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EFFECT OF ATRACURIUM AND LAUDANOSINE ON THE RELEASE OF 3H-NORADRENALINE
Authors:KINJO, M.   NAGASHIMA, H.   VIZI, E. S.
Affiliation:Department of Anesthesiology, Albert Einstein College of Medicine, Montefiore Medical Center Bronx, New York 10467 U.S.A.
Abstract:We examined the effects of atracurium and its breakdown product,laudanosine, on resting and stimulation-evoked release of 3H-noradrenaline(3H-NA) from sympathetic axon terminals of isolated right atriaof guineapigs. Both atra-curium 1–100 µmol litre–1and laudanosine 1–50 µmol litre–1 enhancedthe release of 3H-NA evoked by field stimulation (2 Hz, 24 stimuli),but did not affect resting release. When the production of laudanosinefrom atracurium was inhibited by maintaining the atracuriumsolution at 4 °C, atracurium did not enhance the releaseof 3H-NA as occured when it was kept at 37 °C. However,atracurium antagonized the inhibitory effect of oxotremorineon release of 3H-NA, whereas laudanosine did not. These datasuggest that atracurium possesses and antimuscarinic effect.Its metabolite, laudanosine, in concentrations which would beexpected following prolonged administration of atracurium, produceda marked increase in release of 3H-NA. This effect of laudanosinemay explain some of the unwanted effects seen following administrationof atracurium.
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