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Succinylcholine is degraded more slowly than is ACh and therefore remains in the synaptic cleft for several minutes, causing an endplate depolarization of corresponding duration. This depolarization initially triggers a propagated action potential (AP) in the surrounding muscle cell membrane, leading to contraction of the muscle fiber.
Addition of a vasoconstrictor, moreover, helps to create a relative ischemia in the surgical field. Potential disadvantages of catecholamine-type vasoconstrictors include reactive hyperemia following washout of the constrictor agent and cardiostimulation when epinephrine enters the systemic circulation.

 

Inhibition of the enzymes involved in dopamine degradation, catecholamine-oxygen-methyl-transferase (COMT) and monoamineoxidase (MAO), is another means to increase actual available dopamine concentration (COMT-inhibitors), MAOB-inhibitors. Dopamine antagonist activity is the hallmark of classical neuroleptics.
Hepatic elimination obeys exponential kinetics because metabolizing enzymes operate in the quasilinear region of their concentration-activity curve; hence the amount of drug metabolized per unit of time diminishes with decreasing blood concentration.

 

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