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The unchanged drug reaches the arterial blood and the kidneys, where it is filtered. With hydrophilic drugs, there is little binding to plasma proteins (protein binding increases as a function of lipophilicity), hence the entire amount present in plasma is available for glomerular filtration. A hydrophilic drug is not subject to tubular reabsorption and appears in the urine.
When amphetamine-like substances are misused to enhance athletic performance (doping), there is a risk of dangerous physical overexertion. Because of the absence of a sense of fatigue, a drugged athlete may be able to mobilize ultimate energy reserves. In extreme situations, cardiovascular failure may result (B).

 

At rest, the intracellular concentration of free calcium ions (Ca2+) is kept at 0. 1 ?M (see p. 128 for mechanisms involved). During excitation, a transient rise of up to 10 ?M elicits contraction in muscle cells (electromechanical coupling) and secretion in glandular cells (electrosecretory coupling).
Therapeutic objectives are: (1) prevention of life-threatening hyperglycemic (diabetic) coma; (2) prevention of diabetic sequelae (angiopathy with blindness, myocardial infarction, renal failure), with precise “titration” of the patient being essential to avoid even short-term spells of pathological hyperglycemia.

 

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