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Timepidium bromide is a quaternary ammonium antimuscarinic (anticholinergic) agent used for the symptomatic treatment of visceral spasms and pain associated with various gastrointestinal disorders. It acts as a muscarinic receptor antagonist and does not cross the blood-brain barrier due to its quaternary nitrogen structure, resulting in peripheral action without central side effects. The drug was originally introduced by Tanabe Seiyaku in Japan under the brand name Sesden.
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