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Because of its high potency, fentanyl is suitable for transdermal delivery (A). In opiate abuse, “smack” (“junk,” “jazz,” “stuff,” “China white;” mostly heroin) is self administered by injection (“mainlining”) so as to avoid first-pass metabolism and to achieve a faster rise in brain concentration.
Predictable effects that derive from the known pharmacological drug properties. Examples are: masculinization of the female fetus by androgenic hormones; brain hemorrhage due to oral anticoagulants; bradycardia due to ?-blockers. 2. Effects that specifically affect the developing organism and that cannot be predicted on the basis of the known pharmacological activity profile.

 

The initiation of an epileptic attack involves “pacemaker” cells; these differ from other nerve cells in their unstable resting membrane potential, i. e. , a depolarizing membrane current persists after the action potential terminates. Therapeutic interventions aim to stabilize neuronal resting potential and, hence, to lower excitability.
(Sulfate-)conjugated estrogens can be extracted from equine urine and are used for the prevention of postmenopausal osteoporosis and in the therapy of climacteric complaints. Because of their high polarity (sulfate, glucuronide), they would hardly appear suitable for this route of administration.

 

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