Atropine is an alkaloid originally synthesized from Atropa belladonna. It is a racemic mixture of d-and l-hyoscyamine, of which only l-hyoscyamine is pharmacologically active.[A251670,L42835] Atropine is generally available as a sulfate salt and can be administered by intravenous, subcutaneous, intramuscular, intraosseous, endotracheal and ophthalmic methods. Oral atropine is only available in combination products.[A251660,L42840] Atropine is a competitive, reversible antagonist of muscarinic receptors that blocks the effects of acetylcholine and other choline esters.[A251660,L42815,L42825,L42835] It has a variety of therapeutic applications, including pupil dilation and the treatment of anticholinergic poisoning and symptomatic bradycardia in the absence of reversible causes.[A251660] Atropine is a relatively inexpensive drug and is included in the World Health Organization List of Essential Medicines.[A251675]
Synonyms
Atropin
(±)-hyoscyamine
dl-tropyltropate
Atropina
Tropine tropate
(±)-atropine
Atropinum
Atropine hydrochloride
Atropine
dl-Hyoscyamine
Atropine sulfate anhydrous
Atropine sulfate
Brand Names
Atropine Sulfate Inj 0.6mg/ml
Atropisol
Atropine Sulphate 1% - Liq Oph
Enlon-Plus
Isopto Atropine
Phenobarbital with Belladonna Alkaloids - Mint
Phenohytro
Servira
Atropine Sulfate Inj 0.4mg/0.5ml
Diban Cap
Re-PB Hyos Elixir
Alcon Atropine
Atropine Sulfate Inj 0.4mg/ml
Donnagel Liq
Diphenoxylate hydrochloride and atropine sulfate
Odan-atropine
Se-donna Pb Hyos
Donnatal Elixir
Donnatal Extentabs Srt
R.O.-atropine
Atropine Injection Bp 0.6mg/ml
Atropine Ont 1%
Quadrapax
Minims Atropine Sulphate
B-Donna
Donnatal Tab
Me-PB-Hyos
Belladonna Alkaloids with Phenobartbital
Atropine
Diphenoxylate Hcl and Atropine Sulfate
Atropine Sulfate
Atropine sulfate
Atropine Sulfate Injection
Phenobarbital with Belladonna Alkaloids
Motofen
Ryjunea
Diphenoxylate Hydrochloride and Atropine Sulfate
Lomotil
Atropine Sulfate Inj 0.1mg/ml
Phenobarbital With Belladonna Alkaloids
Donnatal Extentabs
Enlon Plus
Atropine Sulfate Inj 0.3mg/ml
ATROPEN Auto-Injector
Atropine Sulfate Injection USP
PB Hyos
Re-PB Hyos
Donnatal
Atropine Injection Bp 0.4mg/ml
ATNAA atropine and pralidoxime chloride Auto-Injector
Phenobarbital, Hyoscyamine Sulfate, Atropine Sulfate and Scopolamine Hydrobromide
Atropine Care
Atropine Sulfate Inj 1mg/ml
Indication
The intravenous, intramuscular, subcutaneous, intraosseous and endotracheal use of atropine is indicated for the temporary blockade of severe or life-threatening muscarinic effects.[L42815,L42835] The intramuscular use of atropine in the form of a pen injector is indicated for the treatment of poisoning by susceptible organophosphorus nerve agents having cholinesterase activity as well as organophosphorus or carbamate insecticides in adult and pediatric patients.[L42825] The ophthalmic use of atropine is indicated for mydriasis, cycloplegia, and penalization of the healthy eye in the treatment of amblyopia.[L42830] In combination with difenoxin or diphenoxylate (tablets for oral use), atropine is indicated as adjunctive therapy in the management of acute nonspecific diarrhea.[L42840,L42865]
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison
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Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682