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Because the conditions under which bone fragility is decreased remain unclear, fluoride therapy is not in routine use. Calcitonin inhibits osteoclast activity, hence bone resorption. As a peptide it needs to be given by injection (or, alternatively, as a nasal spray). Salmonid is more potent than human calcitonin because of its slower elimination.
Sodium nitroprusside contains a nitroso (-NO) group, but is not an ester. It dilates venous and arterial beds equally. It is administered by infusion to achieve controlled hypotension under continuous close monitoring. Cyanide ions liberated from nitroprusside can be inactivated with sodium thiosulfate (Na2S2O3)).

 

Personality changes and paradoxical excitement are potential side effects. Clomethiazole can also be effective for controlling status epilepticus, but is used mainly to treat agitated states, especially alcoholic delirium tremens and associated seizures.
Organic nitrates would thus utilize a pre-existing pathway, hence their high efficacy. The generation of NO within the smooth muscle cell depends on a supply of free sulfhydryl (-SH) groups; “nitrate-tolerance” has been attributed to a cellular exhaustion of SH-donors but this may be not the only reason. Nitroglycerin (NTG) is distinguished by high membrane penetrability and very low stability.

 

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