Description
Mivacurium is a non-depolarizing, reversible neuromuscular junction blocker. Mivacurium acts as an anesthetic, inhibiting pre-synaptic nicotinic acetylcholine receptors (nAChRs) in neurons and muscle. Mivacurium exhibits a rapid onset and short duration of action. This compound also displays anti-fibrillatory/anti-arrhythmic activity, as its inhibition of signaling in the parasympathetic nervous system prevents atrial fibrillation in animal models.
References
Patterson E, Lu Z, Lin J, et al. Antifibrillatory properties of mivacurium in a canine model of atrial fibrillation. J Cardiovasc Pharmacol. 2008 Mar;51(3):293-303. PMID: 18356695.
Jonsson M, Gurley D, Dabrowski M, et al. Distinct pharmacologic properties of neuromuscular blocking agents on human neuronal nicotinic acetylcholine receptors: a possible explanation for the train-of-four fade. Anesthesiology. 2006 Sep;105(3):521-33. PMID: 16931985.
Feldman SA, Wu X, England A. Rate of 'onset' and 'offset' of four non-depolarising neuromuscular blocking drugs. Anaesthesia. 1995 Jun;50(6):510-3. PMID: 7618664.