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Unlike inhalational agents, most of these drugs affect consciousness only and are devoid of analgesic activity (exception: ketamine). The effect cannot be ascribed to nonselective binding to neuronal cell membranes, although this may hold for propofol. Most injectable anesthetics are characterized by a short duration of action.
Intraocular pressure rises, which must be taken into account during eye surgery. In skeletal muscle fibers whose motor nerve has been severed, ACh receptors spread in a few days over the entire cell membrane. In this case, succinylcholine would evoke a persistent depolarization with contracture and hyperkalemia.

 

Overproduction of lactic acid (lactate acidosis, lethality 50%) is a rare, potentially fatal reaction. Metformin is used in combination with sulfonylureas or by itself. It is contraindicated in renal insufficiency and should therefore be avoided in elderly patients.
Hypertension infrequently results from another disease, such as a catecholamine- secreting tumor (pheochromocytoma); in most cases the cause cannot be determined: essential (primary) hypertension. Antihypertensive drugs are indicated when blood pressure cannot be sufficiently controlled by means of weight reduction or a lowsalt diet.

 

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