Paper I
2024 December (Supplementary) (2019 Scheme) · 100 marks · 180 min

Question

Mention four atropine substitutes with respective clinical indications for the same.

Q114 marksShort Answers

Answer

  • Glycopyrrolate — pre-anesthetic medication (does not cross the blood-brain barrier, longer duration than atropine).
  • Ipratropium/Tiotropium — bronchodilation in asthma/COPD (inhaled, minimal systemic absorption).
  • Hyoscine (Scopolamine) — motion sickness, antisecretory pre-anesthetic sedation.
  • Tropicamide/Homatropine — short-acting mydriasis/cycloplegia for ophthalmic examination.
  • Dicyclomine — antispasmodic in infantile colic/irritable bowel syndrome.

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