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Because resistance may develop with frequent usage, it is restricted to the treatment of tuberculosis and leprosy (p. 280). Rifampin is contraindicated in the first trimester of gestation and during lactation. Rifabutin resembles rifampin but may be effective in infections resistant to the latter.
With any of the high-efficacy opioid analgesics, overdosage is likely to result in respiratory paralysis (impaired sensitivity of medullary chemoreceptors to CO2). The maximally possible extent of respiratory depression is thought to be less in partial agonist/ antagonists at opioid receptors (pentazocine, nalbuphine).

 

The neurons of the sacral division innervate the distal colon, rectum, bladder, the distal ureters, and the external genitalia. Acetylcholine (ACh) as a transmitter.
Here, the cells establish punctate contacts with each other in the form of desmosomes (not shown); however, these do not seal the intercellular clefts. Instead, the cells have the property of sequestering phospholipid- containing membrane fragments that assemble into layers within the extracellular space (semicircular inset, center right).

 

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