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Mechanism of action. The reduction in vascular smooth muscle tone is presumably due to activation of guanylate cyclase and elevation of cyclic GMP levels. The causative agent is most likely nitric oxide (NO) generated from the organic nitrate. NO is a physiological messenger molecule that endothelial cells release onto subjacent smooth muscle cells (“endothelium-derived relaxing factor,” EDRF).
Clozapine may cause dose–dependent seizures and agranulocytosis, necessitating close hematological monitoring. It is strongly sedating. When esterified with a fatty acid, both fluphenazine and haloperidol can be applied intramuscularly as depot preparations.

 

Pancreatic enzymes (B) from slaughtered animals are used to relieve excretory insufficiency of the pancreas ( disrupted digestion of fats; steatorrhea, inter alia). Normally, secretion of pancreatic enzymes is activated by cholecystokinin/pancreozymin, the enterohormone that is released into blood from the duodenal mucosa upon contact with chyme.
When synthesis is arrested, the antithyroid effect develops after a delay, as stored colloid continues to be utilized. Antithyroid drugs for long-term therapy (C). Thiourea derivatives (thioureylenes, thioamides) inhibit peroxidase and, hence, hormone synthesis.

 

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