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Why Pralidoxime is CONTRAINDICATED in Carbamate Poisoning?

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Nonstop Neuron

Nonstop Neuron

3 жыл бұрын

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Video Summary:
For pralidoxime to work the anionic site of the enzyme must be free. In organophosphate poisoning, it is free. So pralidoxime can bind to this site, and then take away the organophosphate molecule. So the benefit of reactivation of enzyme is present in organophosphate poisoning. But in the case of carbamate poisoning, the anionic site is occupied. And pralidoxime cannot work on such enzymes. So there is no reactivation of the carbamylated enzyme. Small loss due to weak anticholinesterase activity is present in both cases. The final answer is, pralidoxime is indicated in organophosphate poisoning because the benefit is much more than the loss. But it's contraindicated in carbamate poisoning because there is no benefit in form of reactivation of enzyme. There's only loss.
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DISCLAIMER: This video is for education purpose only. Although every effort is made to ensure accuracy of material, viewer should refer to the appropriate regulatory body/authorised websites, guidelines and other suitable sources of information as deemed relevant and applicable. In view of possibility of human error or changes in medical science, any person or organization involved in preparation of this work accepts no responsibility for any errors or omissions or results obtained from use of information in this video.

Пікірлер: 51
@shubhamsharma3366
@shubhamsharma3366 2 жыл бұрын
Simple and clear explanation I've ever seen in my life. Thank you
@NonstopNeuron
@NonstopNeuron 2 жыл бұрын
Great to hear!
@anaspiringbud2908
@anaspiringbud2908 3 жыл бұрын
This is one of the best videos i have watched by far of this topic. Keep growing!
@NonstopNeuron
@NonstopNeuron 3 жыл бұрын
Thanks a ton
@nivetharajasekaran
@nivetharajasekaran 2 жыл бұрын
Beautifully explained. Thank you.
@anwyeshabhattacharya432
@anwyeshabhattacharya432 Жыл бұрын
Thank you so much..best and simplest explanation
@dr.mukulkanojia
@dr.mukulkanojia Жыл бұрын
Was really useful.Thank you so much 🙏🏻
@Medico0521
@Medico0521 2 жыл бұрын
The best explanation ever 🔥🔥Thank you so muchh
@Amruth_sk
@Amruth_sk 9 ай бұрын
wow! soooo clear and simple!!!
@apronaddicted8652
@apronaddicted8652 19 күн бұрын
Crystal clear 🎉❤
@shubhamgawande9776
@shubhamgawande9776 2 жыл бұрын
Amazing explanation
@gagandalal5233
@gagandalal5233 2 жыл бұрын
Thank you so much 🙌🏻
@tarikanowar6354
@tarikanowar6354 2 жыл бұрын
Very effective explanation
@user-ec1uy8jl3i
@user-ec1uy8jl3i Жыл бұрын
Sooooo helpful ❤❤❤❤❤❤ thank you so much ❤
@thegoalvoyage5485
@thegoalvoyage5485 Жыл бұрын
beautiful thx.!!!!!!!!!!!!!!!!!!!!!!
@user-ko8fm1ly6g
@user-ko8fm1ly6g 5 ай бұрын
Thank you very much
@themedicodiary2783
@themedicodiary2783 3 жыл бұрын
Very good explanation ... thank you 😊 this video make me understand this concept clearly
@NonstopNeuron
@NonstopNeuron 3 жыл бұрын
Glad to hear that
@logicalmind_1
@logicalmind_1 Жыл бұрын
that was just amazing
@thesimplewonders1918
@thesimplewonders1918 Жыл бұрын
Clean and clear
@saishivareddy4034
@saishivareddy4034 Жыл бұрын
Excellent
@aakashkamat2658
@aakashkamat2658 2 жыл бұрын
Thank you sir, your efforts in making of this video are appreciated 🙏❤! Namaskara.
@NonstopNeuron
@NonstopNeuron 2 жыл бұрын
Thank you 😊
@aamirkhantma8854
@aamirkhantma8854 8 ай бұрын
Great Great Great concept. ❤❤❤u r great
@doccy-lucky
@doccy-lucky 2 жыл бұрын
Thank you sir
@payalnayak2176
@payalnayak2176 2 жыл бұрын
Great explanation.
@NonstopNeuron
