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Epinephrine, given i. v. , is the most important drug in the management of anaphylactic shock: it constricts blood vessels, reduces capillary permeability, and dilates bronchi. c) ?2-Sympathomimetics, such as terbutaline, fenoterol, and albuterol, are employed in bronchial asthma, mostly by inhalation, and parenterally in emergencies.
There is a mood change, the direction of which depends on the initial condition. Aside from the relief associated with the abatement of strong pain, there is a feeling of detachment (floating sensation) and sense of well-being (euphoria), particularly after intravenous injection and, hence, rapid buildup of drug levels in the brain.

 

The most important adverse effects are due to hypersensitivity (incidence up to 5%), with manifestations ranging from skin eruptions to anaphylactic shock (in less than 0. 05% of patients). Known penicillin allergy is a contraindication for these drugs. Because of an increased risk of sensitization, penicillins must not be used locally.
During passage through the intestinal wall and liver, the valine residue is cleaved by esterases, generating acyclovir. Famcyclovir is an antiherpetic prodrug with good bioavailability when given orally. It is used in genital herpes and herpes zoster. Cleavage of two acetate groups from the “false sugar” and oxidation of the purine ring to guanine yields penciclovir, the active form.

 

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