Hey all, welcome back to the Real Life Pharmacology podcast. I'm your host, Eric Christensen.

And today, the medication I'm going to cover is hyocyanine. Now, this is a medication,

I will be frank with you and say that I don't see a terribly often amount. With that said, you're going to experience that in clinical practice where you come across

meds that, you know, you don't see terribly often, but you need to obviously be able to

dig into it, look, and make sure you know what that medication does, how that medication

works, and how that interplay

may play out with other medications.

So, hi-assignment, brand names of this medication, Levson and Anaspas are the two names I've

heard thrown around.

Anaspas, a good way to help remember the indication for this medication or where it's

primarily used, at least where I see it used in clinical practice, is think of antispasm,

anaspas, in that it can help patients with symptoms of GI spasms, GI pain, symptoms

mainly associated with IBS and things of that nature.

I've done dicyclamine in the past, so it's going to be kind of a similar mechanism,

similar adverse effect profile in general.

So mechanistically, it works similar to dicyclamine.

It is an anticholinergic medication that basically helps kind of ease that smooth muscle reduces that cramping

um but can slow down the GI tract as well which you know can have some negative aspects to

it as well so that relaxation of smooth muscle that provides kind of of that pain relief, that benefit potentially in G.

In addition, the anticholinergic effects, we can obviously have some troublesome problems from those effects.

So anticholinergics, dry eyes, dry mouth, urinary retention, constipation, confusion,

increasing fall risk, particularly in our geriatric patient population.

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