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The use of the home sympathomimetic venttocol for treatment of severe exacerbation of chronic obstructive pulmonary disease

Abstract

The open comparative study of efficacy of two drugs — Gen-Salbitamol (Gen-Pharma, Canada) and Salgim (VNC BAV — Russia) for treatment of severe exacerbation of chronic obstructive pulmonary disease (COPD) was carried out. Two groups of COPD patients which were comparable in demographic and functional parameters received Gen-Salbutamol and Salgim correspondingly in the same doses — 2.5 mg via compressor nebulizer “Pulmo-Neb” (DeVilbiss, USA). The efficacy of the drugs was evaluated by external breathing parameters, peak volume flow, subjective intensity of dyspnea according to the visual analogue scale, gas and electrolyte arterial  blood analysis. The mean FEV1 increase for patients received Gen-Salbutamol was 16.9% in 60 min. and 18.7%for the second group. The maximum PVF meanings were registered in 120— 180 min. After inhalation of both of drugs. There was not statistically significant difference between all the parameters in the equal periods of time in both of groups (p>0.05). The adverse effects (tremor, tachycardia, headache, dryness in oral cavity) were observed in both of groups with the same frequency and did not require to abolish the drug or to be corrected. The clinical efficacy of those two drugs was quite the equal. Thus, they can be used successfully for the treatment of COPD exacerbation.

About the Authors

S. N. Avdeev
НИИ пульмонологии М3 РФ
Russian Federation


A. S. Sokolov
НИИ пульмонологии М3 РФ
Russian Federation


A. G. Chuchalin
НИИ пульмонологии М3 РФ
Russian Federation


References

1. Соколов А.С., Скачилова С.Я., Баварское Е.В., Павлов В.М. Некоторые особенности отечественных лекарственных форм β2-агонистов / / Пульмонология.— 1996.— N° 3.— С.34—41.

2. American Thoracic Society. Standarts for the diagnosis and care of patients with chronic obstructive pulmonary disease / / Amer. J. Respir. Crit. Care Med.— 1995.— Vol.152.— P.S77—S120.

3. Anthonisen N.R. Chronic obstructive pulmonary disease. Recent advances in pharmacotherapy / / Can. Med. Assoc. J.— 1988.— Vol. 138.— P.503—510.

4. Ballester E., Reyes A., Roca J. et al. Ventilation-perfusion mismatching in acute severe asthma: effects of salbutamol and 100% oxygen / / Thorax.— 1989.— Vol.44.— P.815—824.

5. Barbera L.A., Roca J., Ferrer A. et al. Mechanisms of worsening gas exchange during acute exacerbations of chronic obstructive pulmonary disease / / Eur. Respir. J.— 1997.— Vol.10.— P.1285—1291.

6. Berry R.B., Shinto R.A., Wong F.H. et al. Nebulizer vs spacer for bronchodilator delivery in patients hospitalized for acute exacerbations of COPD / / Chest.— 1989.— Vol.96.— P.1241 — 1246.

7. Borg G. Psychophysical bases of perceived exertion / / Med. Sci. Sport Exerc.— 1982.— Vol.14.— P.436—447.

8. ERS-Consensus Statement. Optimal assessment and management of chronic obstructive pulmonary disease (COPD) / / Eur. Respir. J.— 1995.— Vol.8.— P.1398—1420.

9. Friedm an M . Changing practices in COPD. A new pharmacologic treatment algorithm / / Chest.— 1995.— Vol.107.— Suppl.5.— P.194S—197S.

10. Jeffery P.K. Structural and inflammatory changes in COPD: a comparison with asthma / / Thorax.— 1998.— Vol.53.— P.129—136.

11. Karpel J.P., Pesin J., Greenberg D., Gentry E. A comparison of the effects of ipratropium bromide and metaproterenol sulfate in acute exacerbations of COPD / / Chest.— 1990.— Vol.98.— P.835—839.

