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Neuromuscular  junction  blockers Prof. Vajira Weerasinghe Dept of Physiology
NMJ blocking  ,[object Object],[object Object]
Earliest known muscle relaxant - Curare ,[object Object],[object Object],[object Object],[object Object],[object Object]
Neuromuscular blocking agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neuromuscular blocking agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neuromuscular blocking agents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Na + Acetylcholine Depolarization Na + -  -  -  - +  +  +  +  -  -  -  - +  +  +  + +  +  +  + +  +  +  + -  -  -  - -  -  -  -
Na + Acetylcholine Tubocurarine Na + +  +  +  + -  -  -  - -  -  -  - +  +  +  + Competitive neuromuscular blocking drugs
Repolarized +   +  +  +  -  -  -  - +  +  +  + -  -  -  - -  -  -  - +  +  +  + -  -  -  - +  +  +  + Depolarizing Neuromuscular blocking drugs PHASE II Membrane repolarizes but the receptor is desensitized to effect of acetylcholine
Na + Depolarized Na + -  -  -  - +  +  +  + +  +  +  + -  -  -  - -  -  -  - +  +  +  + +  +  +  + -  -  -  - -  -  -  - Depolarizing Neuromuscular blocking drugs PHASE I Membrane depolarizes resulting in an initial discharge which produces transient fasciculations followed by flaccid paralysis

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Y2 s1 nmj blockers

  • 1. Neuromuscular junction blockers Prof. Vajira Weerasinghe Dept of Physiology
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Na + Acetylcholine Depolarization Na + - - - - + + + + - - - - + + + + + + + + + + + + - - - - - - - -
  • 8. Na + Acetylcholine Tubocurarine Na + + + + + - - - - - - - - + + + + Competitive neuromuscular blocking drugs
  • 9. Repolarized + + + + - - - - + + + + - - - - - - - - + + + + - - - - + + + + Depolarizing Neuromuscular blocking drugs PHASE II Membrane repolarizes but the receptor is desensitized to effect of acetylcholine
  • 10. Na + Depolarized Na + - - - - + + + + + + + + - - - - - - - - + + + + + + + + - - - - - - - - Depolarizing Neuromuscular blocking drugs PHASE I Membrane depolarizes resulting in an initial discharge which produces transient fasciculations followed by flaccid paralysis