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If the pKa of an amine is higher (pKa = 7. 5) or lower (pKa = 6. 5), a correspondingly smaller or larger proportion of the amine will be present in the uncharged, reabsorbable form. Lowering or raising urinary pH by half a pH unit would result in analogous changes for an amine having a pKa of 7. 0.
The latter is partly reduced to an alcohol and partly oxidized to a carboxylic acid. Reduction reactions may occur at oxygen or nitrogen atoms. Keto-oxygens are converted into a hydroxyl group, as in the reduction of the prodrugs cortisone and prednisone to the active glucocorticoids cortisol and prednisolone, respectively. |
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