神經肌肉阻斷劑(Neuromuscular-blocking drug)
早期科學家以為prototype of 神經肌肉阻斷劑-tubocurarine有兩個四級銨(bis-quaternary ammonium),所以設計的神經肌肉阻斷劑都是兩個四級銨,後來發現管箭毒鹼事實上是一個四級銨另一個是三級胺,可見管箭毒在人體和接受器結合時三級胺是變成質子化的狀態
prototype of 神經肌肉阻斷劑-tubocurarine:會引起Histamine釋放
取自"http://zh-tw.pharmacy.wikia.com/wiki/Neuromuscular_blocking_agents"
不會引起Histamine釋放,卻因為阻斷Norepinephrine再回收而產生心跳過快和血壓上升的副作用。
非去極化神經肌肉阻斷劑(Non-depolarizing neuromuscular blocking agents)
- Pancuronium

記憶圖:非去極化神經肌肉阻斷劑(引用自:wikipedia)
去極化神經肌肉阻斷劑(Depolarizing neuromuscular blocking agents)
- Succinylcholine
- Decamethonium

記憶圖:去極化神經肌肉阻斷劑(引用自:wikipedia)
具有Isoquinoline化學結構者為
- Atracurium
- Metocurine
- Neuromuscular-blocking drug
- Succinylcholine
- Decamethonium
- Pancuronium
- Atracurium
- Metocurine
- Isoquinoline
有類似效果毒性的藥物[]
延伸學習[]
- muscle relexant
- glucagon:relax the intestine
- skeletal muscle relaxant
- peripheral acting skeletal muscle relaxant = neuromuscular blocker
- centrally acting muscle relaxant(dantrolene is exception) = Drugs for skeletal muscle spasm of Spasmolytics(解痙藥
- Spasmolytics(解痙藥