TY - JOUR T1 - NEw and nonofficial drugs Y1 - 1959/07/11 N1 - 10.1001/jama.1959.63010110010012a JO - Journal of the American Medical Association SP - 1316 EP - 1317 VL - 170 IS - 11 N2 - Valethamate Bromide (Murel).—  2-Diethylaminoethyl 3-methyl-2-phenylvalerate methylbromide.— The structural formula of valethamate bromide may be represented as follows:Actions and Uses.—  Valethamate bromide, introduced in 1958, is a quaternary ammonium compound which is used clinically as an antispasmodic. Animal experiments indicate that the drug acts predominantly as an anticholinergic agent. In addition, it exerts a mild direct inhibiting effect on the motility of smooth muscle. Valethamate is also said to exhibit a transient ganglionic blocking action; such effects are minimal, if not imperceptible, in the doses used clinically. The drug does not diminish gastric secretion to any appreciable extent.Valethamate bromide is proposed for oral and parenteral use for the treatment of hypermotility and spasm of the gastrointestinal, genitourinary, and biliary tracts as well as for the adjunctive management of peptic ulcer. Although favorable results have been reported in some patients, the bulk of the clinical evidence available to date is SN - 0002-9955 M3 - doi: 10.1001/jama.1959.63010110010012a UR - http://dx.doi.org/10.1001/jama.1959.63010110010012a ER -