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Halothane sensitizes the myocardium to catecholamines (caution: serious tachyarrhythmias or ventricular fibrillation may accompany use of catecholamines as antihypotensives or tocolytics). This effect is much less pronounced with enflurane and isoflurane. Unlike halothane, enflurane and isoflurane have a muscle-relaxant effect that is additive with that of nondepolarizing neuromuscular blockers.
The speed of formation of hydrophilic metabolite determines the drug’s length of stay in the body. If hepatic conversion to a polar metabolite is rapid, only a portion of the absorbed drug enters the systemic circulation in unchanged form, the remainder having undergone presystemic (first-pass) elimination.

 

Bronchial asthma: Increased sympathetic activity prevents bronchospasm in patients disposed to paroxysmal constriction of the bronchial tree (bronchial asthma, bronchitis in smokers). In this condition, ?2-receptor blockade will precipitate acute respiratory distress (B).
When absorption takes place in the gut (enteral absorption), the intestinal epithelium is the barrier.

 

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