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The local anesthetic, procaine, is a case in point; it exerts its action at the site of application while being largely devoid of undesirable effects at other locations because it is inactivated by hydrolysis during absorption from its site of application. Ester hydrolysis does not invariably lead to inactive metabolites, as exemplified by acetylsalicylic acid.
Valproate, carbamazepine, and other anticonvulsants pose teratogenic risks. Despite this, treatment should continue during pregnancy, as the potential threat to the fetus by a seizure is greater. However, it is mandatory to administer the lowest dose affording safe and effective prophylaxis. Concurrent high-dose administration of folate may prevent neural tube developmental defects.

 

Only in the case of status epilepticus (a succession of several tonic-clonic seizures) is acute anticonvulsant therapy indicated — usually with benzodiazepines given i. v. or, if needed, rectally.
A delayed efflux of K+ returns the membrane potential (Phase 3, repolarization) to its resting value (Phase 4). The velocity of depolarization determines the speed at which the AP propagates through the myocardial syncytium. Transmembrane ionic currents involve proteinaceous membrane pores: Na+, Ca2+, and K+ channels.

 

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