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Inhibition of the renal actions of vasopressin leads to polyuria and thirst. Thyroid function is impaired, with compensatory development of (euthyroid) goiter. The mechanism of action of Li ions remains to be fully elucidated. Chemically, lithium is the lightest of the alkali metals, which include such biologically important elements as sodium and potassium.
Fluoxetine causes loss of appetite and weight reduction. Its main adverse effects include: overarousal, insomnia, tremor, akathisia, anxiety, and disturbances of sexual function. Moclobemide is a new representative of the group of MAO inhibitors. Inhibition of intraneuronal degradation of serotonin and norepinephrine causes an increase in extracellular amine levels.

 

Possible sequelae are exaggerated parasympathomimetic activity, blockade of ganglionic and neuromuscular transmission, and respiratory paralysis.
Therapeutic measures include: 1. administration of atropine in high dosage to shield muscarinic acetylcholine receptors; and 2. reactivation of acetylcholinesterase by obidoxime, which successively binds to the enzyme, captures the phosphate residue by a nucleophilic attack, and then dissociates from the active center to release the enzyme from inhibition.

 

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