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Clidinium is a gastrointestinal muscarinic receptor antagonist (Ki = 3 nM against [3H]quinuclidinyl benzilate binding in rat colonic enterocytes).1 Administration of clidinium, at a dose of 1 mg/kg, slows intestinal transit and induces constipation in mice.2 This clidinium-induced constipation induces serum hyperammonemia and decreases clonic, myoclonic, and tonic seizure thresholds in a murine pentylenetetrazole-induced epilepsy model.
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1. Muscarinic receptors on rat isolated colonic epithelial cells. A correlation between inhibition of [3H]quinuclidinyl benzilate binding and alteration in ion transport. Gastroenterology 83(6), 1244-1251 (1982).
2. Constipation enhances the propensity to seizure in pentylenetetrazole-