Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Monoisotopic mass
572.455308418
InChI
InChI=1S/C35H60N2O4/c1-24(38)40-32-21-26-13-14-27-28(35(26,4)23-31(32)37(6)19-11-8-12-20-37)15-16-34(3)29(27)22-30(33(34)41-25(2)39)36(5)17-9-7-10-18-36/h26-33H,7-23H2,1-6H3/q+2/t26-,27+,28-,29-,30-,31-,32-,33-,34-,35-/m0/s1
InChI Key
InChIKey=GVEAYVLWDAFXET-XGHATYIMSA-N
IUPAC Name
1-[(1S,2S,4S,5S,7S,10R,11S,13S,14R,15S)-5,14-bis(acetyloxy)-2,15-dimethyl-4-(1-methylpiperidin-1-ium-1-yl)tetracyclo[8.7.0.0^{2,7}.0^{11,15}]heptadecan-13-yl]-1-methylpiperidin-1-ium
Traditional IUPAC Name
pancuronium
SMILES
[H][C@@]12C[C@@H]([C@H](OC(C)=O)[C@@]1(C)CC[C@@]1([H])[C@@]2([H])CC[C@@]2([H])C[C@H](OC(C)=O)[C@H](C[C@]12C)[N+]1(C)CCCCC1)[N+]1(C)CCCCC1
pKa (Strongest Basic)
-6.7
Refractivity
185.22 m3·mol-1
Dược Lực Học :
Pancuronium is a typical non-depolarising curare-mimetic muscle relaxant. It acts as a competitive acetylcholine antagonist on neuromuscular junctions, displacing acetylcholine (hence competitive) from its post-synaptic nicotinic acetylcholine receptors. It is, unlike suxamethonium, a non-depolarising agent, which means, that it causes no spontaneous depolarisations upon association with the nicotinic receptor in neuromuscular junction, thus producing no muscle fasciculations upon administration. Pancuronium has no hormonal activity. It exerts slight vagolytic activity (i.e. diminishing activity of the vagus nerve) and no ganglioplegic (i.e., blocking ganglions) activity.
Cơ Chế Tác Dụng :
A bis-quaternary steroid that is a competitive nicotinic antagonist. As a neuromuscular blocking agent it is more potent than curare but has less effect on the circulatory system and on histamine release.
Nondepolarizing neuromuscular blocking agents inhibit neuromuscular transmission by competing with acetylcholine for the cholinergic receptors of the motor end plate, thereby reducing the response of the end plate to acetylcholine. This type of neuromuscular block is usually antagonized by anticholinesterase agents.
Dược Động Học :
▧ Volume of Distribution :
* 241 to 280 mL/kg
▧ Protein binding :
77 to 91%
▧ Metabolism :
Hepatic.
▧ Half Life :
1.5 to 2.7 hours.
▧ Clearance :
* Plasma cl=1.1–1.9 mL/minute/kg
Chỉ Định :
Used as a muscle relaxant during anesthesia and surgical procedures.
Tương Tác Thuốc :
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Amikacin
The agent increases the effect of muscle relaxant
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Aminophylline
Theophylline decreases the effect of muscle relaxant
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Azathioprine
The agent decreases the effect of the muscle relaxant
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Carbamazepine
Decreases the effect of muscle relaxant
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Clindamycin
The agent increases the effect of muscle relaxant
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Colistimethate
Colistimethate may enhance the neuromuscular-blocking effect of Neuromuscular-Blocking Agents. If possible, avoid concomitant use of these products. Monitor for deeper, prolonged neuromuscular-blocking effects (respiratory paralysis) in patients receiving concomitant neuromuscular-blocking agents and polymyxin antibiotics (e.g., colistimethate, polymyxin B).
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Fosphenytoin
Phenytoin decreases the effect of muscle relaxant
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Gentamicin
The agent increases the effect of muscle relaxant
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Lincomycin
The agent increases the effect of muscle relaxant
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Mercaptopurine
The agent dereases the effect of the muscle relaxant
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Netilmicin
The agent increases the effect of muscle relaxant
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Oxtriphylline
Theophylline decreases the effect of muscle relaxant
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Phenytoin
Phenytoin decreases the effect of the muscle relaxant
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Piperacillin
The agent increases the effect of the muscle relaxant
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Quinidine
The quinine derivative increases the effect of the muscle relaxant
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Quinine
The quinine derivative increases the effect of the muscle relaxant
-
Theophylline
Theophylline decreases the effect of the muscle relaxant
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Tobramycin
The agent increases the effect of the muscle relaxant
Liều Lượng & Cách Dùng :
Liquid - Intravenous
Solution - Intravenous
Dữ Kiện Thương Mại
Giá thị trường
-
Giá bán buôn : USD >2.59
Đơn vị tính : ml
-
Giá bán buôn : USD >0.13
Đơn vị tính : ml
Tài Liệu Tham Khảo Thêm
National Drug Code Directory