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The active group of L, S, P, and F (or their metabolites) resembles that of the physiological substrate of the enzyme (A). L and S are lactones that are rapidly absorbed by the enteral route, subjected to extensive first-pass extraction in the liver, and there hydrolyzed into active metabolites.
A similar approach is intended with ACE-inhibitors, which act by preventing the synthesis of angiotensin II ( vasoconstriction) and reducing the secretion of aldosterone ( fluid retention). In severe cases of myocardial insufficiency, cardiac glycosides may be added to augment cardiac force and to relieve the symptoms of insufficiency. |
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