Paper I
2014 September (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Mechanism of action of dantrolene sodium.

Q101 marksShort Answers

Answer

Dantrolene sodium acts directly on skeletal muscle. It binds to the ryanodine receptor (RyR1) on the sarcoplasmic reticulum, inhibiting calcium release into the myoplasm. This reduces excitation-contraction coupling and produces skeletal muscle relaxation — it is the specific treatment for malignant hyperthermia and is also used in severe spasticity.

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