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For instance, mechlorethamine (nitrogen mustard) is able to cross-link double-stranded DNA on giving off its chlorine atoms. Correct reading of genetic information is thereby rendered impossible. Other alkylating agents are chlorambucil, melphalan, thio-TEPA, cyclophosphamide, ifosfamide, lomustine, and busulfan.
In emergencies, such as hyperglycemic coma, it can be given intravenously (mostly by infusion because i. v. injections have too brief an action; plasma t1/2 ~ 9 min). With the usual subcutaneous application, the effect is evident within 15 to 20 min, reaches a peak after approx. 3 h, and lasts for approx. 6 h. Lispro insulin has a faster onset and slightly shorter duration of action.

 

Deficient dopaminergic transmission in the striatum can be compensated by ergot derivatives (bromocriptine [p. 114], lisuride, cabergoline, and pergolide) and nonergot compounds (ropinirole, pramipexole). These agonists stimulate dopamine receptors (D2, D3, and D1 subtypes), have lower clinical efficacy than levodopa, and share its main adverse effects. Inhibitors of monoamine oxidase- B (MAOB).
Intermediate insulin preparations (NPH or isophane, lente or zinc insulin) act for 18 to 26 h, slow preparations (protamine zinc insulin, ultralente or extended zinc insulin) for up to 36 h. Combination preparations contain insulin mixtures in solution and in suspension (e. g. , ultralente); the plasma concentration-time curve represents the sum of the two components.

 

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