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As yet, no drugs are available for blocking aggregation induced by serotonin or PAF. ADP-induced aggregation can be prevented by ticlopidine and clopidogrel; these agents are not classic receptor antagonists. ADP-induced aggregation is inhibited only in vivo but not in vitro in stored blood; moreover, once induced, inhibition is irreversible.
They are eliminated at different speeds: diclofenac (t1/2 = 1–2 h) and piroxicam (t1/2 ~ 50 h); thus, dosing intervals and risk of accumulation will vary. The elimination of salicylate, the rapidly formed metabolite of ASA, is notable for its dose dependence. Salicylate is effectively reabsorbed in the kidney, except at high urinary pH.

 

Site of action: mainly the proximal tubules. Mode of action: Since NaCl and H2O are reabsorbed together in the proximal tubules, Na+ concentration in the tubular fluid does not change despite the extensive reabsorption of Na+ and H2O.
Upon endothelial contact, the platelet is activated with a resultant change in shape and affinity to fibrinogen. Platelets are linked to each other via fibrinogen bridges: they undergo aggregation. Platelet aggregation increases like an avalanche because, once activated, platelets can activate other platelets.

 

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