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Measures for Attenuating or Preventing Drug-Induced Cushing’s Syndrome a) Use of cortisol derivatives with less (e. g. , prednisolone) or negligible mineralocorticoid activity (e. g. , triamcinolone, dexamethasone). Glucocorticoid activity of these congeners is more pronounced.
Conceivably, adaptive processes (such as downregulation of cortical serotonin and ?-adrenoceptors) are ultimately responsible. In healthy subjects, the TCAs do not improve mood (no euphoria). Apart from the antidepressant effect, acute effects occur that are evident also in healthy individuals.

 

The kidney permits elimination because the vascular wall structure in the region of the glomerular capillaries (B) allows unimpeded passage of blood solutes having molecular weights (MW) < 5000. Filtration diminishes progressively as MW increases from 5000 to 70000 and ceases at MW > 70000.
The distribution of blood within the circulation is a function of vascular caliber. Venous tone regulates the volume of blood returned to the heart, hence, stroke volume and cardiac output. The luminal diameter of the arterial vasculature determines peripheral resistance. Cardiac output and peripheral resistance are prime determinants of arterial blood pressure.

 

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