Document Detail


Emitted dose and lung deposition of inhaled terbutaline from Turbuhaler at different conditions.
MedLine Citation:
PMID:  20004090     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Turbuhaler has a very high resistance hence patient inhalation flow when using it would be low. The total emitted dose (TED) of 500microg terbutaline sulphate from a Bricanyl Turbuhaler was determined using a range of inhalation flows (10-60L min(-1)) with inhalation volume of 2 and 4L using a DPI sampling apparatus after one and two inhalations. The relative lung and systemic bioavailability of terbutaline from Bricanyl Turbuhaler when used by healthy subjects and COPD patients were determined after one and two inhalations at slow and fast inhalation flows using a novel urinary terbutaline pharmacokinetic method. The TED resulted from the one and two inhalations increased significantly (p<0.05) with the increase of the inhalation flow at both 2 and 4L inhalation volumes. The relative lung and systemic bioavailability after one inhalation at fast inhalation flow were significantly higher (p<0.01) than at slow inhalation flow in both healthy subjects and patients. Also the healthy subjects results were significantly higher (p<0.05) than the COPD patients after one inhalation. However after two inhalations there was no significant difference between slow and fast inhalation flow or healthy subjects and COPD patients. Hence it is essential to inhale twice and as deep and hard as possible from each dose of Turbuhaler for patients with low inspiratory flow and limited inhalation volume as they may not receive much benefit from one inhalation.
Authors:
Mohamed E Abdelrahim
Publication Detail:
Type:  Journal Article     Date:  2009-12-08
Journal Detail:
Title:  Respiratory medicine     Volume:  104     ISSN:  1532-3064     ISO Abbreviation:  Respir Med     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-03     Completed Date:  2010-10-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908438     Medline TA:  Respir Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  682-9     Citation Subset:  IM    
Affiliation:
Department of Clinical Pharmacy, Faculty of Pharmacy, University of Beni Suef, Beni Suef, Egypt. mohamedemam9@yahoo.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Administration, Inhalation
Adult
Analysis of Variance
Biological Availability
Bronchodilator Agents / administration & dosage,  pharmacokinetics*,  urine
Cross-Over Studies
Female
Humans
Inhalation
Lung / metabolism*
Male
Middle Aged
Nebulizers and Vaporizers
Pulmonary Disease, Chronic Obstructive / drug therapy*,  metabolism
Solubility
Terbutaline / administration & dosage,  pharmacokinetics*,  urine
Treatment Outcome
Chemical
Reg. No./Substance:
0/Bronchodilator Agents; 23031-25-6/Terbutaline

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Plasma ammonia response to incremental cycling and walking tests in COPD.
Next Document:  A portable microfluidic flow cytometer based on simultaneous detection of impedance and fluorescence...