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The conventional (or classical) neuroleptics comprise two classes of compounds with distinctive chemical structures: 1. the phenothiazines derived from the antihistamine promethazine (prototype: chlorpromazine), including their analogues (e. g. , thioxanthenes); and 2. the butyrophenones (prototype: haloperidol).
If a sufficient number of receptors is activated simultaneously, a threshold potential is reached at which the membrane undergoes rapid depolarization in the form of a propagated action potential. Normally, not all preganglionic impulses elicit a propagated response in the second neuron. The ganglionic synapse acts like a frequency filter (A).

 

Unwanted effects. Hypoglycemia results from absolute or relative overdosage. Allergic reactions are rare—locally: redness at injection site, atrophy of adipose tissue (lipodystrophy); systemically: urticaria, skin rash, anaphylaxis. Insulin resistance can result from binding to inactivating antibodies. A possible local lipohypertrophy can be avoided by alternating injection sites.
This is so because the activity of elimination processes is concentration- dependent. The higher the drug concentration rises, the greater is the amount eliminated per unit of time. After several doses, the concentration will have climbed to a level at which the amounts eliminated and taken in per unit of time become equal, i. e. , a steady state is reached.

 

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