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    Aim: To present findings on the kinetics and dynamics of cardiovascular drugs during alcohol withdrawal (AW), compared with that observed in remission. Results: A single-dose study in alcoholic patients with propranolol, a β-adrenergic antagonist, showed that the negative inotropic effect was decreased and the bradycardiac effect increased during AW as compared with during early remission. The hypotensive effect of isosorbid dinitrate, commonly used as a vasodilatator, was weaker at the onset of AW, being associated with the decreased bioavailability of the drug. Verapamil, which is a channels because no differences in verapamil concentrations between AW and early remission were observed. Conclusion: Taken together, AW modifies the dynamics and kinetics of cardiac drugs, which may have an impact on the treatment of alcoholic patients with cardiac diseases.) Alcohol-dependent subjects undergo different phases of their disorder including acute intoxication, withdrawal and remission, all of which may affect drug kinetics and dynamics. Acute and long-term alcohol intake is known to modify the pharmacokinetics of many drugs. When administered simultaneously, alcohol can potentiate effects of several drugs, whereas long-term alcohol abuse may have an inhibitory effect due to pharmacokinetic interactions (for review, see Fraser, 1997; Lieber and Abittan, 1999). In this overview, recent findings will be discussed showing that alcohol withdrawal (AW) also modifies drug kinetics and dynamics producing drug responses different from those observed in early remission. Regimens for alcohol withdrawal and detoxification MDedge. clonidine allergy Effects of beta-blocking drugs in alcohol withdrawal a RESPONSES TO CARDIOVASCULAR DRUGS DURING ALCOHOL.
     
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