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
dl-Hyoscyamine
Atropinum
dl-tropyltropate
Atropina
Atropin
Atropine sulfate anhydrous
Atropine
Atropine hydrochloride
Tropine tropate
(±)-hyoscyamine
Atropine sulfate
Brand Names
Motofen
Phenobarbital With Belladonna Alkaloids
Minims Atropine Sulphate
Belladonna Alkaloids with Phenobartbital
Atropine Injection BP
Donnagel Liq
Vitetal
Atropine sulfate
Re-PB Hyos
Atropine Sulfate Inj 0.4mg/0.5ml
Atropine Sulfate Inj 0.4mg/ml
Atropine Sulfate Inj 0.1mg/ml
Isopto Atropine
B-Donna
Urised
Atropine Sulfate Injection
Donnatal Extentabs Srt
Phenobarbital, Hyoscyamine Sulfate, Atropine Sulfate and Scopolamine Hydrobromide
ATNAA atropine and pralidoxime chloride Auto-Injector
Donnatal Elixir
Atropine 1%
Atropisol Oph Soln 1%
Donnatal
DuoDote
Me-PB-Hyos
N/a
Enlon Plus
Atropine Injection Bp 0.4mg/ml
PB Hyos
Phenobarbital with Belladonna Alkaloids - Grape
Diban Cap
Diphenoxylate Hcl and Atropine Sulfate
Atropine
Servira
Atropine Sulfate
Diphenoxylate Hydrochloride and Atropine Sulfate
Belladonna Alkaloids with Phenobarbital
Diphenoxylate hydrochloride and atropine sulfate
Enlon-Plus
Odan-atropine
Phenobarbital with Belladonna Alkaloids
Atropine Sulfate Inj 1mg/ml
Phenohytro
Lomotil
Re-PB Hyos Elixir
Quadrapax
R.O.-atropine
ATROPEN Auto-Injector
Phenobarbital with Belladonna Alkaloids - Mint
Atropine Sulfate Injection USP
Atropine Sulphate 1% - Liq Oph
Atropine Care
Donnatal Extentabs
Donnatal Tab
Atropisol
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
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