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Atracurium - Wikipedia, the free encyclopedia

Atracurium

From Wikipedia, the free encyclopedia

Atracurium chemical structure
Atracurium
Systematic (IUPAC) name
5-[3-[1-[(3,4-dimethoxyphenyl)methyl]- 6,7-dimethoxy-2-methyl-3, 4-dihydro-1H-isoquinolin-

2-yl] propanoyloxy] pentyl 3-[1-[(3,4-dimethoxyphenyl)methyl]- 6,7-dimethoxy-2-methyl- 3,4-dihydro-1H-isoquinolin-2-yl] propanoate

Identifiers
CAS number 64228-79-1
ATC code M03AC04
PubChem 9751
DrugBank APRD00806
Chemical data
Formula C53H72N2O122+
Mol. weight 929.145 g/mol
Pharmacokinetic data
Bioavailability 100% (IV)
Protein binding 82%
Metabolism Hoffman degradation and ester hydrolysis
Half life 17-21 minutes
Excretion  ?
Therapeutic considerations
Pregnancy cat.

?

Legal status

POM (UK)

Routes IV

Atracurium is a neuromuscular-blocking drug or muscle relaxant in the category non-depolarising neuromuscular blocking agents, used in anaesthesia to facilitate endotracheal intubation and to provide skeletal muscle relaxation during surgery or mechanical ventilation.

Side effects due to histamine liberation are rash, increase of heartrate, low blood pressure and bronchospasm.

It is a bisbenzylisoquinoliniumand a mix of 10 Stereoisomers. First described by John B. Stenlake.


Muscle relaxants (M03) edit
Peripherally acting:

Alcuronium, Atracurium, Cisatracurium, Dimethyltubocurarine, Doxacurium chloride, Fazadinium bromide, Gallamine, Hexafluronium, Mivacurium chloride, Pancuronium, Pipecuronium bromide, Rocuronium bromide, Suxamethonium, Tubocurarine, Vecuronium

Centrally acting:

Baclofen, Carisoprodol, Chlormezanone, Chlorzoxazone, Cyclobenzaprine, Febarbamate, Mephenesin, Methocarbamol, Orphenadrine, Phenprobamate, Phenyramidol, Pridinol, Styramate, Tetrazepam, Thiocolchicoside, Tizanidine, Tolperisone

Directly acting:

Dantrolene

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