Nick Mark MD Profile picture
Intensivist | Husband, Dad² | created the #1 critical care podcast @CritCareTime & infographic site @OnePagerICU | passionate about MedEd & MedTech innovation

Apr 15, 2023, 5 tweets

Here’s a fun medical puzzle: what does this antidote (Sugammadex) have in common with this cleaning product (Febreze)?

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The answer is the chemical structures for both are cyclodextrins!

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Sugammadex Febreze

Cyclodextrins are rings of glucose molecules linked together by α-1,4 glycosidic bonds.

Depending on the size, these ring can trap other molecules inside it.

For example, a 7 glucose (beta) cyclodextrin called Febreze can trap small odor molecules & neutralize smells.
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Sugammadex reverses neuromuscular blockers like rocuronium by trapping the medication inside the cyclodextrin ring, away from the acetylcholine receptor.

This reverses NMB without cholinergic side effects.
pubs.acs.org/doi/10.1021/jm…
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Anyway, hope you enjoyed the connection between pharmacology & home cleaning.

I thought this structure looked so cool that I made it into a clock!

(Aside: It’s pretty hard to read base 12 time on a clock with 7-fold symmetry)

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