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Mechanism of action. Na+-channel blocking antiarrhythmics resemble most local anesthetics in being cationic amphiphilic molecules (exception: phenytoin). Possible molecular mechanisms of their inhibitory effects are outlined in more detail. Their low structural specificity is reflected by a low selectivity towards different cation channels.
Adverse effects: allergies; contraindications: iodine-induced thyrotoxicosis. Lithium ions inhibit thyroxine release. Lithium salts can be used instead of iodine for rapid thyroid suppression in iodine-induced thyrotoxicosis. Regarding administration of lithium in manic-depressive illness, see p. 234. I. Replacement therapy.

 

In the inner ear, sensory cells of the vestibular apparatus and Corti’s organ may be injured (ototoxicity, in part irreversible). Mycobacteria are responsible for two diseases: tuberculosis, mostly caused by M. tuberculosis, and leprosy due to M. leprae. The therapeutic principle applicable to both is combined treatment with two or more drugs.
Initial success can be followed by loss of effect because of the emergence of resistant tumor cells. Mechanisms of resistance are multifactorial: Diminished cellular uptake may result from reduced synthesis of a transport protein that may be needed for membrane penetration (e. g. , methotrexate).

 

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