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Cocaine and its anesthetic effect

Indopan

Bluelighter
Joined
Jun 16, 2013
Messages
76
Now, I'm no expert at drug chemistry. I've read, that cocaine is particularly dangerous due to its numbing effects. Meaning it also blocks heart Na channels. Also Na channel blocking anesthetics (may be?/are?) vasodilators. Could it be, that cocaine is at the same time vasoconstrictor and vasodilator? What I want to know is, that if cocaine wouldn't have its numbing effect, meaning the mechanism which makes it numbing wouldn't be existent, would it raise heart rate higher and be a stronger vasoconstrictor compared to its current activity?
 
Great link!
So yes, it seems to be the character of Na channel inhibition that determines whether the effect is cardiotoxic or heart-healthy.

ebola
 
To the best of my knowledge, cocaine is still occasionally used medically today for things such as nosebleeds because it's direct application causes vasoconstriction and therefore stops bleeding in a rather efficient manner. I believe this is directly related to it's local anesthetic effect, aka Na channel blocking properties, but I'm not 100% sure.
 
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