Dantrolene: Mechanism, Uses, and Side Effects

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Questions and Answers

Dantrolene's primary mechanism of action involves?

  • Increasing the sensitivity of muscle fibers to calcium.
  • Enhancing the uptake of calcium into muscle tubules.
  • Promoting the storage of calcium within muscle cells.
  • Blocking the release of calcium from the muscle tubules. (correct)

Which of the following is a primary indication for Dantrolene use?

  • Relief of muscle spasticity directly affecting peripheral muscle contraction. (correct)
  • Treatment of muscle weakness due to nerve damage.
  • Prevention of muscle atrophy in immobilized patients.
  • Enhancement of muscle strength in elderly patients.

In which scenario would Dantrolene be contraindicated?

  • Muscle stiffness following intense exercise.
  • Muscle spasms in the lower back.
  • Muscle spasticity impairing locomotion.
  • Muscle spasticity contributing to improved posture and function. (correct)

Which of the following represents a potential adverse effect associated with Dantrolene?

<p>Central Nervous System (CNS) depression (B)</p> Signup and view all the answers

What routes of administration are recommended for Dantrolene?

<p>Oral and Intravenous (IV) (B)</p> Signup and view all the answers

A patient taking Dantrolene reports experiencing heart palpitations. Which of the following actions is MOST appropriate?

<p>Report the adverse effect to the healthcare provider for evaluation. (B)</p> Signup and view all the answers

Dantrolene is being considered for a patient who also takes anticholinergics. Why is it important to evaluate this combination?

<p>This combination could exacerbate CNS depression. (B)</p> Signup and view all the answers

A patient prescribed Dantrolene reports new onset urinary retention. What is the MOST likely cause?

<p>Urinary retention is an adverse reactions to Dantrolene. (A)</p> Signup and view all the answers

Which of the following effects of Dantrolene is most likely to cause a safety concern for an elderly patient?

<p>Hypotension (B)</p> Signup and view all the answers

A patient with a history of psychosis is prescribed an antipsychotic medication. How might this interact with Dantrolene?

<p>The risk of CNS depression may be increased. (A)</p> Signup and view all the answers

Flashcards

Dantrolene

Interferes with the release of calcium from muscle tubules.

Indications of Dantrolene

Treatment of spasticity directly affecting peripheral muscles.

Dantrolene Routes

Oral or IV

Contraindication of Dantrolene

Spasticity in a muscle that contributes to locomotion, upright position, or increased function.

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Adverse Effects of Dantrolene

CNS depressant, GI disturbances, Palpitations, Hypotension, Urinary retention

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Drug-Drug Interactions

Anticholinergics, Antipsychotics

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Study Notes

  • Dantrolene is a direct-acting muscle relaxant

Mechanism

  • Interferes with the release of calcium from the muscle tubules

Indications

  • Used for the treatment of spasticity directly affecting peripheral muscle contraction

Route

  • Can be administered orally
  • or intravenously (IV)

Contraindication

  • Contraindicated in spasticity in a muscle that contributes to locomotion, upright position, or increased function

Adverse Effects

  • Can cause CNS depression
  • May result in GI disturbances
  • Palpitations can occur
  • Hypotension is a potential side effect
  • Can lead to urinary retention

Drug-Drug Interactions

  • Interacts with anticholinergics
  • Also interacts with antipsychotics

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