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Inhibition of the renal actions of vasopressin leads to polyuria and thirst. Thyroid function is impaired, with compensatory development of (euthyroid) goiter. The mechanism of action of Li ions remains to be fully elucidated. Chemically, lithium is the lightest of the alkali metals, which include such biologically important elements as sodium and potassium.
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.

 

Hallucinations may also occur as adverse effects after intake of other substances, e. g. , scopolamine and other centrally active parasympatholytics. The popular psychostimulant, methylenedioxy- methamphetamine (MDMA, “ecstasy”) acutely increases neuronal dopamine and norepinephrine release and causes a delayed and selective degeneration of forebrain 5-HT nerve terminals.
The most frequent problem, gastric mucosal injury with risk of peptic ulceration, results from reduced synthesis of protective prostaglandins (PG), apart from a direct irritant effect. Gastropathy may be prevented by co-administration of the PG derivative, misoprostol.

 

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