Chemicals can block the release of neurotransmitters or affect the way they bind to receptors on the postsynaptic membrane
This can prevent the action potential from being passed on to the muscle, leading to the muscle not contracting
Example: Pancuronium bromide is a non-depolarising, neuromuscular blocking drug
Pancuronium bromide competes against ACh for nicotinic cholinergic receptors, blocking the action of ACh and preventing muscle cell depolarisation
Pancuronium bromide is used during surgery to relax muscles
The action of pancuronium bromide can be reversed by inhibiting AChE, increasing ACh concentration to out-compete the drug for nicotinic cholinergic receptors
Chemicals affecting neurotransmitter action at neuromuscular junctions can be fatal if they affect breathing muscles like the diaphragm and intercostal muscles
If these muscles can't contract, ventilation is impaired, and aerobic respiration is compromised