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Hepatic passage is circumvented when absorption occurs buccally or sublingually, because venous blood from the oral cavity drains directly into the superior vena cava. The same would apply to administration by inhalation. However, with this route, a local effect is usually intended; a systemic action is intended only in exceptional cases.
Purine (cell nuclei)-rich foods should be avoided, e. g. , organ meats. Milk, dairy products, and eggs are low in purines and are recommended. Coffee and tea are permitted since the methylxanthine caffeine does not enter purine metabolism. Uricostatics decrease urate production. |
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