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Drug deposited on the mucous lining of the bronchial epithelium is partly absorbed and partly transported with bronchial mucus towards the larynx. Bronchial mucus travels upwards due to the orally directed undulatory beat of the epithelial cilia.
At present, only ?- blockers and diuretics have undergone large-scale clinical trials, which have shown that reduction in blood pressure is associated with decreased morbidity and mortality due to stroke and congestive heart failure. In multidrug therapy, it is necessary to consider which agents rationally complement each other.

 

Delivery systems disintegrate or dissolve in patient’s oral cavity, thus releasing the active ingredients which come in contact with the taste buds; hence, taste-masking of the drugs becomes critical to patient compliance.
A given sustance does not necessarily behave as an agonist or antagonist at all receptor subtypes, but may act as an agonist at one subtype and as a partial agonist/ antagonist or as a pure antagonist (p. 214) at another. The abuse potential is also determined by kinetic properties, because development of dependence is favored by rapid build-up of brain concentrations.

 

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