Effect of single inhalation of a salbutamol, ipratropium bromide and beclomethasone on mucociliary clearance in patients with chronic obstructive airway disease

Chronic obstructive airway disease (COAD) is associated with hyperplasia and hypertrophy of the mucus producing glands. The beneficial effect of inhaled drug may be due to improved mucociliary function. The present study was done to evaluate the effect of salbutamol, ipratropium bromide and beclomet...

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Veröffentlicht in:Indian journal of chest diseases & allied sciences 2003-10, Vol.45 (4), p.241-246
Hauptverfasser: GULERIA, R, RAJENDRA SINGH, Th, SINHA, Sanjeev, PADHY, K, GUPTA, K, PANDE, J. N
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container_issue 4
container_start_page 241
container_title Indian journal of chest diseases & allied sciences
container_volume 45
creator GULERIA, R
RAJENDRA SINGH, Th
SINHA, Sanjeev
PADHY, K
GUPTA, K
PANDE, J. N
description Chronic obstructive airway disease (COAD) is associated with hyperplasia and hypertrophy of the mucus producing glands. The beneficial effect of inhaled drug may be due to improved mucociliary function. The present study was done to evaluate the effect of salbutamol, ipratropium bromide and beclomethasone dipropionate inhalation on mucociliary clearance in patients with COAD. Ten patients of COAD were taken up, two patients however did not complete the study. Salbutamol, ipratropium bromide, beclomethasone dipropionate and placebo inhalation were given randomly to each patient on four separate days. Radioaerosol inhalation lung cine-scintigraphy after inhalation of the different drugs was followed up to two hours and than after 24 hours. There was no significant visually noticeable increased mucociliary clearance on any of the days. Two patients showed definite steep slope in the time activity curves with salbutamol as compared to other drugs or placebo. All the quantitative indices analysed at the end of one hour and two hours for the three drugs were comparable to placebo. A single dose of inhaled salbutamol, ipratropium bromide and beclomethasone dipropionate has no appreciable effect on mucociliary clearance in patients with COAD.
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Radioaerosol inhalation lung cine-scintigraphy after inhalation of the different drugs was followed up to two hours and than after 24 hours. There was no significant visually noticeable increased mucociliary clearance on any of the days. Two patients showed definite steep slope in the time activity curves with salbutamol as compared to other drugs or placebo. All the quantitative indices analysed at the end of one hour and two hours for the three drugs were comparable to placebo. 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subjects Administration, Inhalation
Albuterol - administration & dosage
Albuterol - pharmacology
Albuterol - therapeutic use
Anti-Inflammatory Agents - administration & dosage
Anti-Inflammatory Agents - pharmacology
Anti-Inflammatory Agents - therapeutic use
Beclomethasone - administration & dosage
Beclomethasone - pharmacology
Beclomethasone - therapeutic use
Biological and medical sciences
Bronchodilator Agents - administration & dosage
Bronchodilator Agents - pharmacology
Bronchodilator Agents - therapeutic use
Chronic obstructive pulmonary disease, asthma
Dose-Response Relationship, Drug
Humans
Ipratropium - administration & dosage
Ipratropium - pharmacology
Ipratropium - therapeutic use
Male
Medical sciences
Middle Aged
Mucociliary Clearance - drug effects
Pneumology
Pulmonary Disease, Chronic Obstructive - diagnostic imaging
Pulmonary Disease, Chronic Obstructive - drug therapy
Radionuclide Imaging
title Effect of single inhalation of a salbutamol, ipratropium bromide and beclomethasone on mucociliary clearance in patients with chronic obstructive airway disease
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