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Drugs are transported in the blood to different tissues of the body. In order to reach their sites of action, they must leave the bloodstream. Drug permeation occurs largely in the capillary bed, where both surface area and time available for exchange are maximal (extensive vascular branching, low velocity of flow).
” However, use of irritant purgatives or cathartics is not without hazards. Specifically, there is a risk of laxative dependence, i. e. , the inability to do without them. Chronic intake of irritant purgatives disrupts the water and electrolyte balance of the body and can thus cause symptoms of illness (e. g. , cardiac arrhythmias secondary to hypokalemia). Causes of purgative dependence (B).

 

In older patients with goiter due to iodine deficiency there is a risk of provoking hyperthyroidism by increasing iodine intake: During chronic maximal stimulation, thyroid follicles can become independent of TSH stimulation (“autonomic tissue”). If the iodine supply is increased, thyroid hormone production increases while TSH secretion decreases due to feedback inhibition.
Negative feedback control of gonadotropin release can be utilized to inhibit the ovarian cycle. Administration of exogenous estrogens (ethinylestradiol or mestranol) during the first half of the cycle permits FSH production to be suppressed (as it is by administration of progestins alone).

 

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