2. Actions:A. Nondepolarizing (competitive) blockers

Not all muscles are equally sensitive to blockade by competitive blockers. Small, rapidly contracting muscles of the face and eye are most susceptible and are paralyzed first, followed by the fingers. Thereafter, the limbs, neck, and trunk muscles are paralyzed. Next, the intercostal muscles are affected, and, lastly, the diaphragm muscles are paralyzed. The muscles recover in the reverse manner, with the diaphragm muscles recovering first and contracting muscles of the face and the eye recovering last. Those agents that release histamine (for example, atracurium) can produce a fall in blood pressure, flushing, and bronchoconstriction.