12. Kesten S., Rebuck 4.S. Management of chronic obstructive pulmonary diseases / / Drugs.— 1989.— Vol.38.— P. 160—174.

13. Kuhl D.A., Agiri O.A., Mauro L.S. Beta-agonists in the treatment of acute exacerbation of chronic obstructive pulmonary disease / / Ann. Pharmacother.— 1994,— Vol.28.— P.1379—1388.

14. Lebowitz M.D. The use of peak expiratory flow rate measurements in respiratory disease / / Pediat. Pulmonol.— 1991.— Vol.l 1.— P. 166—174.

15. Maguire G.P., Newman Т., DeLorenzo L.J. et al. Comparison of a hand-held nebulizer with a metered dose inhaler-spacer combination in acute obstructive pulmonary diseases / / Chest.— 1991.— Vol.100.— P.1300—1305.

16. Mandelberg A., Chen E., Noviski N., Priel I.E . Nebulized wet aerosol treatment in emergency department — is it essential? Comparison with large spacer device for metered-dose inhaler / / Ibid.— 1997.— Vol.l 12.— P.1501 — 1505.

17. Muers M.F. The rational use of nebulizers in clinical practice / / Eur. Respir. Rev.— 1997.— Vol.7, N° 44.— P. 189—197.

18. Nisar М., Earis J.E., Pearson M.G., Calverley P.M.A. Acute bronchodilator trial in chronic obstructive pulmonary disease / / Amer. Rev. respir. Dis.— 1992.— Vol. 146.— P.555—559.

19. O’Driscoll B.R., Taylor R.J., Horsley M.G. et al. Nebulizer salbutamol with and without ipratropium bromide in acute airflow obstruction / / Lancet.— 1989.— Vol.l.— P .1418—1420.

20. O’Driscoll B.R. Nebulizers for chronic obstructive pulmonary diseases / / Thorax.— 1997.— Vol.52.— Suppl.2.— P.S49—S52.

21. Pedersen S. Inhalers and nebulizers: which to choose and why / / Respir. Med.— 1996.— Vol.90.— P.69—77.

22. Petty T.L. Acute respiratory failure in chronic obstructive pulmonary disease / / Textbook of Critical Care / Eds W.C Shoemaker et al.— Philadelphia: W.B.Saunders Company, 1989.— P.558—565.

23. Quanjer Ph.H., Tammeling G.J., Cotes J.E. et al. Lung volumes and forced ventilatory flows / / Eur. Respir. J.— 1993.— Vol.6.— Suppl. 16.— P.5—40.

24. Rees P.J. Bronchodilators in the therapy of chronic obstructive pulmonary diseases / / Eur. Respir. Mon.— 1998.— Vol.3, № 7.— P.135—149.

25. Scorodin M .S. Pharmacotherapy for asthma and chronic obstructive pulmonary disease / / Arch, intern. Med.— 1993.— Vol. 153.— P.814—828.

26. Siejkin A.D. Optimal pharmacologic treatment of the critically ill patients with obstructive airways disease / / Amer. J. Med.— 1996.— Vol.100.— Suppl.1A.— P.54S—61S.

27. Turner J.R., Corkery K.J., Eckman D.E. et al. Equivalence of continuous flow nebulizer and metered dose inhaler with reservoir bag for treatment of acute airflow obstruction / / Chest.— 1988.— Vol.93.— P.476—481.

28. Tveskov C., Djurhuus M.S., Klitgaard N.A.H., Egstrup K. Potassium and magnesium distribution, ECG changes, and ventricular ectopic beats during β2-adrenergic stimulation with terbutaline in healthy subjects / / Ibid.— 1994.— Vol. 106.— P. 1654—1659.

29. Ziment I. The β2-agonist controversy / / Ibid.— 1995.— Vol. 107.— Suppl.— P.198S—205S.


Review

For citations:


Avdeev S.N., Sokolov A.S., Chuchalin A.G. The use of the home sympathomimetic venttocol for treatment of severe exacerbation of chronic obstructive pulmonary disease. PULMONOLOGIYA. 1999;(2):24-30. (In Russ.)

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ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)