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However, at this point an amount of released ACh smaller than that normally required will be sufficient to elicit a propagated action potential. At a low concentration, nicotine acts as a ganglionic stimulant; it alters the filter function of the ganglionic synapse, allowing action potential frequency in the second neuron to approach that of the first (B).
In addition, cutaneous absorption is impeded by the keratin layer, the stratum corneum, which is very unevenly developed in various areas of the skin.

 

Therapeutic uses. Because of their narrow therapeutic margin, these antiarrhythmics are only employed when rhythm disturbances are of such severity as to impair the pumping action of the heart, or when there is a threat of other complications. The choice of drug is empirical. If the desired effect is not achieved, another drug is tried. Combinations of antiarrhythmics are not customary.
Binding to plasma proteins is instantaneous and reversible, i.e., any change in the concentration of unbound drug is immediately followed by a corresponding change in the concentration of bound drug. Protein binding is of great importance, because it is the concentration of free drug that determines the intensity of the effect.

 

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