Anti-Asthmatic Drugs Mechanism of Action
According to the Mayoclinic:
Asthma is a condition in which your
airways narrow and swell and produce extra mucus. This can make breathing
difficult and trigger coughing, wheezing and shortness of breath.
Classification of anti-asthmatic drugs:
1. Beta2-adrenoceptor agonists
Short acting & Long acting
2. Corticosteroids
3. Antimuscarinic
bronchodilators
4. Theophylline
Beta2-adrenoceptor agonists:
A. Short
acting:
Beta2-adrenoceptor agonists relieve
asthma by relaxing the bronchial smooth muscle to produce dilatation of the
bronchi. They are available in form of pills, liquids, inhalants and sprays.
Example: Salbutamol and Terbutaline.
B. Long
acting:
Long-acting beta2-adrenoceptor agonists
exert a prolonged effect on reversing airway obstruction. These medicines
should be used for the shortest duration of time required to achieve control of
asthma symptoms and discontinue, if possible, once asthma control is achieved.
Note: Only be used long-term in
patients whose asthma cannot be adequately controlled on asthma controller medications.
They are used in combination with corticosteroids to prevent inflammation of
the bronchi in chronic asthma patients.
Examples: Formoterol and Salmeterol.
Corticosteroids:
Corticosteroids exert anti-inflammatory
effect and are used to reduce bronchial hyperresponsiveness.
Examples: Prednisolone, Beclomethasone.
Antimuscarinic
bronchodilators:
Ipratropium block acetylcholine receptor
Degradation of intracellular cGMP
concentration
Decreased contractility of smooth muscle in the lung
Inhibition
bronchoconstriction and mucus secretion.
Theophylline
Theophylline has two distict
actions in the airways of patients with reversible obstruction; smooth muscle relaxation (bronchodilation) and suppression of the response of th e airways to stimuli (non-bronchodilator
prophylactic effects).
Note: Bold indicate easily summarized the sentence.
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Data accumulated & compiled by:
Data accumulated & compiled by:
Dewan Pavel (M. PHARM)
Mundipharma (Bangladesh) Pvt. Ltd.
Officer, Quality Assurance.
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