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The mode of attachment at the receptor also determines whether an effect is elicited and whether or not a substance has intrinsic activity, i. e. , acts as an agonist or antagonist. For instance, (-) dobutamine is an agonist at ?-adrenoceptors whereas the (+)-enantiomer is an antagonist. Inverse enantioselectivity at another receptor.
In each case, the local anesthetic drug is required to diffuse to the nerves concerned from a depot placed in the tissue or on the skin. High sensitivity of sensory nerves, low sensitivity of motor nerves. Impulse conduction in sensory nerves is inhibited at a concentration lower than that needed for motor fibers.

 

In each case, the local anesthetic drug is required to diffuse to the nerves concerned from a depot placed in the tissue or on the skin. High sensitivity of sensory nerves, low sensitivity of motor nerves. Impulse conduction in sensory nerves is inhibited at a concentration lower than that needed for motor fibers.
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.

 

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