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Reduction in blood fibrinogen level decreases the coagulability of the blood. Since fibrinogen (MW ~340 000) contributes to the viscosity of blood, an improved “fluidity” of the blood would be expected. Both effects are felt to be of benefit in the treatment of certain disorders of blood flow.
Glucuronidation of the OH-group at position 6, unlike that at position 3, does not affect affinity. The extent to which the 6-glucuronide contributes to the analgesic action remains uncertain at present. At any rate, the activity of this polar metabolite needs to be taken into account in renal insufficiency (lower dosage or longer dosing interval).

 

Smaller dextran molecules can be filtered at the glomerulus and slowly excreted in urine; the larger ones are eventually taken up and degraded by cells of the reticuloendothelial system. Apart from restoring blood volume, dextran solutions are used for hemodilution in the management of blood flow disorders.
These substances are neither acid stable nor penicillinase resistant. Cephalosporins (C). These ?-lactam antibiotics are also fungal products and have bactericidal activity due to inhibition of transpeptidase. Their shared basic structure is 7-aminocephalosporanic acid, as exemplified by cephalexin (gray rectangle).

 

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