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Before the introduction of the better tolerated acyclovir, vidarabine played a major part in the treatment of herpes simplex encephalitis. Among virustatic antimetabolites, acyclovir (A) has both specificity of the highest degree and optimal tolerability. because it undergoes bioactivation only in infected cells, where it preferentially inhibits viral DNA synthesis.
As a rule, these disturbances disappear after withdrawal of neuroleptic medication. Tardive dyskinesia may become evident after chronic neuroleptization for several years, particularly when the drug is discontinued. It is due to hypersensitivity of the dopamine receptor system and can be exacerbated by administration of anticholinergics.

 

The numerous negative charges are significant in several respects: (1) they contribute to the poor membrane penetrability— heparin is ineffective when applied by the oral route or topically onto the skin and must be injected; (2) attraction to positively charged lysine residues is involved in complex formation with ATIII;
Bioavailability is defined as the fraction of a given drug dose that reaches the circulation in unchanged form and becomes available for systemic distribution. The larger the presystemic elimination, the smaller is the bioavailability of an orally administered drug. Drugs are designed to exert a selective influence on vital processes in order to alleviate or eliminate symptoms of disease.

 

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