TY - CHAP M1 - Book, Section TI - Drug Termination of Action A1 - Vashishta, Rishi A1 - Berrigan, Michael J. A2 - Freeman, Brian S. A2 - Berger, Jeffrey S. PY - 2014 T2 - Anesthesiology Core Review: Part One Basic Exam AB - Exposure to xenobiotics immediately initiates a cascade to remove the foreign compound from the body’s circulation. The elimination of many drugs begins with a first pass effect, where orally administered drugs absorbed from the gastrointestinal tract into circulation pass through the liver before reaching targeted sites of action. Although the liver and kidneys are used to clear most compounds, other organs, including the skin and lungs, also assist with clearance. In most cases, the drug action terminates by enzyme-catalyzed conversion to inactive (or less active) compounds and/or elimination via the kidneys or other routes. Drug redistribution from the primary site may also terminate the action, although this occurs infrequently. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/24 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1102566824 ER -