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
(±)-atropine
Atropina
(±)-hyoscyamine
Atropine hydrochloride
Atropine
dl-tropyltropate
Atropine sulfate anhydrous
Atropinum
Atropin
Atropine sulfate
dl-Hyoscyamine
Tropine tropate
Brand Names
Diban Cap
Isopto Atropine
Atropine Ont 1%
Atropine Injection Bp 0.4mg/ml
Donnagel Liq
Motofen
N/a
Atropisol Oph Soln 1%
Atropine Sulfate Inj 0.1mg/ml
Servira
Atropine Injection Bp 0.6mg/ml
ATROPEN Auto-Injector
ATNAA atropine and pralidoxime chloride Auto-Injector
Alcon Atropine
Atropine Injection BP
Belladonna Alkaloids with Phenobartbital
Enlon Plus
Atropine Sulphate 1% - Liq Oph
Atropine Sulfate Inj 1mg/ml
Atropine Sulfate Injection USP
Atropisol
Me-PB-Hyos
Diphenoxylate Hydrochloride and Atropine Sulfate
Atropine sulfate
Atropine Care
Atropine 1%
Atropine Sulfate Inj 0.4mg/0.5ml
Phenobarbital, Hyoscyamine Sulfate, Atropine Sulfate and Scopolamine Hydrobromide
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
T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS.
Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682
