Cystic fibrosis: Atropine

Brief information about it:
Atropine is not a commonly used medication for cystic fibrosis (CF). While it has been studied for its potential bronchodilator effects in CF, its use is limited due to significant side effects and the availability of more effective and safer medications.
Uses:
Historically, atropine has been investigated as a potential bronchodilator in CF. It works by blocking the action of acetylcholine, a neurotransmitter that causes airway constriction. However, its use in CF is not widespread due to side effects.
Mechanism of action:
Atropine is an anticholinergic agent that blocks the action of acetylcholine at muscarinic receptors in the airways.
This leads to relaxation of airway smooth muscle and bronchodilation.
Elimination half life:
The half-life of atropine varies depending on the route of administration.
It is typically shorter with inhaled administration compared to oral or intravenous administration.
Route of Administration:
Atropine can be administered orally, intravenously, or by inhalation. Inhaled atropine was studied in CF, but its use is not currently recommended.
Side effects:
Atropine can cause a range of side effects, including dry mouth, blurred vision, constipation, urinary retention, tachycardia, and confusion.
These side effects are more pronounced with higher doses and systemic administration.
Dose:
The appropriate dose of atropine would depend on the specific indication and route of administration. It is important to note that atropine is not a standard treatment for CF.
Precautions:
- Atropine should be used with caution in patients with glaucoma, urinary retention, or an enlarged prostate.
- It should also be used with caution in patients with cardiovascular disease, as it can increase heart rate.