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These drugs are eliminated within minutes after being adminstered, irrespective of the duration of anesthesia. The mechanism of action of inhalational anesthetics is unknown. The diversity of chemical structures (inert gas xenon; hydrocarbons; halogenated hydrocarbons) possessing anesthetic activity appears to rule out involvement of specific receptors.
Because of its rapid presystemic elimination, naloxone is only suitable for parenteral use. Naltrexone is metabolically more stable and is given orally. Naloxone is effective as antidote in the treatment of opioid-induced respiratory paralysis. Since it is more rapidly eliminated than most opioids, repeated doses may be needed. |
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