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Nitrous oxide

laughing gas

What it isInhaled NMDA antagonist; procedural analgesia and anesthesia adjunct.

Why this oneVery rapid titratability with analgesia and little hemodynamic suppression distinguishes it from most anesthetics.

What limits itIt inactivates methionine synthase, causing megaloblastic anemia or myeloneuropathy with repeated exposure, and expands closed air spaces.

NO BOXED WARNINGS

Principal riskIt inactivates methionine synthase; it expands closed air spaces

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Nitrous oxide ballicule

Nitrous oxide ballicule: receptor binding, kinetics and half-life diagram

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Memory aids: mascots and interaction avatars

Nitrous oxide laughing gas mascot mnemonic cartoon
“Night dress Ox”

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