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In the range of therapeutically relevant concentrations, protein binding of most drugs increases linearly with concentration (exceptions: salicylate and certain sulfonamides). The albumin molecule has different binding sites for anionic and cationic ligands, but van der Waals’ forces also contribute). The extent of binding correlates with drug hydrophobicity (repulsion of drug by water).
The most important adverse effects are due to hypersensitivity (incidence up to 5%), with manifestations ranging from skin eruptions to anaphylactic shock (in less than 0. 05% of patients). Known penicillin allergy is a contraindication for these drugs. Because of an increased risk of sensitization, penicillins must not be used locally.

 

Disinfection of instruments: Instruments that cannot be heat- or steamsterilized can be precleaned and then disinfected with aldehydes and detergents. Surface (floor) disinfection employs aldehydes combined with cationic surfactants and oxidants or, more rarely, acidic or alkalizing agents.
Drugs with a short half-life and frequent dosing, drugs which are very bitter or otherwise unacceptable taste because taste masking cannot be achieved or those which require controlled or sustained release are unsuitable candidates of rapidly dissolving oral dosage forms.

 

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