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Initial success can be followed by loss of effect because of the emergence of resistant tumor cells. Mechanisms of resistance are multifactorial: Diminished cellular uptake may result from reduced synthesis of a transport protein that may be needed for membrane penetration (e. g. , methotrexate).
The constancy of the process permits calculation of the plasma volume that would be cleared of drug, if the remaining drug were not to assume a homogeneous distribution in the total volume (a condition not met in reality). This notional plasma volume freed of drug per unit of time is termed the clearance.

 

Dihydralazine and minoxidil (via its sulfate-conjugated metabolite) dilate arterioles and are used in antihypertensive therapy. They are, however, unsuitable for monotherapy because of compensatory circulatory reflexes. The mechanism of action of dihydralazine is unclear. Minoxidil probably activates K+ channels, leading to hyperpolarization of smooth muscle cells.
Disulfiram is a drug discovered in the 1920s[1] and used to support the treatment of chronic alcoholism by producing an acute sensitivity to alcohol. Trade names for disulfiram in different countries are Antabuse and Antabus manufactured by Odyssey Pharmaceuticals.

 

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