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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.
Agents from both classes also serve as insecticides. Although they possess high acute toxicity in humans, they are more rapidly degraded than is DDT following their emission into the environment. Tacrine is not an ester and interferes only with the choline-binding site of AChE.

 

Valproate, carbamazepine, and other anticonvulsants pose teratogenic risks. Despite this, treatment should continue during pregnancy, as the potential threat to the fetus by a seizure is greater. However, it is mandatory to administer the lowest dose affording safe and effective prophylaxis. Concurrent high-dose administration of folate may prevent neural tube developmental defects.
A more effective emergency treatment is the i. v. administration of the methemoglobin- forming agent 4-dimethylaminophenol, which rapidly generates trivalent from divalent iron in hemoglobin. Competition between methemoglobin and cytochrome oxidase for CN- ions favors the formation of cyanmethemoglobin.

 

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