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British Journal of Anaesthesia, 1985, Vol. 57, No. 2 204-207
© 1985 The Board of Management and Trustees of the British Journal of Anaesthesia


research-article

EFFECT OF A MIXTURE OF PYRIDOSTIGMINE AND ATROPINE ON FORCED EXPIRATORY VOLUME (FEV1), AND SERUM CHOLINESTERASE ACTIVITY IN NORMAL SUBJECTS

B. F. FELDT-RASMUSSEN, M.D., K. GEFKE, M.D., H. MOSBECH, M.D. and H. K. HANEL, M.SC.

Department of Anesthesiology Frederiksborg County Hospital, DK-3400 Hillered, Denmark
Medical Department B and Allergy Clinic Frederiksborg County Hospital, DK-3400 Hillerod, Denmark
Department of Clinical Chemistry Bispebjerg Hospital, DK-2400 Copenhagen, Denmark

Correspondence to B. F.-R., Steno Memorial Hospital, Niels Steensensvej 2, DK-2820 Gentofte, Denmark.

Pyridostigmine 0.143 mg kg–1 (maximum 10 mg) and atropine 0.0143 mg kg–1 (maximum 1 mg) were administered i.v. to six healthy male volunteers. Peripheral venous blood samples were drawn for measurement of serum cholinesterase activity. Maximum inhibition of the enzyme was found 5 min after injection with a decrease to 27 ± 5% (mean ± SEM) of the original activity. Forced expiratory volume in the first 1s (FEV1) was measured at fixed time intervals for 90 min. No decrease in FEV1 was observed; on the contrary, there was a small increase. We conclude that atropine effecively antagonizes the muscarinic side-effects of pyridostigmine on bronchial smooth muscle tone and bronchial secretions, when administered in clinical doses to normal human subjects.


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