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MCQ – 71171

Question

All can cause release of histamine except‑

A.

D-TC

B.

Morphine

C.

Propranolol

D.

Vancomycin

Show Answer

Correct Answer » C

Explanation

A. D-tubocurarine

  • Can cause histamine release.
  • D-tubocurarine is a non-depolarizing neuromuscular blocking agent.
  • It is associated with significant histamine release, producing:
    • Hypotension
    • Flushing
    • Tachycardia
  • It is considered the maximum histamine-releasing muscle relaxant in the provided material.

B. Morphine

  • Can cause histamine release.
  • Morphine can produce urticaria, flushing and hypotension through histamine release.
  • Histamine-mediated effects are not reversed by naloxone.

C. Propranolol

  • Correct answer.
  • Propranolol is a non-selective beta-adrenergic blocker.
  • It is not listed among drugs causing histamine release in the provided source.
  • Therefore, it is the exception.

D. Vancomycin

  • Can cause histamine release.
  • Rapid intravenous infusion can cause red man/red neck syndrome.
  • This occurs due to histamine release, producing diffuse flushing.
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