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The metabolic state corresponds to that associated with physical exercise – “silent stress”. Baroreceptors. Partial depolarization of baroreceptors enables activation of the reflex to occur at a relatively smaller rise in blood pressure, leading to decreased sympathetic vasoconstrictor activity. Neurohypophysis. Release of vasopressin (antidiuretic hormone) results in lowered urinary output.
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A hydrophilic drug, on reaching the bloodstream, probably after a partial, slow absorption (not illustrated), passes through the liver unchanged, because it either cannot, or will only slowly, permeate the lipid barrier of the hepatocyte membrane and thus will fail to gain access to hepatic biotransforming enzymes.
Overproduction of lactic acid (lactate acidosis, lethality 50%) is a rare, potentially fatal reaction. Metformin is used in combination with sulfonylureas or by itself. It is contraindicated in renal insufficiency and should therefore be avoided in elderly patients.

 

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