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atropine + pralidoxime chloride (Duodote)

✓ Approved

Pfizer, Inc. · CHRM1 · Small Molecule

What is atropine + pralidoxime chloride?

atropine + pralidoxime chloride is a small molecule developed by Pfizer, Inc.. It is approved for therapeutic indications via injectable (others) or intramuscular (im) injection.

Drug Profile

Brand NamesDuodote
CompanyPfizer, Inc.
Drug ClassSmall Molecule
Molecular TargetCHRM1, CHRM2, CHRM3, CHRM4
RouteInjectable (Others), Intramuscular (IM) Injection
StatusApproved

Mechanism of Action

Molecular Targets

atropine + pralidoxime chloride acts on 4 molecular targets:

CHRM1cholinergic receptor muscarinic 1 (M1, HM1)
CHRM2cholinergic receptor muscarinic 2 (HM2)
CHRM3cholinergic receptor muscarinic 3 (HM3, PBS)
CHRM4cholinergic receptor muscarinic 4 (HM4, M4R)
Want deeper analysis?Noah AI can explain complex mechanisms and compare to similar drugs.

Therapeutic Indications

atropine + pralidoxime chloride is developed for 1 unique indication across 1 therapeutic area.

Therapeutic AreaConditionPhase
Injury, poisoning and procedural complicationsChemical poisoning✓ Approved

Related Research Articles

PubMedBMC medical education2026-09-19

Final-year dental students' self-perceived knowledge and self-reported clinical approaches to vital pulp therapy: a single-institution cross-sectional survey.

Sivas Yılmaz Özlem Ö, Güven Kömürcü Ayşegül A, Dinger Esma E, Ateş Melis Oya MO

Undergraduate dental education should prepare students to understand and apply contemporary vital pulp therapy (VPT) procedures in permanent teeth. However, students' self-perceived knowledge, stated treatment preferences, and self-reported clinical approaches regarding VPT may vary according to their theoretical and clinical training. This study aimed to describe final-year dental students' self-perceived knowledge, recognition of VPT procedures, stated treatment preferences, and self-reported clinical approaches regarding VPT. This single-institution cross-sectional survey was conducted among final-year dental students at a dental faculty in Türkiye in June 2025. Of 100 eligible students, 88 completed a 17-item questionnaire (response rate, 88.0%) addressing self-perceived knowledge, sources of information, treatment preferences, reported clinical approaches, rubber dam isolation, hemostatic agents, and material selection in VPT. Data were summarized descriptively using frequencies and percentages. Most students rated their self-perceived knowledge of VPT as moderate (60.2%), while theoretical courses (42.0%) and clinical practice (36.4%) were the main reported sources of VPT information. Direct pulp capping (94.3%), partial pulpotomy (Cvek; 89.8%), and indirect pulp capping (86.4%) were most frequently identified as vital pulp therapy procedures, whereas total pulpotomy was identified as a vital pulp therapy procedure by 53.4% of students. In mature teeth, direct pulp capping was reported more frequently than partial or total pulpotomy. Treatment preferences varied according to pulp exposure size, with a shift from direct pulp capping for 0-1 mm exposures to partial pulpotomy for 1-2 mm exposures and total pulpotomy or root canal treatment for exposures larger than 2 mm. Only 15.9% of students reported applying rubber dam isolation at the beginning of the treatment, and the combined response option "ferric sulfate or aluminum chloride" was selected most frequently for hemostasis (46.6%). Final-year dental students reported moderate self-perceived knowledge of VPT and recognized several commonly used VPT procedures, but their self-reported approaches varied, particularly regarding pulpotomy procedures, rubber dam timing, hemostatic-agent selection, and simplified pulp-exposure scenarios. These findings should be interpreted as self-reported educational indicators rather than objective evidence of clinical competence or broad curricular inadequacy. Multicenter studies using case-based and performance-based assessments are needed to guide undergraduate VPT teaching.

PubMedInternational immunopharmacology2026-09-18

Retraction notice to "Combined diosmin and bisoprolol attenuate cobalt chloride-induced cardiotoxicity and endothelial dysfunction through modulating miR-143-3P/MAPK/MCP-1, ERK5/CXCR4, Orai-1/STIM-1 signaling pathways" [Int. Immunopharmacol. 140 (2024) 112777].

El-Shoura Ehab A M EAM, Mohamed Ahmed A N AAN, Atwa Ahmed M AM, Salem Esraa A EA et al.

PubMedBiometals : an international journal on the role of metal ions in biology, biochemistry, and medicine2026-09-18

Ellagic acid counteracts mercury chloride-induced oxidative stress and thiol oxidation in Drosophila melanogaster.

Adedara Adeola Oluwatosin AO, Adenekan Oluwaseun B OB, Oladele Sebastian S, Oyewole Precious P et al.

