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In ATP-depleted cells in the infarct border zone, resting membrane potential declines with a concomitant increase in excitability that may be further exacerbated by activation of ?-adrenoceptors. Together, both processes promote the risk of fatal ventricular arrhythmias.
Whereas benzodiazepines possessing agonist activity indirectly augment chloride permeability, inverse agonists exert an opposite action. These substances give rise to pronounced restlessness, excitement, anxiety, and convulsive seizures. There is, as yet, no therapeutic indication for their use.

 

The metabolic effects of catecholamines are not amenable to therapeutic use. Due to its equally high affinity for all ?- and ?-receptors, epinephrine does not permit selective activation of a particular receptor subtype. Like most catecholamines, it is also unsuitable for oral administration (catechol is a trivial name for o-hydroxyphenol).
Certain drugs may bind strongly to tissue structures, so that plasma concentrations fall significantly even before elimination has begun (4). After being distributed in blood, macromolecular substances remain largely confined to the vascular space, because their permeation through the blood-tissue barrier, or endothelium, is impeded, even where capillaries are fenestrated.

 

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