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ASTHMA & EMPHYSEMA
A Smoking Disorder 🚬
Presented By: Abhishek Mahajan
M. Pharm pharmacognosy 1st semester
Asthma is a chronic inflammatory disorder of the airways. The chronic inflammation causes an increase in the
airway hyper-responsiveness that leads to recurrent episodes of wheezing, breathlessness, chest tightness and
cough, particularly at night or early in morning.
Asthma affects an estimated 25,00,000 Indians every year and Among adults women have a 30% greater prevalence of
asthma than men.
Types of Asthma
1. ALLERGIC ASTHMA(extrinsic asthma): When the symptoms are induced by a
hyperimmune response to the inhalation of specific allergen.
Type I (Immediate) hypersensitivity reaction is the basis of the IgE.
2. NON-ALLERGGIC ASTHMA (Intrinsic asthma) : This type of asthma is triggered
by the presence of irritants in the air that are not related to allergies.
This irritants stimulate parasympathetic nerve fibers in the airways causing
broncho-constriction and inflammation.
CLINICAL MANIFESTATIONS: Wheezing, Dyspnoea, Cough, Chest tightness, Expiration may be
prolonged, Secretions may be white, thick, tenacious, gelatinous mucus.
DIAGNOSTIC STUDIES: • History. • Physical examination. • PFT. • Peak expiratory flow rate. • Chest X-ray. • ABG or
oximetry. • Allergy skin testing. • Blood level of eosinophils and IgE.
DRUGTHERAPY: Anti-inflammatory drugs,Corticosteroids, Bronchodilators, Long acting β2 – adrenergic agonists, Theophylline
Quick relief medicines to treat symptoms and exacerbations: Bronchodilators, Short acting inhaled β2 – adrenergic agonists,
Anticholinergics, Corticosteroids.
The study was published in the Journal of Allergy and Clinical Immunology. Vitamin D was a molecule that may influence
asthma by impacting antioxidant or immune-related pathways. Having low blood vitamin D levels was found to be
associated with harmful respiratory effects of indoor air pollution from sources such as cigarette smoke, cooking, burning of
candles, and incense, among children with asthma. Interestingly, in homes that had the highest indoor air pollution, those
who happened to have higher blood vitamin D levels were associated with fewer asthma symptoms
Prevention: Eating fish oil, rich in omega 3 fatty acids, could help reduce the risk by nearly 70 per cent. Fish oil is one of the
healthiest foods you can add to your diet. It is enriched with polyunsaturated fatty acids (PUFAs) or n-3 and contains omega
fatty acids 3 and 6
Emphysema: A condition in our body in which the air sacs of the lungs, called alveolus are damaged and
enlarge, causing breathlessness.
Affects 2 out of 1,000 people 1.8 million Americans in the United States have emphysema. Emphysema is
ranked 15th among chronic conditions or diseases which limit people’s daily activity. More common in
men vs. women
Causes: About 90 percent of emphysema causes are heavy smokers
Airsupra (albuterol and budesonide) Inhalation Aerosol
Company: AstraZeneca
Date of Approval: January 10, 2023
Treatment for: Asthma
Airsupra (albuterol and budesonide) is a beta2-adrenergic agonist and corticosteroid fixed-dose
combination rescue inhaler for as-needed use to reduce the risk of asthma exacerbations.
•FDA Approves Airsupra (albuterol/budesonide) Metered-Dose Inhaler to Reduce the Risk of
Asthma Exacerbations - January 11, 2023
Biologic drugs work with your immune system to treat asthma. They block the activity of immune system
chemicals that make your airways swell up.
Six monoclonal antibodies are currently approved to treat severe asthma:
•Reslizumab (Cinqair)
•Mepolizumab (nucala)
•Omalizumab (xolair)
•Benralizumab (fasenra)
•Dupilumab (dupixent)
•Tezepelumab (tezspire)
Omalizumab treats severe asthma that’s triggered by allergies. Mepolizumab, reslizumab, and benralizumab treat
severe asthma caused by a type of white blood cell called an eosinophil (eosinophilic asthma). You take these drugs
by injection or an IV inserted into a vein.
Dupliumb is an add-on maintenance treatment currently approved for patients between the ages of 6 to 11. This
treatment is given through injection.
Tezepelumab is used as an add-on maintenance treatment for patients 12 and older. This treatment is also given
through injection.
INFLUENZA
Submitted To:-
Dr.Anjana Bali
Submitted By:-
Rohit Singh Negi
DPSNP
INTRODUCTION
 Seasonal influenza is an acute respiratory infection caused by influenza viruses which circulate in all
parts of the world.
 There are 4 types of seasonal influenza viruses, types A, B, C and D.
