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A similar approach is intended with ACE-inhibitors, which act by preventing the synthesis of angiotensin II ( vasoconstriction) and reducing the secretion of aldosterone ( fluid retention). In severe cases of myocardial insufficiency, cardiac glycosides may be added to augment cardiac force and to relieve the symptoms of insufficiency.
Local anesthetics are applied via different routes, including infiltration of the tissue (infiltration anesthesia) or injection next to the nerve branch carrying fibers from the region to be anesthetized (conduction anesthesia of the nerve, spinal anesthesia of segmental dorsal roots), or by application to the surface of the skin or mucosa (surface anesthesia).

 

The cause of increased insulin requirement is a loss of insulin receptors or an impairment of the signal cascade activated by the insulin receptor. Accordingly, insulin sensitivity of cells declines. This can be illustrated by comparing concentration-binding curves in cells from normal and obese individuals (A).
Inhibition of the enzymes involved in dopamine degradation, catecholamine-oxygen-methyl-transferase (COMT) and monoamineoxidase (MAO), is another means to increase actual available dopamine concentration (COMT-inhibitors), MAOB-inhibitors. Dopamine antagonist activity is the hallmark of classical neuroleptics.

 

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