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TerbinafineOctober 1996; 6 4 ; Cefaclor-associated serum sickness-like reaction Newsletter Assessment - Questionnaire July 1996; 6 3 ; Cisapride: Arrhythmia Awareness Midazolam: A Wake-Up Call Clarithromycin: Tooth Discolouration and Smell Alteration April 1996; 6 2 ; Metformin: Lactic Acidosis Nefazodone: ADR Profile 1995 Statistics ADR or Product Fault? January 1996; 6 1 ; Cotrimoxazole Nicotine Patches and exercise Terbinafije - hepatobiliary reactions SSRIs - hyponatremia. Metabolism prior to excretion, terbinafine is extensively metabolized. 1. DIABETES MELLlTLiS IS ASSOCIATED WITH I1YPERREACTIVlTY OF SMOOTH NIUSCLE CF: I, f, S DUET0 ALTERED SUBCELLULAR CA" DISTRIBUTION IN THE HUMAN UTERINE ARTERY `rt: olfgang F. Graier. Departments of Medical Biochemistry and Medical Molecular Biology, Karl-Franzens University of Gra7, Harrachgasse 211111, A-8010 Crar, Austria illterations of vascular smooth muscle function have been implicated in the development of vascular complications and circulatory dysftlnction in diabetes mellitus. However, little is known on changes in smooth muscle contractility and the intracellular mechanisms contributing to SLKII altered rcsponsivcncss reactivity to iin blood vessels from diabetic patients. Thus, smooth muscle increased K-, norepincphrinc NE ; and phenylcphrine PE ; and ncetylcholineinduced endothelium-dependent relaxation were asses& in utcrinc arteries from control individuals CI ; and diabetic patients DM ; . Smooth muscle sensitivity to K 1 and PE was enhanced by I .4-, 2.3- and 9.7-fold and relaxation wus reduced by 64% in vessels from DM. In addition. in freshi ; isolated smooth muscle cells from IIM an increased perinuclcar Ca?' signaling to K' 30 mmolil: + 73%; 30 mmolil: + 6X% ; and NE 300 nmolil + X6%; IO ymol l + 67X ; was found, which promotes smooth muscle contraction. In contrast, subplasmalernmal Ca? response, which favors smooth muscle relaxation ~LIC to activation of Ca' -activated K channels, was reduced by 38% in IIM, indicating a significant change in the subcellular Ca' distribution in vascular smooth muscle cells during diabetes. In contrast to the altered Ca'- signaling found in freshly isolated cells from DM, in cultured smooth n~~sclecells isolated from CI and DM no further diffcrcnce in the Ca? signaling to stimulation with either K or NE was found. Hence, production ofsuperoxidc anions `iO?- ; in intact and cndothelium-ticnuded arteries from DM was increased by 150 and 136'%, respectively. Incubation of freshly isolated smooth IIIIISC~E cells from Cl with the i'0'~ generating system xanthinc oxidase hypoxanthine mimic&d the ef~feet of'T ; M on subcellular C'a'. distribution in a SOI -sensitive manner. From these findings, we conclude that during diabctcs mellitus, smooth muscle reactivity is increased due to changes in subcellular Ca: . distribution upon cell activation. Increased TOO' production seems to play function. a crucial role in the alteration of smooth muscle 2. THE PROBLEMS IN THE USE OF HERBAL, AND NATURAL THE SUSTANCES, WITH SPECIFIC EXAMPI, E CONCERNING CARDIOVASCULAR SYSTEM Peter Pang * `. Christina Benishin * , Richard Lewnnozuk * , and Jacqcline Shan * . `The University of Hong Kong" and The University ofAlbe&, Canada * Cardiovascular medicine is a fast moving field. Iluring the last few decades, advances in our understanding ofthe physiology. pathology and pharmacology of the cardiac and vascular systems have been both stunning and overwhelming. In the meanwhile, the use of drrrgs in the treatment of cardiovascular &cases has experienced exponential growth. The awareness of side effects of synthetic drugs has led to the exploration of the use of natural or traditional mcdicinc. What is nccdcd is to bring together modern medicine and natural or traditional mcdicinc. This presentation attempts to provide an example of how natural medicine can play a role in a new development in cardiovascular science. PI IF, parathyroid hypercytocalcic factor, is B newly discovered hormone closely related to low-renin salt-sensitive Iiypatmsion. Our recent studies discovered a natural substance preparation which acts as a natural PIIF antagonist. However, the use of natural medicine is currently cxpcriencing a creditability problem This presentation will also describe solutions to the problematic issues in natural medicine. Slight deviations in the complete blood cell count and serum chemistry values were not attributed to terbinafine. Terbinafine hydrochloride cream antifungal
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