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As regards the former, this follows from the simple fact that the amount of drug being moved per unit of time depends on the concentration difference (gradient) between two body compartments (Fick’s Law). In drug absorption from the alimentary tract, the intestinal contents and blood would represent the compartments containing an initially high and low concentration, respectively.
Pathophysiology. One of the main pathogenetic factors is an allergic inflammation of the bronchial mucosa. For instance, leukotrienes that are formed during an IgE-mediated immune response exert a chemotactic effect on inflammatory cells. As the inflammation develops, bronchi become hypersensitive to spasmogenic stimuli.

 

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Apart from poor compliance, the same problem may occur when the total daily dose is divided into three individual doses (tid) and the first dose is taken at breakfast, the second at lunch, and the third at supper. Under this condition, the nocturnal dosing interval will be twice the diurnal one.

 

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