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Estrogens with partial agonist activity (raloxifene, tamoxifene) are being investigated as agents used to replace estrogen in postmenopausal osteoporosis treatment, to lower plasma lipids, and as estrogen antagonists in the prevention of breast cancer. Raloxifen— in contrast to tamoxifen—is an antagonist at uterine estrogen receptors. Inhibitors of ovulation.
Evidently, psychic effects (“kick,” “buzz,” “rush”) are especially intense with this route of administration. The user may also resort to other more unusual routes: opium can be smoked, and heroin can be taken as snuff (B). Metabolism (C). Like other opioids bearing a hydroxyl group, morphine is conjugated to glucuronic acid and eliminated renally.

 

In lieu of epinephrine, the vasopressin analogue felypressin can be used as an adjunctive vasoconstrictor (less pronounced reactive hyperemia, no arrhythmogenic action, but danger of coronary constriction). Vasoconstrictors must not be applied in local anesthesia involving the appendages (e. g. , fingers, toes).
Treatment. Various drugs are available that have different mechanisms of action and effects on LDL (cholesterol) and VLDL (triglycerides) (A). Their use is indicated in the therapy of primary hyperlipoproteinemias. In secondary hyperlipoproteinemias, the immediate goal should be to lower lipoprotein levels by dietary restriction, treatment of the primary disease, or both.

 

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