2015
DOI: 10.11138/gchir/2015.36.4.168
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Clinical problems in patient with Ehlers-Danlos syndrome and Multiple Chemical Sensitivity undergoing total thyroidectomy

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“…On the other hand, an impaired absorption capacity of the gastrointestinal tract due to compromised peristalsis reduces the oral bioavailability of drugs [40]. Lastly, the possibility of a pharmacogenetically determined, altered metabolism of analgesics should also be considered in EDS [41,42]. In practice, it has proven useful to start with low doses and, if possible, to initially avoid combining several substances in order to be able to directly assign unexpected reactions to a specific preparation.…”
Section: Obstacles In Pharmacological Pain Treatmentmentioning
confidence: 99%
“…On the other hand, an impaired absorption capacity of the gastrointestinal tract due to compromised peristalsis reduces the oral bioavailability of drugs [40]. Lastly, the possibility of a pharmacogenetically determined, altered metabolism of analgesics should also be considered in EDS [41,42]. In practice, it has proven useful to start with low doses and, if possible, to initially avoid combining several substances in order to be able to directly assign unexpected reactions to a specific preparation.…”
Section: Obstacles In Pharmacological Pain Treatmentmentioning
confidence: 99%