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It is also effective in visceral pain. Its mode of action is unclear, but probably differs from that of acetaminophen and ASA. It is rapidly absorbed when given via the oral or rectal route. Because of its water solubility, it is also available for injection. Its active metabolite, 4-aminophenazone, is eliminated from plasma with a t1/2 of approx. 5 h.
With molsidomine, there is less risk of a nitrate tolerance; however, due to its potential carcinogenicity, its clinical use is restricted. The choice between calcium antagonists must take into account the differential effect of nifedipine versus verapamil or diltiazem on cardiac performance (see above).

 

In drug elimination via the kidney, excretion often depends on glomerular filtration, i. e. , the filtered amount of drug present in primary urine. As the blood concentration falls, the amount of drug filtered per unit of time diminishes. The resulting exponential decline is illustrated in (A).
The absolute configuration, as determined by certain rules, is described by the prefixes S and R. In some compounds, designation as the D- and L-form is possible by reference to the structure of D- and L-glyceraldehyde. For drugs to exert biological actions, contact with reaction partners in the body is required.

 

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