Medicine & USMLE

Scopolamine

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Neuro Drugs
  1. Levodopa, Carbidopa
  2. Levetiracetam
  3. Valproic Acid
  4. Anticholinergic Syndrome
  5. Cholinergic Crisis
  6. Benztropine / Trihexyphenidyl
  7. Lidocaine
  8. Pyridostigmine, Neostigmine, Edrophonium
  9. Naltrexone
  10. Pregabalin
  11. Scopolamine
  12. Phenytoin
  13. Ethosuximide
  14. Succinylcholine
  15. Opioids
  16. Memantine
  17. Halothane / Flurane
  18. Donepezil
  19. Propofol
  20. Ergotamine
  21. Triptans
  22. Selegiline / Rasagiline
  23. Entacapone / Tolcapone
  24. Gabapentin
  25. Lamotrigine
  26. Carbamazepine
  27. Ramelteon

Summary

Scopolamine is an anticholinergic medication that is used to treat motion sickness and reduce oral secretions. As an anticholinergic drug, it causes anticholinergic side effects like urinary retention, constipation, dry mouth, and pupillary dilation.

Key Points

  • Scopolamine
    • Mechanism
      • Anticholinergic
        • Blocks the effects of acetylcholine on the CNS
    • Clinical Use
      • Vestibular Nausea (motion sickness)
        • Meniere’s Disease
          • An inner ear disorder that causes dizziness and nausea
        • Often given via a transdermal patch, placed behind the ear, that lasts 3 days. Patch should be placed 4 hours before the desired effect.
      • Reduces airway secretions
        • Anesthesia/intubation
        • Death rattle
    • Side Effects and Adverse Reactions
      • Anticholinergic Effects
        • Dry mouth (xerostomia)
        • Blurred vision from pupil dilation
          • Contraindicated in glaucoma
        • Constipation
        • Urinary retention
        • Tachycardia
        • Hypotension