The most likely explanation for your patient's symptoms is cimetidine inhibition of warfarin metabolism.
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What is cimetidine inhibition?</h3>
- A number of cytochrome P450 (CYP) enzymes, including CYP1A2, CYP2C9, CYP2C19, CYP2D6, CYP2E1, and CYP3A4, are strongly inhibited by cimetidine.
- The medication is a mild inhibitor of the CYPs it appears to primarily inhibit: CYP1A2, CYP2D6, and CYP3A4.
- In vivo and in vitro in rats and people, cimetidine inhibits hepatic cytochrome P450 (CYP).
- To block drug metabolism in hepatic microsomes in vitro, cimetidine concentrations must be 100–1000 times greater than those linked to a comparable level of inhibition in vivo.
To learn more about cimetidine, refer:
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They have 1,000 dirabites
Answer:
Please could you explain the question more better.
Answer:
D. Reflex action triggered by nursing
Explanation:
Milk let-down
During the process of feeding the baby , the baby sucks the breast , which triggers the nerves present in the nipples .
The nerves then releases the hormones into the bloodstream of the mother .
The homones released are the prolactine , which helps in the milk - making tissues .
And the other hormone released is the oxytocin , which push out the breast or let down the milk .