1. Drug Brand Name:

• Robinul (most common brand)

2. Drug Generic Name:

• Glycopyrrolate

3. Drug Class:

• Anticholinergic (Antimuscarinic agent)

4. Top 5 Indications:

✅ Preoperative reduction of secretions (saliva, airway secretions)

✅ Adjunct in anesthesia to reduce vagal reflexes

✅ Chronic drooling (sialorrhea) in neurologic conditions

✅ Peptic ulcer disease (historical use, less common now)

✅ Reversal of neuromuscular blockade (used with neostigmine to counteract bradycardia)

5. Top 5 Contraindications:

🚫 Glaucoma (especially narrow-angle)

🚫 Myasthenia gravis

🚫 Severe ulcerative colitis or toxic megacolon

🚫 Obstructive uropathy (like BPH with severe urinary retention)

🚫 Severe paralytic ileus or GI obstruction

6. Top 5 Adverse Effects:

⚠️ Dry mouth