 Influenza A viruses are further classified into subtypes according to the combinations of the
hemagglutinin (HA) and the neuraminidase (NA), the proteins on the surface of the virus. Currently
circulating in humans are subtype A(H1N1) and A(H3N2) influenza viruses. The A(H1N1) is also written
as A(H1N1)pdm09 as it caused the pandemic in 2009
 Influenza B viruses are not classified into subtypes, but can be broken down into lineages. Currently
circulating influenza type B viruses belong to either B/Yamagata or B/Victoria lineage.
 Influenza C virus is detected less frequently and usually causes mild infections, thus does not present
public health importance.
 Influenza D viruses primarily affect cattle and are not known to infect or cause illness in people.
EPIDEMIOLOGY
 People at greater risk of severe disease or complications when infected are: pregnant women,
children under 59 months, the elderly, individuals with chronic medical conditions (such as chronic
cardiac, pulmonary, renal, metabolic, neurodevelopmental, liver or hematologic diseases) and
individuals with immunosuppressive conditions (such as HIV/AIDS, receiving chemotherapy or
steroids, or malignancy).
 Health care workers are at high risk acquiring influenza virus infection due to increased exposure
to the patients and risk further spread particularly to vulnerable individuals.
 The time from infection to illness, known as the incubation period, is about 2 days, but ranges
from one to four days.
DIAGNOSIS
 commonly performed using direct antigen detection, virus isolation, or detection of influenza-
specific RNA by reverse transcriptase-polymerase chain reaction (RT-PCR).
 Rapid influenza diagnostic tests (RIDTs) are used in clinical settings, but they have lower sensitivity
compared to RT-PCR methods and their reliability depends largely on the conditions under which
they are used.
TREATMENT
 Neuraminidase inhibitors (i.e. oseltamivir) should be prescribed as soon as possible (ideally, within 48
hours following symptom onset) to maximize therapeutic benefits. Administration of the drug should
also be considered in patients presenting later in the course of illness.
 Treatment is recommended for a minimum of 5 days, but can be extended until there is satisfactory
clinical improvement.
 Corticosteroids should not be used routinely.
 All currently circulating influenza viruses are resistant to adamantane antiviral drugs (such as
amantadine and rimantadine), and these are therefore not recommended for monotherapy.
PREVENTION
 Regular hand washing with proper drying of the hands.
 Good respiratory hygiene – covering mouth and nose when coughing or sneezing, using tissues and
disposing of them correctly.
 Early self-isolation of those feeling unwell, feverish and having other symptoms of influenza.
 Avoiding close contact with sick people.
RESULTS
 Alloferon Increases the Antiviral Effect of Zanamivir against H1N1
Infection.
 Combined Treatment with Alloferon and Zanamivir Suppresses Production
of IL-6 and MIP-1a Induced by H1N1 Infection In Vivo and invitro.

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abhishek ppt idc.pptx

  • 1. ASTHMA & EMPHYSEMA A Smoking Disorder 🚬 Presented By: Abhishek Mahajan M. Pharm pharmacognosy 1st semester
  • 2. Asthma is a chronic inflammatory disorder of the airways. The chronic inflammation causes an increase in the airway hyper-responsiveness that leads to recurrent episodes of wheezing, breathlessness, chest tightness and cough, particularly at night or early in morning. Asthma affects an estimated 25,00,000 Indians every year and Among adults women have a 30% greater prevalence of asthma than men. Types of Asthma 1. ALLERGIC ASTHMA(extrinsic asthma): When the symptoms are induced by a hyperimmune response to the inhalation of specific allergen. Type I (Immediate) hypersensitivity reaction is the basis of the IgE. 2. NON-ALLERGGIC ASTHMA (Intrinsic asthma) : This type of asthma is triggered by the presence of irritants in the air that are not related to allergies. This irritants stimulate parasympathetic nerve fibers in the airways causing broncho-constriction and inflammation. CLINICAL MANIFESTATIONS: Wheezing, Dyspnoea, Cough, Chest tightness, Expiration may be prolonged, Secretions may be white, thick, tenacious, gelatinous mucus.
