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Possible uses. Arteriolar vasodilators are given to lower blood pressure in hypertension, to reduce cardiac work in angina pectoris, and to reduce ventricular afterload (pressure load) in cardiac failure. Venous vasodilators are used to reduce venous filling pressure (preload) in angina pectoris or cardiac failure. Practical uses are indicated for each drug group.
Estrogens with partial agonist activity (raloxifene, tamoxifene) are being investigated as agents used to replace estrogen in postmenopausal osteoporosis treatment, to lower plasma lipids, and as estrogen antagonists in the prevention of breast cancer. Raloxifen— in contrast to tamoxifen—is an antagonist at uterine estrogen receptors. Inhibitors of ovulation.

 

Some members are poorly absorbed from the gut and are thus suitable for the treatment of bacterial bowel infections. Adverse effects may include, among others, allergic reactions, sometimes with severe skin damage, displacement of other plasma protein-bound drugs or bilirubin in neonates (danger of kernicterus, hence contraindication for the last weeks of gestation and in the neonate).
Administration of ASA at the end of pregnancy may result in prolonged labor, bleeding tendency in mother and infant, and premature closure of the ductus arteriosus. Acidic nonsteroidal antiinflammatory drugs (NSAIDS; p. 200) are derived from ASA. Among antipyretic analgesics, dipyrone (metamizole) displays the highest efficacy.

 

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