Ambenonium Chloride Brand Name– Mytelase
What is Ambenonium Chloride
Ambenonium chloride is an oral slowly reversible anticholinesterase agent.
It is indicated for use in patients with myasthenia gravis to improve muscle strength.
Ambenonium chloride’s actions are similar to those of pyridostigmine, but it tends to produce more muscarinic side effects.
There can be a narrow margin between dosages producing the first appearance of adverse effects and those causing serious reactions.
This drug was approved by the FDA in 1956.
Indications
- myasthenia gravis
Side Effects
- anaphylactoid reactions
- anxiety
- blurred vision
- bradycardia
- bronchial secretions
- bronchospasm
- diarrhea
- dyspnea
- gastric hypersecretion
- hyperhidrosis
- hypersalivation
- increased urinary frequency
- lacrimation
- malaise
- miosis
- muscle cramps
- muscle paralysis
- myasthenia
- nausea
- pallor
- pruritus
- rash
- rhinitis
- urinary urgency
- vertigo
- vomiting
- weakness
Monitoring Parameters
- neurologic function
Contraindications
- asthma
- bladder obstruction
- breast-feeding
- children
- cholinesterase inhibitor toxicity
- GI obstruction
- ileus
- infants
- neonates
- Parkinson’s disease
- pregnancy
- urinary tract obstruction
Interactions
- Acetaminophen; Caffeine; Magnesium Salicylate; Phenyltoloxamine
- Acetaminophen; Caffeine; Phenyltoloxamine; Salicylamide
- Acetaminophen; Chlorpheniramine; Dextromethorphan; Phenylephrine
- Acetaminophen; Chlorpheniramine; Dextromethorphan; Pseudoephedrine
- Acetaminophen; Chlorpheniramine; Phenylephrine; Phenyltoloxamine
- Acetaminophen; Dextromethorphan; Doxylamine
- Acetaminophen; Diphenhydramine
- Acrivastine; Pseudoephedrine
- Amantadine
- Amitriptyline
- Amitriptyline; Chlordiazepoxide
- Amoxapine
- Articaine; Epinephrine
- Atropine
- Atropine; Benzoic Acid; Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate
- Atropine; Difenoxin
- Atropine; Diphenoxylate
- Atropine; Edrophonium
- Atropine; Hyoscyamine; Phenobarbital; Scopolamine
- Benzoic Acid; Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate
- Benztropine
- Brompheniramine
- Brompheniramine; Carbetapentane; Phenylephrine
- Brompheniramine; Dextromethorphan; Guaifenesin
- Brompheniramine; Guaifenesin; Hydrocodone
- Brompheniramine; Hydrocodone; Pseudoephedrine
- Brompheniramine; Pseudoephedrine
- Bupivacaine
- Bupivacaine Liposomal
- Bupivacaine; Lidocaine
- Carbetapentane; Chlorpheniramine
- Carbetapentane; Chlorpheniramine; Phenylephrine
- Carbetapentane; Diphenhydramine; Phenylephrine
- Carbetapentane; Phenylephrine; Pyrilamine
- Carbetapentane; Pyrilamine
- Carbinoxamine
- Carbinoxamine; Dextromethorphan; Pseudoephedrine
- Carbinoxamine; Hydrocodone; Phenylephrine
- Carbinoxamine; Hydrocodone; Pseudoephedrine
- Carbinoxamine; Phenylephrine
- Carbinoxamine; Pseudoephedrine
- Chlophedianol; Dexbrompheniramine
- Chlophedianol; Dexchlorpheniramine; Pseudoephedrine
- Chlorcyclizine
- Chlordiazepoxide; Clidinium
- Chloroprocaine
- Chlorpheniramine
- Chlorpheniramine; Codeine
- Chlorpheniramine; Dextromethorphan
- Chlorpheniramine; Dextromethorphan; Phenylephrine
- Chlorpheniramine; Dihydrocodeine; Phenylephrine
- Chlorpheniramine; Dihydrocodeine; Pseudoephedrine
- Chlorpheniramine; Guaifenesin; Hydrocodone; Pseudoephedrine
- Chlorpheniramine; Hydrocodone
- Chlorpheniramine; Hydrocodone; Phenylephrine
- Chlorpheniramine; Hydrocodone; Pseudoephedrine
- Chlorpheniramine; Phenylephrine
- Chlorpheniramine; Pseudoephedrine
- Cholinergic agonists
- Clemastine
- Clomipramine
- Clozapine
- Cocaine
- Corticosteroids
- Cyclizine
- Cyclobenzaprine
- Cyproheptadine
- Desipramine
- Dexchlorpheniramine
- Dexchlorpheniramine; Dextromethorphan; Pseudoephedrine
- Dextromethorphan; Diphenhydramine; Phenylephrine
- Dextromethorphan; Quinidine
- Dicyclomine
- Digoxin
- Dimenhydrinate
- Diphenhydramine
- Diphenhydramine; Hydrocodone; Phenylephrine
- Diphenhydramine; Ibuprofen
- Diphenhydramine; Naproxen
- Diphenhydramine; Phenylephrine
- Disopyramide
- Doxepin
- Doxylamine
- Doxylamine; Pyridoxine
- Edrophonium
- Etomidate
- Flavoxate
- Fluoxetine; Olanzapine
- Fospropofol
- Galantamine
- Glycopyrrolate
- Glycopyrrolate; Formoterol
- Halogenated Anesthetics
- Homatropine; Hydrocodone
- Hydroxyzine
- Hyoscyamine
- Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate; Sodium Biphosphate
- Imipramine
- Indacaterol; Glycopyrrolate
- Ketamine
- Levobupivacaine
- Lidocaine
- Lidocaine; Prilocaine
- Maprotiline
- Mecamylamine
- Meclizine
- Mepivacaine
- Mepivacaine; Levonordefrin
- Methenamine; Sodium Acid Phosphate; Methylene Blue; Hyoscyamine
- Methocarbamol
- Methscopolamine
- Neostigmine
- Nonsteroidal antiinflammatory drugs
- Nortriptyline
- Olanzapine
- Oxybutynin
- Perphenazine; Amitriptyline
- Physostigmine
- Prilocaine
- Prilocaine; Epinephrine
- Procainamide
- Procaine
- Propantheline
- Propofol
- Protriptyline
- Pyridostigmine
- Quinidine
- Quinine
- Rivastigmine
- Ropivacaine
- Scopolamine
- Sedating H1-blockers
- Tacrine
- Tetracaine
- Tolterodine
- Tricyclic antidepressants
- Trihexyphenidyl
- Trimipramine
- Triprolidine