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Indications: pulmonary edema (added advantage of i. v. injection in left ventricular failure: immediate dilation of venous capacitance vessels preload reduction); refractoriness to thiazide diuretics, e. g. , in renal hypovolemic failure with creatinine clearance reduction (<30 mL/min); prophylaxis of acute renal hypovolemic failure; hypercalcemia.
For example, safety profiles may be improved for drugs that produce a significant amount of toxic metabolites mediated by firstpass liver metabolism and gastric metabolism and for drugs that have a substantial fraction of absorption in the oral cavity and segments of the pregastric GIT.

 

Structurally, it can be described as a double ACh molecule. Like ACh, succinylcholine acts as agonist at endplate nicotinic cholinoceptors, yet it produces muscle relaxation. Unlike ACh, it is not hydrolyzed by acetylcholinesterase. However, it is a substrate of nonspecific plasma cholinesterase (serum cholinesterase).
An elating sense of being one with the other and the cosmos sets in. The sense of time is suspended; there is neither present nor past. Objects are seen that do not exist, and experiences felt that transcend explanation, hence the term “psychedelic” (Greek delosis = revelation) implying expansion of consciousness.

 

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