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• These are the class of medication use
in the treatment of Bronchial Asthma
a disease ofrespiratory systemn.
• They are medications called
• Drugs acting on Respiratory system.
• Thus, Antiasthmatic drugs are
medicines that treat or prevent
asthma attacks.
WHAT IS ?
• Asthma is a condition in which your
airways narrow and swell and may
produce extra mucus.
• This can make breathing difficult and
trigger coughing a whistling sound
(wheezing) when you breathe out
and shortness of breath.
BRONCHIAL ASTHMA
• Bronchial asthma is a medical
condition which causes the airway
path of lungs to swell and narrow.
• Due to this swelling, the air path
produces excess mucus making it
hard to breathe, which results in
coughing, short breath, wheezing.
• The disease is chronic and
interferes with daily working.
DRUGS FOR BRONCHIAL ASTHMA
Bronchodilators
Leukotriene antagonist
Mast cell stabilizers
Corticostiroids
Anti-IgE antibody
ANTI-ASTHMATIC DRUGS
• 1. BROCHODILATORS
• Salbutamol
• Terbutaline
• Bambuterol
• Salmeterol
• Formoterol
• Ephedrine
1.BROCHODILATORS
LONG ACTING SHORT
ACTING
• Salmeterol Salbutamol
• Formoterol Terbutaline
• Carmoterol Pirbuterol
• Olodaterol Bitolterol
• Indacterol Fenoterol
Procaterol
1. BROCHODILATORS
• Theophylline (anhydrous)
• Aminophylline
• Choline theophyllinate
• Hydroxy-ethyl theophylline
• Doxophylline
• Theophylline ethanolate of piperazine
1.BROCHODILATORS
• Ipratropium bromide
• Tiotropium bromide
• It is used by inhaler
or nebulizer.
• To treat asthma chronic
attack.
Nebulizer
Inhaler
2. LEUKOTRIENE ANTAGONIST
• Montelukast
• Zafirlukast
• Pranlukast
• 5-lipoxygenase inhibitors
• Zileuton
• Hypericum perforatum
3. MAST CELL STABILEZERS
• Prevent the degranulation of mast cells by trigger
stimuli.
• These are indicated only for prophylaxis of bronchial
asthma
• These are given by
• INHALATIONAL ROUTE
• Sodium cromoglycate
• Ketotifen
• Methylxanthines
• nedocromil
4. DRUGS INHIBITING IgE ACTION
• Omalizumab is a monoclonal
antibody against IgE
• It is indicated to prevent the attack
of bronchial asthma in patients not
responding to combination of long
acting β2 agonist and a high dose of
inhalational steroid.
• It is administered by subcutanious
(S.C)route
5.
• a) Systemic :
• Hydrocortisone
• Prednisolone
• b) Inhalation
• Beclomethasone
• Budesonide
• Flunisolide
• Ciclesonide
DRUG OF CHOICE
• Condition Drug of choice Bronchial asthma
• acute attack - Salbutamol
• acute attack in pregnancy - Salbutamol
• acute attack during labour - Ipratropium
• acute attack in patients - β-blocker
• therapy - Ipratropium
• prophylaxis - Corticosteroids
DRUG OF CHOICE
• Exercise induced Asthma
• acute attack - Salbutamol
• prophylaxis - Corticosteroids
• Aspirin-induced Asthma
• acute attack - Salbutamol
• prophylaxis - Corticosteroids

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Anti Asthmatics Drugs and Pharmacotherapy of Asthma

  • 1.
  • 2. • These are the class of medication use in the treatment of Bronchial Asthma a disease ofrespiratory systemn. • They are medications called • Drugs acting on Respiratory system. • Thus, Antiasthmatic drugs are medicines that treat or prevent asthma attacks.
  • 3. WHAT IS ? • Asthma is a condition in which your airways narrow and swell and may produce extra mucus. • This can make breathing difficult and trigger coughing a whistling sound (wheezing) when you breathe out and shortness of breath.
  • 4. BRONCHIAL ASTHMA • Bronchial asthma is a medical condition which causes the airway path of lungs to swell and narrow. • Due to this swelling, the air path produces excess mucus making it hard to breathe, which results in coughing, short breath, wheezing. • The disease is chronic and interferes with daily working.
  • 5. DRUGS FOR BRONCHIAL ASTHMA Bronchodilators Leukotriene antagonist Mast cell stabilizers Corticostiroids Anti-IgE antibody
  • 6. ANTI-ASTHMATIC DRUGS • 1. BROCHODILATORS • Salbutamol • Terbutaline • Bambuterol • Salmeterol • Formoterol • Ephedrine
  • 7. 1.BROCHODILATORS LONG ACTING SHORT ACTING • Salmeterol Salbutamol • Formoterol Terbutaline • Carmoterol Pirbuterol • Olodaterol Bitolterol • Indacterol Fenoterol Procaterol
  • 8. 1. BROCHODILATORS • Theophylline (anhydrous) • Aminophylline • Choline theophyllinate • Hydroxy-ethyl theophylline • Doxophylline • Theophylline ethanolate of piperazine
  • 9. 1.BROCHODILATORS • Ipratropium bromide • Tiotropium bromide • It is used by inhaler or nebulizer. • To treat asthma chronic attack. Nebulizer Inhaler
  • 10. 2. LEUKOTRIENE ANTAGONIST • Montelukast • Zafirlukast • Pranlukast • 5-lipoxygenase inhibitors • Zileuton • Hypericum perforatum
  • 11. 3. MAST CELL STABILEZERS • Prevent the degranulation of mast cells by trigger stimuli. • These are indicated only for prophylaxis of bronchial asthma • These are given by • INHALATIONAL ROUTE • Sodium cromoglycate • Ketotifen • Methylxanthines • nedocromil
  • 12. 4. DRUGS INHIBITING IgE ACTION • Omalizumab is a monoclonal antibody against IgE • It is indicated to prevent the attack of bronchial asthma in patients not responding to combination of long acting β2 agonist and a high dose of inhalational steroid. • It is administered by subcutanious (S.C)route
  • 13. 5. • a) Systemic : • Hydrocortisone • Prednisolone • b) Inhalation • Beclomethasone • Budesonide • Flunisolide • Ciclesonide
  • 14. DRUG OF CHOICE • Condition Drug of choice Bronchial asthma • acute attack - Salbutamol • acute attack in pregnancy - Salbutamol • acute attack during labour - Ipratropium • acute attack in patients - β-blocker • therapy - Ipratropium • prophylaxis - Corticosteroids
  • 15. DRUG OF CHOICE • Exercise induced Asthma • acute attack - Salbutamol • prophylaxis - Corticosteroids • Aspirin-induced Asthma • acute attack - Salbutamol • prophylaxis - Corticosteroids