Dantrolene: Mechanism and Indications

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Questions and Answers

What is the primary mechanism by which dantrolene reduces muscle contraction?

  • By increasing the release of calcium from the sarcoplasmic reticulum
  • By stimulating the release of GABA from the spinal cord
  • By activating the release of acetylcholine from the motor neuron
  • By inhibiting the ryanodine receptor (correct)

Which of the following is a contraindication for the use of dantrolene?

  • Active hepatic disease (correct)
  • Diabetes mellitus
  • Pregnancy and lactation (category B)
  • Hypertension

What is the primary indication for the use of intravenous dantrolene?

  • Neuroleptic malignant syndrome
  • Muscle spasms
  • Spasticity
  • Malignant hyperthermia (correct)

Which of the following is a potential side effect of dantrolene?

<p>Drowsiness (A)</p> Signup and view all the answers

What is the primary concern when using dantrolene in patients with impaired renal function?

<p>Risk of accumulation and toxicity (A)</p> Signup and view all the answers

What is the category of dantrolene in pregnancy and lactation?

<p>Category C (D)</p> Signup and view all the answers

Which of the following medications may interact with dantrolene?

<p>MAOIs and SSRIs (A)</p> Signup and view all the answers

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Study Notes

Dantrolene

What is Dantrolene?

  • A medication used to treat malignant hyperthermia, a life-threatening medical emergency
  • Also used to treat muscle spasms, spasticity, and other muscle disorders

Mechanism of Action

  • Works by reducing the release of calcium from the sarcoplasmic reticulum, which leads to muscle relaxation
  • Inhibits the ryanodine receptor, a key player in muscle contraction

Indications

  • Malignant hyperthermia
  • Muscle spasms
  • Spasticity
  • Neuroleptic malignant syndrome
  • Heat stroke

Administration

  • Available in oral and intravenous forms
  • Oral form used for chronic treatment of muscle spasms and spasticity
  • IV form used for malignant hyperthermia and other acute conditions

Side Effects

  • Drowsiness
  • Dizziness
  • Diarrhea
  • Fatigue
  • Muscle weakness

Contraindications

  • Active hepatic disease
  • Impaired pulmonary function
  • Cardiac disease
  • Pregnancy and lactation (category C)

Special Considerations

  • Can cause hepatotoxicity, monitor liver function regularly
  • May interact with other medications, such as MAOIs and SSRIs
  • Use with caution in patients with impaired renal function

Dantrolene

  • A medication used to treat malignant hyperthermia and muscle disorders

Mechanism of Action

  • Reduces release of calcium from sarcoplasmic reticulum, leading to muscle relaxation
  • Inhibits ryanodine receptor, a key player in muscle contraction

Indications

  • Malignant hyperthermia
  • Muscle spasms
  • Spasticity
  • Neuroleptic malignant syndrome
  • Heat stroke

Administration

  • Available in oral and intravenous forms
  • Oral form used for chronic treatment of muscle spasms and spasticity
  • IV form used for malignant hyperthermia and other acute conditions

Side Effects

  • Drowsiness
  • Dizziness
  • Diarrhea
  • Fatigue
  • Muscle weakness

Contraindications

  • Active hepatic disease
  • Impaired pulmonary function
  • Cardiac disease
  • Pregnancy and lactation (category C)

Special Considerations

  • Can cause hepatotoxicity, monitor liver function regularly
  • May interact with MAOIs and SSRIs
  • Use with caution in patients with impaired renal function

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