Toxic effects arising due to mercury exposure are major global health issues and they require attention  to combat these effects. Ellagic acid (EA) is a polyphenol containing antioxidant and anti-inflammatory properties. In this study, we researched the potential ameliorative role of EA in Mercury Chloride (HgCl2)-induced toxicity using Drosophila melanogaster. Flies were treated with graded doses of EA for 7 days via the diet to determine the appropriate concentrations for the study. Afterwards, flies were fed with HgCl2 and EA concurrently for 7 days; thereafter, markers of antioxidant and oxidative stress were determined in the supernatants. Results showed that EA improved the survivability of flies fed with HgCl2, and restored the altered redox status of the flies. Although, no significant improvement was observed in the offspring emergence rate, EA improved climbing activity and reduced acetylcholinesterase activity, disrupted by HgCl2. Furthermore, EA restored to control levels the HgCl2-induced alterations in mRNA expression of Sod1, Hsp70, and Relish (orthologue of human NF-ƙB). These findings indicate ellagic acid's anti-oxidative and anti-inflammatory activities in HgCl2-induced toxicity in D. melanogaster.

PubMedMicrobiome2026-09-18

Untapped enzymatic potential: dehalogenase- and peroxidase-driven PVC degradation by gene carriers in Tibetan plateau pikas.

Zhou Chunxiu C, Fu Baotong B, Hou Xiaoxiao X, Wu Wei-Min WM et al.

Wide distribution of polyvinyl chloride microplastics (PVC-MPs) has been documented in remote regions such as the Qinghai-Tibet Plateau (QTP). Microbial degradation of plastics is frequently coupled with lignocellulose-degrading enzymatic machinery. As a ubiquitous biological sampler on the QTP, the herbivore plateau pika (Ochotona curzoniae), which harbors diverse lignocellulose-degrading enzymes, represents a promising reservoir for novel PVC-degrading enzymes. In this study, a PVC-MPs feeding trial of plateau pikas revealed gut microbiota recruitment of plastic degraders. Subsequent enrichment experiment yielded a PVC-degrading consortium that depolymerized PVC into long-chain alkanes, with Rhodococcus and Leifsonia identified as PVC-response specialist and generalist, respectively. Multi-omics analysis supported a putative degradation pathway initiated by haloalkane dehalogenase (HLD) and involving oxidases. Furthermore, novel RhHLD (from Rhodococcus MAG) released 11.5 mg L-1 chloride ions from PVC films, whereas dye-decolorizing peroxidase LeDyP from Leifsonia MAG generated PVC-degrading intermediates. Analysis of 39 metagenomic datasets further confirmed that haloalkane dehalogenase and dye-decolorizing peroxidase are prevalent in the gut of wild pikas. This study elucidates the PVC-degrading potential of herbivore gut microbiota and expands the catalytic toolkit for plastic bioremediation, underscoring the bioprospecting potential in extreme ecosystems Video Abstract.

PubMedCureus2026-09-18

Refractory Bradycardia in the Late Phase of Necrotizing Pancreatitis: A Case Report.

Kramchi Youssra Y, Jeddab Achraf A, Errachki Mouaad M, Jidal Marouane M et al.

ECG abnormalities are common in acute pancreatitis, yet clinically significant bradyarrhythmias are rarely reported and have been described mainly in the early phase of the disease. We report the case of a 76-year-old hypertensive male who developed severe acute post-endoscopic retrograde cholangiopancreatography pancreatitis, complicated by infected pancreatic necrosis requiring readmission to the intensive care unit on day 20. He was managed with CT-guided drainage and culture-directed antibiotics. In the fourth week of illness, he developed recurrent sinus bradycardia, at times triggered by vagal stimuli (nasogastric tube placement and posture change) and at times occurring spontaneously. On days 25 and 28, he developed severe bradycardia refractory to IV atropine, progressing to cardiac arrest on both occasions; each was managed with brief CPR and a 1 mg IV bolus of epinephrine, with return of spontaneous circulation. On day 30, a further arrest occurred and could not be reversed despite prolonged CPR. Throughout these episodes, serial ECGs showed sinus bradycardia without conduction block, cardiac enzymes and echocardiographic parameters remained unremarkable, electrolytes were within normal range, and inflammatory biomarkers were declining; these findings did not support an alternative reversible cause. We discuss the potential pathophysiological mechanisms underlying this presentation and suggest that life-threatening bradyarrhythmias may also arise in the late phase of necrotizing pancreatitis, raising the case for a low threshold for proactive, aggressive management of bradyarrhythmia in this setting.

PubMedFood chemistry2026-09-18

Green and efficient extraction of sorghum 3-deoxyanthocyanidins using natural deep eutectic solvents and their bioactivities.

Song Zhangning Z, Zhang Xu X, Ding Wei W, Yao Suhang S et al.

Sorghum 3-deoxyanthocyanidins (3-DAs) exhibit notable bioactivity but are limited by low extraction efficiency. Nine natural deep eutectic solvents (NADESs) were prepared using choline chloride with various organic acids. Their structures and physicochemical properties were characterized. Extraction efficiency was influenced by viscosity and HBD structure, with malate-based NADES (ChCl-Ma) showing the highest yield under optimized conditions (25% water, 40 °C, 1:20, 30 min). Compared with methanol extraction, the 3-DAs-enriched extract obtained by ChCl-Ma exhibited superior antioxidant and glycoside hydrolase inhibitory activities. Overall, this work not only provides a greener and more efficient method for extracting 3-DAs from sorghum but also offers a theoretical basis for the high-value utilization of sorghum and highlights the potential of 3-DAs in food and pharmaceutical applications.

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