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Furthermore, it promotes platelet aggregability, lowers fibrinolytic activity of blood, and enhances coagulability. The health risks of tobacco smoking are, however, attributable not only to nicotine, but also to various other ingredients of tobacco smoke, some of which possess demonstrable carcinogenic properties.
The local anesthetic, procaine, is a case in point; it exerts its action at the site of application while being largely devoid of undesirable effects at other locations because it is inactivated by hydrolysis during absorption from its site of application. Ester hydrolysis does not invariably lead to inactive metabolites, as exemplified by acetylsalicylic acid.

 

The dose dependence of this phenomenon is observed in groups of animals (e. g. , 10 mice per group) injected with increasing doses of morphine. At the low dose, only the most sensitive, at increasing doses a growing proportion, at the highest dose all of the animals are affected (B). There is a relationship between the frequency of responding animals and the dose given.
At an identical total plasma concentration (say, 100 ng/mL) the effective concentration will be 90 ng/mL for a drug 10 % bound to protein, but 1 ng/mL for a drug 99 % bound to protein.

 

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