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It is the drug of choice in the treatment of angina pectoris attacks. For this purpose, it is administered as a spray, or in sublingual or buccal tablets for transmucosal delivery. The onset of action is between 1 and 3 min. Due to a nearly complete presystemic elimination, it is poorly suited for oral administration.
Undesired effects. The hazards of treatment with ?-blockers become apparent particularly when continuous activation of ?-receptors is needed in order to maintain the function of an organ. Congestive heart failure: In myocardial insufficiency, the heart depends on a tonic sympathetic drive to maintain adequate cardiac output.

 

Drugs that are subject to enterohepatic cycling are, therefore, excreted slowly. Pertinent examples include digitoxin and acidic nonsteroidal anti-inflammatory agents (p. 200). Conjugations (B) The most important of phase II conjugation reactions is glucuronidation.
Locally applied (nasal drops) vasoconstricting ?- sympathomimetics decongest the nasal mucosa and dry up secretions, clearing the nasal passage. Long-term use may cause damage to nasal mucous membranes). Sore throat, swallowing problems.

 

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