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Moreover, cutaneous, hematological, and hepatic changes may necessitate a change in medication. Phenobarbital, primidone, and phenytoin may lead to osteomalacia (vitamin D prophylaxis) or megaloblastic anemia (folate prophylaxis). During treatment with phenytoin, gingival hyperplasia may develop in ca. 20% of patients.
Clopidogrel reportedly does not cause hematological problems. As peptides, hirudin and abciximab need to be injected; therefore their use is restricted to intensive-care settings. Major blood loss entails the danger of life-threatening circulatory failure, i. e. , hypovolemic shock.

 

In the liver, it is inactivated by acetylation, the rate of which is genetically controlled and shows a characteristic distribution in different ethnic groups (fast vs. slow acetylators). Notable adverse effects are: peripheral neuropathy, optic neuritis preventable by administration of vitamin B6 (pyridoxine); hepatitis, jaundice. Rifampin.
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.

 

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