@NonstopNeuron 2 жыл бұрын
Thank you
@darshanbhirud3354
@darshanbhirud3354 2 жыл бұрын
Thank you sir this video made me fearless
@NonstopNeuron
@NonstopNeuron 2 жыл бұрын
Thank you Darshan. Please share the videos with your collogues and friends too. 😊
@christianafriyie6937
@christianafriyie6937 3 жыл бұрын
Great!
@dda2129
@dda2129 3 ай бұрын
Thanks more... Who about the organophosphate is inactive for pralidoxime after aging? (Is it bind with anionic site as carbamale after aging or in other mechanism )
@venkatanarasimhanb792
@venkatanarasimhanb792 3 ай бұрын
Nailed itt
@SahilKumar-if5zn
@SahilKumar-if5zn 3 жыл бұрын
Nice explanation bhai.. Plz also make videos regarding other subjects like radiogy..
@NonstopNeuron
@NonstopNeuron 3 жыл бұрын
We are currently focusing on pharmacology and physiology. But yes, in long term we are planning to go for all the subjects. You can support by sharing the videos. Thank you.!
@tarikanowar6354
@tarikanowar6354 2 жыл бұрын
Thnq sir
@NonstopNeuron
@NonstopNeuron 2 жыл бұрын
Most welcome 😊
@the_meme_spammer1
@the_meme_spammer1 6 ай бұрын
Then how to treat muscular paralysis because we cant use atropine as it has no effect on Nm receptor??
@MrAbeyy
@MrAbeyy 3 жыл бұрын
What about aging of the enzyme??
@chantellekirk2993
@chantellekirk2993 Жыл бұрын
Would any quaternary ammonium compound do what is described in video or just pralidoxime (a quaternary ammonium)?
@JEGGinSD
@JEGGinSD 10 ай бұрын
Pralidoxime contains a “warhead” needed for inactivation of the organophosphate as well as a cationic group required for interaction with the anionic group. It is possible that other molecules containing cationic groups would interact with the receptor, but in the absence of the warhead group, they will not cleave the bond between the phosphoryl group and the receptor. Pralidomide is unique because it contains both groups, but for various reasons, it has to be administered at fairly high doses. There are related compounds that have been evaluated, but Pralidomide seems to be one of the first choices for treatment of organophosphate poisoning
@nishantsen6820
@nishantsen6820 2 жыл бұрын
Sir weak means Vander wall force reversible Strong by covalent bond irreversible
@aliatar492
@aliatar492 3 жыл бұрын
Hi Do u have vedio on "clinical biochemstry" I can to pay for this
@NonstopNeuron
@NonstopNeuron 3 жыл бұрын
no... channel is all we have so far.
@xinformatics
@xinformatics Жыл бұрын
04:37 should be "useful in organophosphate poisoning" right?
@NonstopNeuron
@NonstopNeuron Жыл бұрын
Oh yes.
@aymenabid848
@aymenabid848 Жыл бұрын
sir lah yrhem lik lwalidin ela had l video
@muqtarjamaegal6071
@muqtarjamaegal6071 Ай бұрын
The only thing remaining is to study chemical formula biochemistery of this drugs enzymes
@NonstopNeuron
@NonstopNeuron Ай бұрын
It's needed in very few cases only.
@MrERDoc
@MrERDoc 2 жыл бұрын
Thanks for your effort and clear presentation. However, the contraindication to Pralidoxime in Carbamate poisoning is questionable, as far as I know, it applies only to carbaryl. Another argument to give a mixture of Atropine and Pralidoxime in case of a mass casualty event (we stock autoinjectors) is the fact that the benefit of giving Pralidoxime in this scenario outweighs the risks. That means the provider is confronted with an organophosphate toxidrome without knowledge of the exact content of the culprit. But that said, I can only follow the other comments: this is one of the best explanations on the subject I've ever seen - Thanks!
@NonstopNeuron
@NonstopNeuron 2 жыл бұрын
Yup... Valid points... Thanks
@the_meme_spammer1
@the_meme_spammer1 6 ай бұрын
I think your concepts are weak..
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