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With coumarins, this can be counteracted by giving vitamin K1. Coagulability of blood returns to normal only after hours or days, when the liver has resumed synthesis and restored sufficient blood levels of clotting factors. In urgent cases, deficient factors must be replenished directly (e. g. , by transfusion of whole blood or of prothrombin concentrate).
M1-receptors have also been demonstrated in the brain; however, these cannot be reached by pirenzepine because its lipophilicity is too low to permit penetration of the bloodbrain barrier. Pirenzepine was formerly used in the treatment of gastric and duodenal ulcers.

 

In assessing the risks attending drug use during pregnancy, the following points have to be considered: a) Time of drug use. The possible sequelae of exposure to a drug depend on the stage of fetal development, as shown in A.
Derivatives with a different substituent on 6-APA possess advantages (B): (1) Acid resistance permits oral administration, provided that enteral absorption is possible. All derivatives shown in (B) can be given orally. Penicillin V (phenoxymethylpenicillin) exhibits antibacterial properties similar to those of penicillin G.

 

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