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However, in attempting to lower the dose to the minimal effective level, it is necessary to take into account that administration of exogenous glucocorticoids will suppress production of endogenous cortisol due to activation of an inhibitory feedback mechanism.
When these events occur in a larger coronary artery, the consequence is a myocardial infarction; involvement of a cerebral artery leads to stroke. The von Willebrandt’s factor plays a key role in thrombogenesis. Lack of this factor causes thrombasthenia, a pathologically decreased platelet aggregation.

 

It contributes to the induction of cytokine production, including that of IL-2. The breakthroughs of modern transplantation medicine are largely attributable to the introduction of cyclosporin A. Prominent among its adverse effects are renal damage, hypertension, and hyperkalemia.
A prerequisite for rapid renal elimination is a hepatic conjugation reaction (p. 38), mainly with glycine (> salicyluric acid) and glucuronic acid. At high dosage, the conjugation may become rate limiting. Elimination now increasingly depends on unchanged salicylate, which is excreted only slowly. Group-specific adverse effects can be attributed to inhibition of cyclooxygenase (B).

 

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