Abstract
One of the problems of prophylactic antianginal therapy with organic nitrates is without doubt their high first pass effect after oral administration. First observation of a complete inactivation of several organic nitrates when infused into the portal vein of anaesthesized rats prompted Needleman et al. [22] to claim even a total ineffectivness of nitrates when given orally for therapy. Although today we know with certainty from quite a number of experimental and clinical studies that this extreme postulate does not apply (for details see Abshagen [3]), the bioavailability of widely used nitrates such as trinitroglycerin or isosorbide dinitrate (ISDN) is rather poor and unsatisfactory [4, 23, 24, 31].
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Abshagen, U. (1987). Overview of the Pharmacokinetics of Isosorbide-5-Mononitrate. In: Julian, D.G., Rittinghausen, R., Ãœberbacher, H.J. (eds) Mononitrate II. International Boehringer Mannheim Symposia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72689-7_5
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