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In these cases, the ester itself is not active, but the cleavage product is. Thus, an inactive precursor or prodrug is applied, formation of the active molecule occurring only after hydrolysis in the blood. Some drugs possessing amide bonds, such as prilocaine, and of course, peptides, can be hydrolyzed by peptidases and inactivated in this manner.
This formulation can be meaningful when high drug concentrations are required at the skin surface (e.g., neomycin ointment for bacterial skin infections). As a rule, drugs reach their target organs via the blood. Therefore, they must first enter the blood, usually the venous limb of the circulation. There are several possible sites of entry.

 

stimulation of aldosterone secretion, leading to increased renal reabsorption of NaCl and water, hence an increased blood volume; (3) a central increase in sympathotonus and, peripherally, enhancement of the release and effects of norepinephrine. ACE inhibitors, such as captopril and enalaprilat, the active metabolite of enalapril, occupy the enzyme as false substrates.
Coumadin (Warfarin) is an anticoagulant (blood thinner). Coumadin reduces the formation of blood clots by blocking the formation of certain clotting factors. Coumadin is used to prevent heart attacks, strokes, and blood clots in veins and arteries. Coumadin may also be used for purposes other than those listed in this medication guide.

 

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