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With regular intake, selectivity is enhanced further because the anuclear platelets are unable to resynthesize new enzyme and the inhibitory effects of consecutive doses are added to each other. However, in the endothelial cells, de novo synthesis of the enzyme permits restoration of prostacyclin production.
In nondepressive patients whose complaints are of predominantly psychogenic origin, the anxiolytic-sedative effect may be useful in efforts to bring about a temporary “psychosomatic uncoupling. ” In this connection, clinical use as “co-analgesics” (p. 194) may be noted.


Impulse traffic in the neo- and paleospinothalamic pathways is subject to modulation by descending projections that originate from the reticular formation and terminate at second-order neurons, at their synapses with first-order neurons, or at spinal segmental interneurons (descending antinociceptive system).
Secretory activity in the hepatocytes results in movement of fluid towards the canalicular space (A). The hepatocyte has an abundance of enzymes carrying out metabolic functions. These are localized in part in mitochondria, in part on the membranes of the rough (rER) or smooth (sER) endoplasmic reticulum. Enzymes of the sER play a most important role in drug biotransformation.


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