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At the start of therapy, unwanted reactions occur frequently in the form of a throbbing headache, probably caused by dilation of cephalic vessels. This effect also exhibits tolerance, even when daily “nitrate pauses” are kept. Excessive dosages give rise to hypotension, reflex tachycardia, and circulatory collapse.
In order to restore a euthyroid state, two therapeutic principles can be applied in Graves’ disease: a) monotherapy with a thioamide with gradual dose reduction as the disease abates; b) administration of high doses of a thioamide with concurrent administration of thyroxine to offset diminished hormone synthesis.

 

Phosphorylation of cardiac calcium- channel proteins increases the probability of channel opening during membrane depolarization. It should be noted that cAMP is inactivated by phosphodiesterase. Inhibitors of this enzyme elevate intracellular cAMP concentration and elicit effects resembling those of epinephrine.
Specific damage to bacteria is particularly practicable when a substance interferes with a metabolic process that occurs in bacterial but not in host cells. Clearly this applies to inhibitors of cell wall synthesis, because human and animal cells lack a cell wall. The points of attack of antibacterial agents are schematically illustrated in a grossly simplified bacterial cell, as depicted in.

 

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