Clinical evaluation of ambenonium (mysuran) chloride

Autor: Martha R. Westerberg
Rok vydání: 1956
Předmět:
Zdroj: A.M.A. archives of neurology and psychiatry. 75(1)
ISSN: 0096-6886
Popis: This report is concerned with the results of the use of ambenonium in patients with myasthenia gravis during the past year. Ambenonium (Mysuran) chloride is N'N'-bis (2-diethylaminoethyl) oxamide bis-2-chlorobenzyl chloride, or C28H42C14N402. Its formula is Pharmacologic investigation by Winthrop-Stearns, Inc., has shown that ambenonium chloride has anticholinesterase properties, which are specific against acetylcholinesterase, with only weak activity against serum cholinesterase, and that its activity is from 5 to 13 times that of neostigmine. In animal experiments, ambenonium was two to four times as active in antagonizing tubocurarine paralysis, and the effect was of much longer duration. The curarizing effect of ambenonium occurred only with doses approximately 1000 times the therapeutic level. Its acute toxicity in animals was one-tenth that of neostigmine, and its side-effects were characteristic of parasympathetic stimulation and were controlled by atropine. The present study concerns the evaluation of the effect of ambenonium chloride in patients with myasthenia
Databáze: OpenAIRE