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Scopolamine

Scopolamine is a science topic covered in the lgStudy science library. This page brings together a partial reference excerpt, illustrations, worked examples, real-world applications and a short study plan, so you can understand Scopolamine rather than just read about it. In short: Scopolamine, also known as hyoscine, or Devil's Breath, is a muscarinic antagonist and tropane alkaloid used to treat motion sickness and postoperative nausea and vomiting. It is also sometimes used before surgery to decrease saliva.

Scopolamine — main illustration
Scopolamine — illustration

Key takeaways

  • Scopolamine belongs to science; place it in that map before memorising details.
  • Learn the definition first, then one example that makes the definition concrete.
  • Connect Scopolamine to a quantity you can measure, compute or draw — that is where exam questions come from.
  • Reproduce the core statement of Scopolamine from memory before moving on to harder problems.

Reference excerpt

Scopolamine, also known as hyoscine, or Devil's Breath, is a muscarinic antagonist and tropane alkaloid used to treat motion sickness and postoperative nausea and vomiting. It is also sometimes used before surgery to decrease saliva. When used by injection, effects begin after about 20 minutes and last for up to 8 hours. It may also be used orally and as a transdermal patch since it has been long known to have transdermal bioavailability. Scopolamine is in the muscarinic acetylcholine antagonist group of drugs and works by blocking the binding of acetylcholine within the central nervous system and peripheral tissues. Scopolamine was first written about in 1881 and started to be used for anesthesia around 1900. Scopolamine is also the main active component produced by certain plants of the nightshade family, which historically have been used as psychoactive drugs, known as deliriants, due to their antimuscarinic-induced hallucinogenic effects in higher doses. In these contexts, its mind-altering effects have been utilized for recreational and occult purposes. The name scopolamine is derived from one type of nightshade known as Scopolia, while the name hyoscine is derived from another type known as Hyoscyamus niger, or black henbane. It is on the World Health Organization's List of Essential Medicines.

Medical uses Scopolamine has a number of formal uses in modern medicine where it is used in its isolated form and in low doses to treat:

Postoperative nausea and vomiting Motion sickness, including sea sickness, leading to its use by scuba divers (where it is often applied as a transdermal patch behind the ear) Gastrointestinal spasms Kidney or liver spasms Aid in gastrointestinal radiology and endoscopy Adjunct Nerve agent countermeasure Irritable bowel syndrome Clozapine-induced drooling Bowel colic Eye inflammation It is sometimes used as a premedication, especially to reduce respiratory tract secretions in surgery, most commonly by injection. Common side effects include sleepiness, blurred vision, dilated pupils, and dry mouth. It is not recommended in people with angle-closure glaucoma or bowel obstruction. Whether its use during pregnancy is safe remains unclear, and use during breastfeeding is still cautioned by health professionals and manufacturers of the drug. Scopolamine can be taken by mouth, subcutaneously, in the eye, and intravenously, as well as via a transdermal patch.

Breastfeeding Scopolamine enters breast milk by secretion. Although no human studies exist to document the safety of scopolamine while nursing, the manufacturer recommends that caution be taken if scopolamine is administered to a breastfeeding woman.

Adverse effects Adverse effect incidence: Uncommon (0.1–1% incidence) adverse effects include:

Dry mouth Anhidrosis (reduced ability to sweat to cool off) Tachycardia (usually occurs at higher doses and is succeeded by bradycardia) Bradycardia Urticaria (hives) Pruritus (itching)

Rare (<0.1% incidence) adverse effects include:

Constipation Urinary retention Hallucinations Agitation Delirium Restlessness Seizures

Unknown frequency adverse effects include:

Anaphylactic shock or reactions Dyspnea (shortness of breath) Rash Erythema Other hypersensitivity reactions Blurred vision Mydriasis (dilated pupils) Drowsiness Dizziness Somnolence

Overdose Physostigmine, a cholinergic drug that readily crosses the blood–brain barrier, has been used as an antidote to treat the central nervous system depression symptoms of a scopolamine overdose. Other than this supportive treatment, gastric lavage and induced emesis (vomiting) are usually recommended as treatments for oral overdoses. The symptoms of overdose include:

Tachycardia Arrhythmia Blurred vision Photophobia Urinary retention Drowsiness or paradoxical reaction, which can present with hallucinations Cheyne–Stokes respiration Dry mouth Skin reddening Inhibition of gastrointestinal motility

