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Pharmacology ANS 917f9982

You are being asked to give your expe opinion as a toxicologist regarding an effective antidote for belladonna poisoning. Which of the following agents would you suggest?

A
Neostigmine
B
Physostigmine
C
Pilocarpine
D
Atropine
High-Yield Explanation
- Atropine is obtained from atropa belladonna. - It is non selective muscarinic receptor antagonist Physostigmine is the specific antidote for poisoning with belladonna . It crosses blood-brain barrier and antagonises both central and peripheral actions. Physostigmine sometimes itself induces hypotension, arrhythmias and undesirable central effects. It is therefore employed only as a last reso. Neostigmine does not block the central effect, but is less risky.

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