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Clinical Neuro
Muscle Relaxants
31
Biology
Graduate
01/13/2008

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Term
Muscle relaxers are used for
Definition
1. Diminish Skeletal muscle
ex. Muscle strain
2. Reduce spasticity & hyperreflexia
ex. SC injury, cerebral palsy
3. Tetanus
Term
Spasticity is an increase to ______ movements
Definition
passive
Term
Name the Centrally acting muscle relaxants
Definition
1. Mephenesin
2. Cyclobenzaprine
3. Diazepam
4. Baclofen
5. Tizainidine
Term
Mephenesin is thought to act on the _______ _______ in the brain stem
Definition
reticular formation
Term
name an adverse effect of Mephenesin
Definition
Sedation
Term
Mephenesin causes muscle relaxation by what method?
Definition
Reduces input from the reticular formation onto the Motor neurons in the spinal cord
Term
What's the MOA for Cyclobenaprine
Definition
it's unknown
Term
Name the two adverse effects of cyclobenzaprine
Definition
Sedation and Anti-Muscarinic effects
Term
Diazepam is a _______
Definition
benzodiazepine
Term
What's the MOA of Diazepam
Definition
Its a GABAA ionophore
Term
Give the Side effect of Diazepam
Definition
Sedation
Term
Besides muscle relaxation, what are the other uses for Diazepam
Definition
Sedataive-hypnotic
Anti-anxiety
Anti-epileptic
Term
Baclofen is a ______ agonist
Definition
GABAB
Term
How does baclofen cause muscle relaxation
Definition
Decreases the release of excitatory NT via pre-synaptic inhibition
Term
A side effect of Baclofen is ____ but less than the Benzodiazepine
Definition
Sedation
Term
An adverse effect of Baclofen is less ______ weakness than dantrolene
Definition
Muscle
Term
Tizainidine is a ______ acting Alpha _______ agonist
Definition
short acting alpha adrenergic agonist
Term
Tizainidine causes muscle relaxation by
Definition
increasing presynaptic inhibition at the level of the motor neuron
Term
What are the adverse effects of Tizainidine
Definition
Decrease muscle tone
Decrease muscle spasticity
Term
Name the Non-centrally acting muscle relaxants
Definition
Dantrolene
Term
What are the MOA for Dantrolene
Definition
Act on skeletal muscle contractile mechanism
Decrease calcium release from SR
Fast fibers more sensitive
Term
What's a major side effect of Dantrolene
Definition
Hepatictoxicity
Term
Other than muscle relaxation, what other uses are there for Dantrolene
Definition
Maligant Hyperthermia spasm
Severe muscle contractoin
Term
Non depolarizing neuromuscular blocking agents work by
Definition
blocking cholinergic nicotinic receptors and causing paralysis
Term
non depolarizing neuromuscular blocking agents can be reversed by
Definition
Anticholinesterase
Term
Name the 4 non depolarizing neuromuscular blocking agents
Definition
D-tubocurarine
Pancuronium
Rocuronium
Succinylcholine
Term
Which of the non depolarizing neuromuscular blocking agents are long acting? intermediat acting and short acting?
Definition
D-tubocurarine and Pancuronium are both long acting
rocuronium is intermediate
Succinylcholine is short acting
Term
What receptors does Succinylcholine act on? Is it an agonist or antagonist
Definition
Nicotinic receptors agonist
Term
How does Succinylcholine work?
Definition
It causes fasiculations followed by muscle paralysis
Term
What is a side effect of succinylcholine
Definition
hyperkalemia
Term
What are the uses for succinylcholine?
Definition
Surgerical relaxation
Control of ventilation
Treatment of convulsions
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