  • 3. DIAGNOSTIC STUDIES: • History. • Physical examination. • PFT. • Peak expiratory flow rate. • Chest X-ray. • ABG or oximetry. • Allergy skin testing. • Blood level of eosinophils and IgE. DRUGTHERAPY: Anti-inflammatory drugs,Corticosteroids, Bronchodilators, Long acting β2 – adrenergic agonists, Theophylline Quick relief medicines to treat symptoms and exacerbations: Bronchodilators, Short acting inhaled β2 – adrenergic agonists, Anticholinergics, Corticosteroids. The study was published in the Journal of Allergy and Clinical Immunology. Vitamin D was a molecule that may influence asthma by impacting antioxidant or immune-related pathways. Having low blood vitamin D levels was found to be associated with harmful respiratory effects of indoor air pollution from sources such as cigarette smoke, cooking, burning of candles, and incense, among children with asthma. Interestingly, in homes that had the highest indoor air pollution, those who happened to have higher blood vitamin D levels were associated with fewer asthma symptoms Prevention: Eating fish oil, rich in omega 3 fatty acids, could help reduce the risk by nearly 70 per cent. Fish oil is one of the healthiest foods you can add to your diet. It is enriched with polyunsaturated fatty acids (PUFAs) or n-3 and contains omega fatty acids 3 and 6
  • 4. Emphysema: A condition in our body in which the air sacs of the lungs, called alveolus are damaged and enlarge, causing breathlessness. Affects 2 out of 1,000 people 1.8 million Americans in the United States have emphysema. Emphysema is ranked 15th among chronic conditions or diseases which limit people’s daily activity. More common in men vs. women Causes: About 90 percent of emphysema causes are heavy smokers Airsupra (albuterol and budesonide) Inhalation Aerosol Company: AstraZeneca Date of Approval: January 10, 2023 Treatment for: Asthma Airsupra (albuterol and budesonide) is a beta2-adrenergic agonist and corticosteroid fixed-dose combination rescue inhaler for as-needed use to reduce the risk of asthma exacerbations. •FDA Approves Airsupra (albuterol/budesonide) Metered-Dose Inhaler to Reduce the Risk of Asthma Exacerbations - January 11, 2023
  • 5. Biologic drugs work with your immune system to treat asthma. They block the activity of immune system chemicals that make your airways swell up. Six monoclonal antibodies are currently approved to treat severe asthma: •Reslizumab (Cinqair) •Mepolizumab (nucala) •Omalizumab (xolair) •Benralizumab (fasenra) •Dupilumab (dupixent) •Tezepelumab (tezspire) Omalizumab treats severe asthma that’s triggered by allergies. Mepolizumab, reslizumab, and benralizumab treat severe asthma caused by a type of white blood cell called an eosinophil (eosinophilic asthma). You take these drugs by injection or an IV inserted into a vein. Dupliumb is an add-on maintenance treatment currently approved for patients between the ages of 6 to 11. This treatment is given through injection. Tezepelumab is used as an add-on maintenance treatment for patients 12 and older. This treatment is also given through injection.
  • 7. INTRODUCTION  Seasonal influenza is an acute respiratory infection caused by influenza viruses which circulate in all parts of the world.  There are 4 types of seasonal influenza viruses, types A, B, C and D.  Influenza A viruses are further classified into subtypes according to the combinations of the hemagglutinin (HA) and the neuraminidase (NA), the proteins on the surface of the virus. Currently circulating in humans are subtype A(H1N1) and A(H3N2) influenza viruses. The A(H1N1) is also written as A(H1N1)pdm09 as it caused the pandemic in 2009  Influenza B viruses are not classified into subtypes, but can be broken down into lineages. Currently circulating influenza type B viruses belong to either B/Yamagata or B/Victoria lineage.  Influenza C virus is detected less frequently and usually causes mild infections, thus does not present public health importance.  Influenza D viruses primarily affect cattle and are not known to infect or cause illness in people.
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  • 9. EPIDEMIOLOGY  People at greater risk of severe disease or complications when infected are: pregnant women, children under 59 months, the elderly, individuals with chronic medical conditions (such as chronic cardiac, pulmonary, renal, metabolic, neurodevelopmental, liver or hematologic diseases) and individuals with immunosuppressive conditions (such as HIV/AIDS, receiving chemotherapy or steroids, or malignancy).  Health care workers are at high risk acquiring influenza virus infection due to increased exposure to the patients and risk further spread particularly to vulnerable individuals.  The time from infection to illness, known as the incubation period, is about 2 days, but ranges from one to four days. DIAGNOSIS  commonly performed using direct antigen detection, virus isolation, or detection of influenza- specific RNA by reverse transcriptase-polymerase chain reaction (RT-PCR).  Rapid influenza diagnostic tests (RIDTs) are used in clinical settings, but they have lower sensitivity compared to RT-PCR methods and their reliability depends largely on the conditions under which they are used.
  • 10. TREATMENT  Neuraminidase inhibitors (i.e. oseltamivir) should be prescribed as soon as possible (ideally, within 48 hours following symptom onset) to maximize therapeutic benefits. Administration of the drug should also be considered in patients presenting later in the course of illness.  Treatment is recommended for a minimum of 5 days, but can be extended until there is satisfactory clinical improvement.  Corticosteroids should not be used routinely.  All currently circulating influenza viruses are resistant to adamantane antiviral drugs (such as amantadine and rimantadine), and these are therefore not recommended for monotherapy. PREVENTION  Regular hand washing with proper drying of the hands.  Good respiratory hygiene – covering mouth and nose when coughing or sneezing, using tissues and disposing of them correctly.  Early self-isolation of those feeling unwell, feverish and having other symptoms of influenza.  Avoiding close contact with sick people.
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  • 12. RESULTS  Alloferon Increases the Antiviral Effect of Zanamivir against H1N1 Infection.  Combined Treatment with Alloferon and Zanamivir Suppresses Production of IL-6 and MIP-1a Induced by H1N1 Infection In Vivo and invitro.