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med's go on Instagram: "Pseudocholinesterase (butyrylcholinesterase) is the enzyme responsible for rapidly breaking down succinylcholine, a depolarizing neuromuscular blocker. In patients with pseudocholinesterase deficiency—either genetic or acquired—the metabolism of succinylcholine is markedly slowed, leading to prolonged apnea and paralysis after administration. Non-depolarizing agents such as rocuronium, atracurium, and vecuronium are not dependent on this enzyme for metabolism. Therefore,
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