Illustrate the mechanism of action of sulfonic urea used as oral hypoglycemic agents. Enumerate the role of insulin on glucose utilization. MOA of Sulfonyl Acid Derivatives Sulfonylureas ( Tolbutamide, Chlorpropamide ), a class of sulfonyl acid derivatives, have a significant action in lowering blood glucose levels in normal subjects and in type 2 diabetics . The mechanism of action of sulfonylureas involves provoking a brisk release of insulin from the pancreas. MOA: (1) They act on the so-called ‘sulfonylurea receptors’ (SUR1) on the pancreatic β cell membrane. (2) This action causes depolarization by reducing the conductance of ATP-sensitive K+ channels . (Raised ATP production followed by raised Glucose also reduces the conductance of ATP sensitive K+ Channels) (3) This process enhances Ca2+ influx (Followed by the stimulation of Voltage sensitive Ca++ Channel) and degranulation (followed by calcium dependent ...
In spite of its effective analgesic activity aspirin is used in prevention of formation of atherosclerotic disorder – explain why?? Aspirin , also known as acetylsalicylic acid ( ASA ), is a nonsteroidal anti-inflammatory drug (NSAID) used to reduce pain , fever , and/or inflammation , and as an antithrombotic . Aspirin is widely known for its analgesic (pain-relieving) properties, but it also plays a crucial role in the prevention of atherosclerotic disorders. Aspirin irreversibly inactivates the Cyclooxygenase Enzyme ( Prostaglandin Endoperoxide Synthase ) in the Arachidonic Acid Metabolism Pathway , and supress the production of Prostaglandin (PGs) and Thromboxane (TXs) and Prostacyclin ( Prostanoids ). Atherosclerosis, also known as arteriosclerosis, is a condition where the arteries become thick and stiff due to the buildup of plaque. The plaque can also burst, leading to a blood clot. ASPIRIN EFFECT ON PLAT...
Which fibrinolytics principally used in surgical procedures? tenecteplase or reteplase Enumerate the most prevalent side effects of fibrinolytic Fibrinolytic agents are a class of medications used to dissolve blood clots. They work by breaking down fibrin, the protein that forms blood clots. Fibrinolytics are most commonly used to treat heart attacks and strokes, but they can also be used to treat other conditions such as pulmonary embolism and deep vein thrombosis. The major toxicity of all thrombolytic agents is hemorrhage, which results from two factors: (1) the lysis of fibrin in “physiological thrombi” at sites of vascular injury; and (2) a systemic lytic state that results from systemic formation of plasmin, which produces fibrinogenolysis and destruction of other coagulation factors (especially factors V and VIII) Other Side effects: Headache Cerebral Haemorrhage Nausea Fever Rash etc
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