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Ouabain (gstrophanthin) does not penetrate into cells, be they intestinal epithelium, renal tubular, or hepatic cells. At best, it is suitable for acute intravenous induction of glycoside therapy. The absorption of digoxin depends on the kind of galenical preparation used and on absorptive conditions in the intestine.
It inhibits inosine monophosphate dehydrogenase, which catalyzes purine synthesis in lymphocytes. It is used in acute tissue rejection responses. IV. Anti-T-cell immune serum is obtained from animals immunized with human T-lymphocytes. The antibodies bind to and damage T-cells and can thus be used to attenuate tissue rejection.

 

The emetic effect disappears with repeated use because a direct inhibition of the emetic center then predominates, which overrides the stimulation of area postrema chemoreceptors. Opioids elicit pupillary narrowing (miosis) by stimulating the parasympathetic portion (Edinger-Westphal nucleus) of the oculomotor nucleus.
Signs of intoxication are: (1) cardiac arrhythmias, which under certain circumstances are life-threatening, e.g., sinus bradycardia, AV-block, ventricular extrasystoles, ventricular fibrillation (ECG);

 

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