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Clopidogrel reportedly does not cause hematological problems. As peptides, hirudin and abciximab need to be injected; therefore their use is restricted to intensive-care settings. Major blood loss entails the danger of life-threatening circulatory failure, i. e. , hypovolemic shock.
In Phase II (synthetic) reactions, conjugation products of either the drug itself or its Phase I metabolites are formed, for instance, with glucuronic or sulfuric acid. The special case of the endogenous transmitter acetylcholine illustrates well the high velocity of ester hydrolysis.

 

The shorter the dosing interval relative to the elimination half-life, the larger will be the residual amount of drug to which the next dose is added and the more extensively will the drug accumulate in the body. However, at a given dosing frequency, the drug does not accumulate infinitely and a steady state (Css) or accumulation equilibrium is eventually reached.
Members of both groups react like ACh with AChE and can be considered false substrates. The esters are hydrolyzed upon formation of a complex with the enzyme. The rate-limiting step in ACh hydrolysis is deacetylation of the enzyme, which takes only milliseconds, thus permitting a high turnover rate and activity of AChE.

 

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