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Pharmacology General 49ce7bb4

The nitrates which can undergo the first-pass metabolism:

A
Nitroglycerine
B
Pentaerythritol tetranitrate
C
Isosorbide dinitrate
D
All of the above
High-Yield Explanation
Organic nitrates are lipid-soluble: well absorbed from buccal mucosa, intestines and skin. Ingested orally, all except isosorbide mononitrate undergo extensive and variable first pass metabolism in liver.They are rapidly denitrated by a glutathione reductase and a mitochondrial aldehyde dehydrogcnase.   Reference: Essentials of Medical Pharmacology Eighth Edition KD TRIPATHI page no 587

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