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Following its uptake into the body, the drug is distributed in the blood (1) and through it to the various tissues of the body. Distribution may be restricted to the extracellular space (plasma volume plus interstitial space) (2) or may also extend into the intracellular space (3).
The relative proportions of individual PG are said to be altered in dysmenorrhea and excessive menstrual bleeding. Uterine muscle. PG stimulate labor contractions. Bronchial muscle. PGE2 and PGI2 induce bronchodilation; PGF2? causes constriction. Renal blood flow. When renal blood flow is lowered, vasodilating PG are released that act to restore blood flow.

 

Misuse of laxatives. It is a widely held belief that at least one bowel movement per day is essential for health; yet three bowel evacuations per week are quite normal. The desire for frequent bowel emptying probably stems from the time-honored, albeit mistaken, notion that absorption of colon contents is harmful. Thus, purging has long been part of standard therapeutic practice.
Interference with the dopamine system is relatively minor. How interference with these transmitter/ modulator substances translates into an antidepressant effect is still hypothetical. The clinical effect emerges only after prolonged intake, i. e. , 2–3 wk, as evidenced by an elevation of mood and drive. However, the alteration in monoamine metabolism occurs as soon as therapy is started.

 

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