2009
DOI: 10.1016/j.toxlet.2009.07.025
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Medical treatment of acute poisoning with organophosphorus and carbamate pesticides

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Cited by 195 publications
(134 citation statements)
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“…This inhibition leads to accumulation of the neurotransmitter acetylcholine, causing interruption of nervous impulses in the synapses (Eyer 2003). Exposure to even small amounts of an OPs compound can be fatal; death is generally caused by respiratory failure (Jokanović 2009).…”
Section: Introductionmentioning
confidence: 99%
“…This inhibition leads to accumulation of the neurotransmitter acetylcholine, causing interruption of nervous impulses in the synapses (Eyer 2003). Exposure to even small amounts of an OPs compound can be fatal; death is generally caused by respiratory failure (Jokanović 2009).…”
Section: Introductionmentioning
confidence: 99%
“…Increased ACh overstimulates muscarinic and nicotinic receptors, resulting in peripheral muscarinic (salivation, lacrymation, nausea, bradycardia, bronchosecretion), nicotinic (skeletal muscle fasciculations, diaphragm and intercostal paralysis) and central (muscle tremors, convulsions, coma and respiratory depression) manifestations that lead to death [7][8][9] . Current antidotal regimens approved for human treatment of OP poisoning consist of a combination of muscarinic receptor antagonists (atropine), anticonvulsants (benzodiazepines) and AChE reactivators (oximes), such as obidoxime, 2-PAM, TMB-4 and HI-6 10,11 . These oximes have a high affinity for AChE and have strong nucleophilic character.…”
Section: Introductionmentioning
confidence: 99%
“…Carbamate compounds are generally called anticholinesterases. In the presence of inhibitors, acetylcholinesterase becomes progressively inhibited and is not further capable of hydrolyzing acetylcholine to choline and acetic acid (Jokanovic 2009;Jokanovic and Maksimovic 1997). The acute toxicity of the different carbamates ranges from highly toxic to only slightly toxic or non-toxic (IPCS 1986).…”
Section: Introductionmentioning
confidence: 99%