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See Figure Phase reactions to a more water-soluble metabolite, which is more likely to be excreted by the kidney or go on to Phase reaction, which involves the addition of oxygen to the drug molecule. In the liver, oxidation reactions are catalysed by a group of enzymes known as the microsomal mixed function oxidase system or the cytochrome P Oxidative reactions take place in many other tissues 50mg hcl tramadol well. of hydrogen to the drug molecule. Enzymes capable of catalysing reduction reactions are found in many body tissues, including the liver and in the intestinal bacteria. addition of water. Enzymes capable of catalysing hydrolysis are found in many body tissues but particularly in the small intestine.

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Nonetheless, medicines that might be used to good effect using supplementary prescribing include: prophylactic anti-emetics for patients receiving high- and moderate-risk emetogenic radiotherapy; codeine phosphate for pain or diarrhoea; Entonox and micro enemas for brachytherapy patients.

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