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Activation of phospholipase C leads to cleavage of the membrane phospholipid phosphatidylinositol-4,5 bisphosphate into inositol trisphosphate (IP3) and diacylglycerol (DAG). IP3 promotes release of Ca2+ from storage organelles, whereby contraction of smooth muscle cells, breakdown of glycogen, or exocytosis may be initiated.
Because depolarization can still occur after blockade of three or four nodal rings, the area exposed to a drug concentration sufficient to cause blockade must be larger for motor fibers (p. 205B). This relationship explains why sensory stimuli that are conducted via myelinated A?-fibers are affected later and to a lesser degree than are stimuli conducted via unmyelinated C-fibers.

 

Derivatives with a different substituent on 6-APA possess advantages (B): (1) Acid resistance permits oral administration, provided that enteral absorption is possible. All derivatives shown in (B) can be given orally. Penicillin V (phenoxymethylpenicillin) exhibits antibacterial properties similar to those of penicillin G.
Their action occurs within minutes and lasts for 4 to 6 h. If ?2-mimetics have to be used more frequently than three times a week, more severe disease is present. At this stage, management includes antiinflammatory drugs, such as “mast-cell stabilizers” (in children or juvenile patients) or else glucocorticoids.

 

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