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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.
Gabapentin may augment the availability of glutamate as a precursor in GABA synthesis (B) and can also act as a K+-channel opener. Carbamazepine, valproate, and phenytoin enhance inactivation of voltage- gated sodium and calcium channels and limit the spread of electrical excitation by inhibiting sustained high-frequency firing of neurons.

 

The active group of L, S, P, and F (or their metabolites) resembles that of the physiological substrate of the enzyme (A). L and S are lactones that are rapidly absorbed by the enteral route, subjected to extensive first-pass extraction in the liver, and there hydrolyzed into active metabolites.
Sympathetic activation gives rise to an increase in heart rate and systolic muscle tension, enabling cardiac output to be restored to a level comparable to that in a healthy subject. When sympathetic drive is eliminated during ?-receptor blockade, stroke volume and cardiac rate decline, a latent myocardial insufficiency is unmasked, and overt insufficiency is exacerbated (A).

 

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