Brand Names
Enlon
Enlon Plus (with atropine)
Broad Class
NMBA reversal agent
Pharmacological Class
Anticholinesterase
Structural considerations
Quaternary amine
Has an ionic bond in it
MOA
Same as Neostigmine
Indications
Reversal of Nondepolarizers (best at reversing mivacurium)
Dosing (Enlon)
0.5-1 mg/kg
Enlon Plus Dosing
0.05-0.1 mg/kg
Standard Atropine dosing
7-10 mcg/kg (which is the same as)
0.014 mg per 1 mg of edrophonium
CV effects
Muscarinic: Profound bradycardia, and hypotension (why atropine is given with it)
Respiratory effects
Muscarinic: Bronchospasm, Salivation
CNS effects
Miosis
GI effects
Increased motility
Onset
1-2 mins
Duration
˜30 mins (may need to redose)
Excretion
Renal