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With continued exposure, induction develops in a few days, resulting in an increase in reaction velocity, maximally 2–3fold, that disappears after removal of the inducing agent. Many drugs undergo chemical modification in the body (biotransformation).
Protein synthesis means translation into a peptide chain of a genetic message first copied (transcribed) into m- RNA (p. 274). Amino acid (AA) assembly occurs at the ribosome. Delivery of amino acids to m-RNA involves different transfer RNA molecules (t-RNA), each of which binds a specific AA.

 

Gabapentin may augment the availability of glutamate as a precursor in GABA synthesis (B) and can also act as a K+-channel opener. Carbamazepine, valproate, and phenytoin enhance inactivation of voltage- gated sodium and calcium channels and limit the spread of electrical excitation by inhibiting sustained high-frequency firing of neurons.
Hence, the duration of the effect depends on the rate of enzyme resynthesis. Furthermore, salicylate may contribute to the effect. ASA irritates the gastric mucosa (direct acid effect and inhibition of cytoprotective PG synthesis, p. 200) and can precipitate bronchoconstriction (“aspirin asthma,” pseudoallergy) due to inhibition of PGE2 synthesis and overproduction of leukotrienes.

 

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