Pharmacology

Pharmacodynamics The pharmacological effects of scopolamine are mediated through the drug's competitive antagonism of the peripheral and central muscarinic acetylcholine receptors. Scopolamine acts as a nonspecific muscarinic antagonist at all four (M1, M2, M3, and M4) receptor sites. In doses higher than intended for medicinal use, the hallucinogenic alteration of consciousness, as well as the delirium in particular, are tied to the compound's activity at the M1 muscarinic receptor. M1 receptors are located primarily in the central nervous system and are involved in perception, attention, and cognitive functioning. Delirium is associated solely with the antagonism of postsynaptic M1 receptors; currently no other receptor subtypes have been implicated. Peripheral muscarinic receptors are part of the autonomic nervous system. M2 receptors are located in the brain and heart, M3 receptors are in salivary glands and M4 receptors are in the brain and lungs. Due to the drug's inhibition of various signal transduction pathways, the decrease in acetylcholine signaling is what leads to many of the cognitive deficits, mental impairments, and delirium associated with psychoactive doses. Medicinal effects appear to mostly be tied to activation of the peripheral receptors and only from marginal decreases in acetylcholine signaling. Although often broadly referred to as simply being 'anticholinergic', antimuscarinic would be more specific and accurate terminology to use for scopolamine, as, for example, it is not known to block nicotinic receptors.

Pharmacokinetics Scopolamine undergoes first-pass metabolism and about 2.6% is excreted unchanged in urine. It has a bioavailability of 20–40%, reaches peak plasma concentration in about 45 minutes, and in healthy subjects has an average half-life of 5 hours (observed range 2–10 hours). Scopolamine is primarily metabolized by the CYP3A4 enzyme, and grapefruit juice decreases metabolism of scopolamine, consequently increasing plasma concentration.

Chemistry

Biosynthesis in plants Scopolamine is among the secondary metabolites of plants from the Solanaceae (nightshade) family of plants, including henbane (Hyoscyamus niger), jimson weed (Datura), angel's trumpets (Brugmansia), deadly nightshade (Belladonna), mandrake (Mandragora officinarum), and corkwood (Duboisia).

… excerpt ends here. Continue reading the full article.

Illustrations

Scopolamine illustration
Scopolamine illustration
Scopolamine: The biochemistry of tropane class compounds
The biochemistry of tropane class compounds
Scopolamine illustration

Worked examples

Example 1 — a first encounter with Scopolamine

Start with the simplest possible case. Write down what Scopolamine claims or describes in one sentence, then invent the smallest concrete situation in which that sentence is true. In science, the smallest case is usually a single object, a single equation or a single measurement. Check that every symbol or term in your sentence has a meaning in that case.

Example 2 — changing one variable

Take the situation from Example 1 and change exactly one quantity: double it, halve it, or set it to zero. Predict what should happen to Scopolamine before you calculate. Comparing your prediction with the result is the fastest way to find out whether you understand the idea or only the words.

Example 3 — an exam-style question

Typical questions about Scopolamine ask you to (a) state it precisely, (b) apply it to given data, and (c) explain a limitation. Practise writing all three answers in under five minutes; the third part is what separates a full-mark answer from an average one.

Applications of Scopolamine

In research
Scopolamine appears in science research whenever the underlying quantities have to be modelled precisely. Papers usually cite it as a starting assumption and then explore where it breaks down.
In technology and industry
Engineering practice reuses Scopolamine in design rules, simulations and safety margins. Knowing the idea lets you read a specification sheet and understand why the numbers look the way they do.
In the classroom
Scopolamine is common in secondary-school and first-year university syllabi. It links to neighbouring topics Carboxylate esters, Deliriants, Entheogens, so understanding it makes those chapters shorter.
In everyday life
Look for Scopolamine outside the textbook — in sport, cooking, traffic, electronics or the sky above you. An example you found yourself is remembered far longer than one you were given.

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How to study Scopolamine in 20 minutes

  1. Read the reference excerpt below once, without taking notes.
  2. Close the page and write down what Scopolamine means in your own words.
  3. Compare your version with the excerpt and mark what you missed.
  4. Work through the three examples above with pen and paper.
  5. Explain Scopolamine out loud to somebody else — or to Teacher Smith in the lgStudy chat.

Frequently asked questions

What is Scopolamine in simple terms?

Scopolamine, also known as hyoscine, or Devil's Breath, is a muscarinic antagonist and tropane alkaloid used to treat motion sickness and postoperative nausea and vomiting. It is also sometimes used before surgery to decrease saliva.

Why does Scopolamine matter?

Because it connects several science ideas at once: it gives you a definition you can apply, a quantity you can calculate, and a way to check whether a result is plausible.

How should I study Scopolamine?

Read the excerpt, restate it from memory, then work through the examples and applications listed on this page. The five-step study plan above takes about twenty minutes.

What does this page cover?

It gives you a compact reference excerpt plus original lgStudy explanations, examples, applications and study material on Scopolamine.

Tags

  • Carboxylate esters
  • Deliriants
  • Entheogens
  • Epoxides
  • Experimental antidepressants
  • M1 receptor antagonists
  • M2 receptor antagonists
  • M3 receptor antagonists
  • M4 receptor antagonists
  • M5 receptor antagonists
  • Motion sickness
  • Ophthalmology drugs

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