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The bond, and possibly the effect, persist for a long time after intake of a drug has been discontinued, making therapy difficult to control. Examples include alkylating cytostatics (p. 298) or organophosphates (p. 102). Conjugation reactions occurring in biotransformation also represent a covalent linkage (e. g. , to glucuronic acid, p. 38). Noncovalent bond.
When stroke volume is decreased due to insufficient blood volume, plasma substitutes will be helpful in treating blood loss, whereas aldosterone deficiency requires administration of a mineralocorticoid (e. g. , fludrocortisone). The latter is the drug of choice for orthostatic hypotension due to autonomic failure. |
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