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Mechanism of action. Na+-channel blocking antiarrhythmics resemble most local anesthetics in being cationic amphiphilic molecules (exception: phenytoin). Possible molecular mechanisms of their inhibitory effects are outlined in more detail. Their low structural specificity is reflected by a low selectivity towards different cation channels.
The effect of T3 develops more rapidly and has a shorter duration than does that of T4. Plasma elimination t1/2 for T4 is about 7 d; that for T3, however, is only 1. 5 d. Conversion of T4 to T3 releases iodide; 150 ?g T4 contains 100 ?g of iodine. For therapeutic purposes, T4 is chosen, although T3 is the active form and better absorbed from the gut. |
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