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This fact assumes practical significance with any drug that may be rapidly transformed or possibly inactivated in the liver (first-pass hepatic elimination). Even with rectal administration, at least a fraction of the drug enters the general circulation via the portal vein, because only veins draining the short terminal segment of the rectum communicate directly with the inferior vena cava.
Abrupt termination of continuous treatment can be followed by rebound hypertension (particularly with short t1/2 ?-blockers). Drugs for the control of hypertensive crises include nifedipine (capsule, to be chewed and swallowed), nitroglycerin (sublingually), clonidine (p. o. or i. v. , p. 96), dihydralazine (i. v. ), diazoxide (i. v. ), fenoldopam (by infusion) and sodium nitroprusside. |
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