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Because it is well absorbed, ketoconazole is available for oral administration. Adverse effects are rare; however, the possibility of fatal liver damage should be noted. Remarkably, ketoconazole may inhibit steroidogenesis (gonadal and adrenocortical hormones). Fluconazole and itraconazole are newer, orally effective triazole derivatives.
However, the same does not apply to drugs whose elimination processes are already sufficiently activated at therapeutic plasma levels so as to preclude further proportional increases in the rate of elimination when the concentration is increased further. Under these conditions, a smaller proportion of the dose administered is eliminated per unit of time.

 

Nonsteroidal anti-inflammatory drugs, such as indomethacin and phenylbutazone, are also effective. In severe cases, glucocorticoids may be indicated. Effective prophylaxis of gout attacks requires urate blood levels to be lowered to less than 6 mg/100 mL. Diet.
Matching dosage of the oral antidiabetic and caloric intake follows the same principles as apply to insulin. Hypoglycemia is the most important unwanted effect. Enhancement of the hypoglycemic effect can result from drug interactions: displacement of antidiabetic drug from plasma protein-binding sites by sulfonamides or acetylsalicylic acid.

 

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