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Butropium is a quaternary ammonium antimuscarinic agent with peripheral effects similar to those of atropine. It is primarily indicated for the treatment of pain caused by gastrointestinal inflammation and ulcers, as well as diseases of the gallbladder. Butropium acts by blocking muscarinic acetylcholine receptors in the smooth muscle of the gastrointestinal tract, thereby reducing spasms and associated pain. It is classified under belladonna alkaloids, semisynthetic, quaternary ammonium compounds (ATC code A03BB). The drug is mainly available in Japan under brand names such as Coliopan[8].
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