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Originally, anesthetization was achieved with a single anesthetic agent (e. g. , diethylether— first successfully demonstrated in 1846 by W. T. G. Morton, Boston). To suppress defensive reflexes, such a “mono-anesthesia” necessitates a dosage in excess of that needed to cause unconsciousness, thereby increasing the risk of paralyzing vital functions, such as cardiovascular homeostasis (B).
Binding assays provide information about the affinity of ligands, but they do not give any clue as to whether a ligand is an agonist or antagonist (p. 60). Use of radiolabeled drugs bound to their receptors may be of help in purifying and analyzing further the receptor protein. Unless a drug comes into contact with intrinsic structures of the body, it cannot affect body function.

 

Fenestrated endothelia are found in the capillaries of the gut and endocrine glands. In the central nervous system (brain and spinal cord), capillary endothelia lack pores and there is little transcytotic activity. In order to cross the blood-brain barrier, drugs must diffuse transcellularly, i.e., penetrate the luminal and basal membrane of endothelial cells.
In this fashion, drug vs. placebo comparisons can be made not only between two patient groups, but also within either group itself. Homeopathy (B) is an alternative method of therapy, developed in the 1800s by Samuel Hahnemann.

 

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