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However, the ?-adrenoceptor stimulant action is due to the (-)-form (see above). As described for receptor interactions, enantioselectivity may also be manifested in drug interactions with enzymes and transport proteins. Enantiomers may display different affinities and reaction velocities.
The unchanged drug reaches the arterial blood and the kidneys, where it is filtered. With hydrophilic drugs, there is little binding to plasma proteins (protein binding increases as a function of lipophilicity), hence the entire amount present in plasma is available for glomerular filtration. A hydrophilic drug is not subject to tubular reabsorption and appears in the urine.

 

Neuroleptic activity profiles. The marked differences in action spectra of the phenothiazines, their derivatives and analogues, which may partially resemble those of butyrophenones, are important in determining therapeutic uses of neuroleptics.
Opioids in chronic pain: In the management of chronic pain, opioid plasma concentration must be kept continuously in the effective range, because a fall below the critical level would cause the patient to experience pain. Fear of this situation would prompt intake of higher doses than necessary. Strictly speaking, the aim is a prophylactic analgesia.

 

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