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On entering the body, drugs are treated as if they are toxic substances, which need to be detoxified, if a mechanism exists, and eliminated as soon as possible. This means that most drugs are subjected to some kind of metabolism and then excreted. Metabolism involves changes to the molecular structure of a substance and these changes are produced by the action of enzymes. This has two important effects on drug molecules: kidneys; This is not always the case. A drug metabolite may have a new and completely different pharmacological activity, or it may be as active as or more active than the original drug.
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It is likely that many older patients will have one or more cardiac disorders and possibly hypertension as well.
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Cholinergic systems may also be involved in depression since many antidepressants have strong anti-cholinergic activity.
January 16, 2023
Edith Verified
Binding to plasma protein inhibits distribution outside the blood since only unbound drug will be further distributed.
October 5, 2023
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Eventually it causes hypothyroidism, which has to be treated by thyroid hormone replacement.
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