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Hemostatis and Desmopressin: Molecular Mechanisms of Cellular
Responses to DDAVP; S. Hashemi, et al. Pharmacology and
Pharmacodynamics of Desmopressin: Toxicity of Desmopressin and
Related Peptides; L.B. Kinter, et al. Desmopressin in Renal
Disease: Control of Bleeding in Uremic Patients; Y. Sultan.
Desmopressin and Platelets: Desmopressin in the Treatment of
Congenital and Acquired Defects of Platelet Function; M. Cattaneo,
P.M. Mannucci. Desmopressin and Surgery: Desmopressin, von
Willenbrand Factor, and Surgery; M. Weinstein. Desmopressin and
Blood Donation: Effects of Desmopressin on Normal Donors in Plasma
Exchange Donations; R.J. Sassetti, B.C. McLeod. Clinical
Applications of Desmopressin in Hemophilia and von Willenbrand's
Disease: Intravenous and Subcutaneous Desmopressin; M. Kohler, G.
Mariani. SideEffects and Adverse Reactions of Desmopressin: DDAVP
and Tachyphylaxis in Healthy Subjects; V. Vicente, et al.
Recapitulation: General Recapitulation and Search for a Consensus;
P.M. Mannucci, et al. 33 additional articles. Index.
Before the introduction of DDA VP, centrnl diabetes insipidus was
treated by the administration of a more or less purified extract
from bovine or porcine posterior pituitaries, and the prepamtions
were mostly given in the form of nasal snuff. In 1956, the
structure of vasopressin became known and two forms were found,
namely arginine vasopressin (A VP) in humans and most other
species, and lysine vasopressin (L VP) which was found in the pig.
In 1967, Zaornl et al. were the frrst to synthesize
l-desamino-8-D-arginine vasopressin, DDA VP. In comparison with the
compounds which were previously available, DDA VP offered increased
antidiuretic potency and an equally distinct shift of the
antidiuretic to pressor potency rntio. As a result of the
pioneering studies of Cash and Mannucci, numerous publications
appeared in the medical literature of the 80's, widening the fields
of clinical application of the drug. A very important aspect of
this drug is that it can be used as an alternative treatment for
mild factor VllI deficiencies, mild hemophilia A and von
Willebrnnd's disease. These congenital deficiencies are far from
mre and have, up to now, been treated with plasma-derived factor
VIII concentrates; in the countries in which desmopressin has not
been used a consistent proportion of these patients have
seroconverted for HIV 1 and hepatitis.
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