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In order to restore a euthyroid state, two therapeutic principles can be applied in Graves’ disease: a) monotherapy with a thioamide with gradual dose reduction as the disease abates; b) administration of high doses of a thioamide with concurrent administration of thyroxine to offset diminished hormone synthesis.
Drugs that are subject to enterohepatic cycling are, therefore, excreted slowly. Pertinent examples include digitoxin and acidic nonsteroidal anti-inflammatory agents (p. 200). Conjugations (B) The most important of phase II conjugation reactions is glucuronidation.

 

Minocycline is a broad-spectrum tetracycline antibiotic, and has a broader spectrum than the other members of the group. It is a bacteriostatic antibiotic, classified as a long-acting type. As a result of its long half-life it generally has serum levels 2–4 times that of the simple water-soluble tetracyclines (150 mg giving 16 times the activity levels compared with 250 mg of tetracycline at 24–48 hours).
Allopurinol is a purine analog; it is a structural isomer of hypoxanthine (a naturally occurring purine in the body) and is an inhibitor of the enzyme xanthine oxidase.[1] Xanthine oxidase is responsible for the successive oxidation of hypoxanthine and xanthine, resulting in the production of uric acid, the product of human purine metabolism.

 

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