 3845:lecithin 3821:prodrugs 3791:WIN-2299 3767:loxapine 3453:Pridinol 3313:Metixene 3070:DAU-5884 3050:CS-27349 2970:Bevonium 2939:zotepine 2927:rilapine 2897:Atropine 2558:CDD-0102 2553:CDD-0098 2548:CDD-0097 2543:CDD-0078 2538:CDD-0034 2513:AQRA-741 2498:AF150(S) 2460:Agonists 2251:Edetates 2236:thallium 2156:Methanol 2081:Succimer 2040:against 2029:against 1994:Glucagon 1936:Naloxone 1921:Doxapram 1873:Diazepam 1863:Atropine 1802:overdose 1777:overdose 1765:Thiamine 1621:Archived 1566:17312211 1518:Archived 1506:19441874 1467:25935840 1426:28806470 1374:19821409 1343:18648227 1286:17048555 1259:34811540 1251:17312212 1210:17312188 1136:Archived 1079:Archived 1039:Archived 1035:DailyMed 1002:Archived 949:Archived 930:Archived 885:Scotland 827:Efficacy 779:atropine 622:(verify) 356:32689915 327:DrugBank 165:ATC code 140: B2 127:category 109:DailyMed 4953:Choline 4513:BW-A444 4491:(e.g., 4484:BNC-210 4472:(e.g., 4435:ABT-126 4419:(e.g., 4378:XY-4083 4343:TC-6683 4338:TC-5619 4333:TC-5214 4328:TC-2216 4323:TC-1827 4318:TC-1734 4313:TC-1698 4223:NS-1738 4217:tobacco 4103:Choline 4048:ABT-894 4043:ABT-560 4038:ABT-418 4033:ABT-202 3841:Choline 3753:(e.g., 3673:doxepin 3631:(e.g., 3579:(e.g., 3555:(e.g., 3448:Poldine 3408:pFHHSiD 3333:Nefopam 3135:EA-3834 3130:EA-3580 3125:EA-3443 3120:EA-3167 2975:BIBN 99 2909:(e.g., 2808:(e.g., 2633:NGX-267 2613:McNA343 2568:Choline 2231:mercury 2221:cadmium 2172:Ethanol 2110:nitrite 2042:heparin 1741:Nervous 1627:10 June 1417:6483345 1167:19 June 1085:10 June 1045:10 June 1008:27 June 978:7 April 898:The US 875:History 773:agent ( 747:Right: 712:at the 706:steroid 636:Bridion 496:Formula 336:DB06206 316:6918584 308:6918585 294:PubChem 220:: 181:) 175: ( 173:V03AB35 111::  63:Bridion 5048:Portal 4543:Curare 4460:AQW051 4407:18-MAC 4363:UB-165 4173:GTS-21 4003:5-HIAA 3971:nAChRs 3110:Ditran 2761:4-DAMP 2738:YM-796 2503:AF267B 2447:mAChRs 2352:WHO-EM 2318:Emetic 1977:system 1878:Oximes 1743:system 1564:  1512:  1504:  1465:  1424:  1414:  1372:  1341:  1284:  1257:  1249:  1208:  1112:6 June 571:SMILES 444:ChEMBL 405:D05940 247:℞-only 245: 232: 222:℞-only 208: 107:  4931:(and 4913:Xenon 4412:18-MC 4391:(and 3987:(and 3819:(and 3549:SSRIs 2473:AC-42 2264:Other 2060:Other 1732:V03AB 1617:(FDA) 1613:U.S. 1510:S2CID 1486:Drugs 1255:S2CID 1075:(EMA) 998:(emc) 893:Merck 660:Merck 591:InChI 547:JSmol 416:ChEBI 4593:DHβE 4394:NAMs 3990:PAMs 3383:PBID 3085:DIBD 2658:RS86 2493:AF30 2226:lead 1629:2020 1562:PMID 1502:PMID 1463:PMID 1422:PMID 1370:PMID 1339:PMID 1282:PMID 1247:PMID 1206:PMID 1169:2023 1114:2023 1087:2020 1047:2020 1010:2021 980:2024 819:and 646:and 395:KEGG 367:UNII 77:AHFS 3639:), 2925:), 1552:doi 1548:104 1494:doi 1453:doi 1449:115 1412:PMC 1404:doi 1362:doi 1329:doi 1325:109 1237:doi 1233:104 1196:doi 1192:104 883:in 808:or 777:or 765:so 683:or 662:. 650:in 538:.12 536:002 510:112 298:CID 234:POM 178:WHO 5074:: 4495:, 4476:, 4427:, 4423:, 3773:, 3769:, 3765:, 3761:, 3757:, 3703:, 3699:, 3695:, 3691:, 3687:, 3683:, 3679:, 3675:, 3671:, 3667:, 3663:, 3659:, 3655:, 3651:, 3647:, 3643:, 3591:, 3587:, 3583:, 3559:, 3185:, 3181:, 2937:, 2933:, 2929:, 2917:, 2913:, 2884:, 2880:, 2876:, 2872:, 2868:, 2864:, 2860:, 2856:, 2852:, 2848:, 2844:, 2840:, 2836:, 2832:, 2828:, 2824:, 2820:, 2816:, 2812:, 2365:: 1611:. 1560:. 1546:. 1542:. 1516:. 1508:. 1500:. 1490:69 1488:. 1484:. 1461:. 1447:. 1443:. 1420:. 1410:. 1398:. 1394:. 1382:^ 1368:. 1337:. 1323:. 1319:. 1278:74 1276:. 1253:. 1245:. 1231:. 1227:. 1204:. 1190:. 1186:. 1159:. 1134:. 1130:. 1104:. 1070:. 1055:^ 1033:. 1018:^ 996:. 968:. 842:A 839:. 804:, 716:. 687:. 516:48 504:72 253:EU 241:US 228:UK 217:CA 210:S4 204:AU 136:AU 104:US 5050:: 4959:) 4955:( 4935:) 4499:) 4480:) 4400:) 4219:) 4215:( 3996:) 3951:e 3944:t 3937:v 3847:) 3843:( 3823:) 3787:) 3783:( 3777:) 3707:) 3635:( 3595:) 3563:) 3239:) 3235:( 3189:) 3177:( 2941:) 2921:( 2888:) 2772:) 2768:( 2427:e 2420:t 2413:v 2238:) 2219:( 2158:/ 2048:) 2044:( 2037:) 2033:( 1850:/ 1734:) 1730:( 1720:e 1713:t 1706:v 1689:. 1660:. 1631:. 1597:. 1568:. 1554:: 1527:. 1496:: 1469:. 1455:: 1428:. 1406:: 1400:8 1376:. 1364:: 1345:. 1331:: 1288:. 1261:. 1239:: 1212:. 1198:: 1171:. 1145:. 1116:. 1089:. 1049:. 1012:. 982:. 549:) 534:2 522:8 519:S 513:O 507:H 501:C 255:: 243:: 230:: 206:: 138:: 79:/

Index



Trade names
AHFS
Drugs.com
Monograph
License data
DailyMed
Sugammadex
Pregnancy
category

Routes of
administration

Intravenous
ATC code
V03AB35
WHO
Legal status
S4
℞-only
POM
℞-only
CAS Number
343306-71-8
PubChem
6918585
6918584
DrugBank
DB06206
ChemSpider
32689915
UNII

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