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Drug acting on
Respiratory System
Sujit Karpe
Principal,
Sojar college of pharmacy, khandvi
Respiratory System
Respiratory System
BRONCHIAL ASTHMA
ASTHMA
ETIOLOGY OF ASTHMA
BRONCHOSPASM
BRONCHOSPASM
CELLULAR MECHANISM OF BRONCHOSPASM
MUCOSAL OEDEMA
ASTHMA – EPISODIC FORM
 Cause is known as either by Allergy, or respiratory tract infection.
 Individual suffers from acute spasm attacks and responds nice to bronchodilators
ASTHMA – STATUS ASTHMATICUS
 It is severe and persistent attack, and is associated with respiratory failure or
insufficiency.
 Individual do not responds to bronchodilators.
ASTHMA – CHRONIC FORM
 Characterized by persistent dyspnea (difficult or laboured breathing) and wheeze (whistling
sound).
 It is due to inflammation and thickening of bronchial mucosa.
 It is correlated with excessive secretion of mucus, decreased elastic recoil of lung
tissue and bronchospasm.
BRONCHODILATOR - CLASSIFICATION
Class 1 Sympathomimetics
• Drug with alpha and beta effect -
Adrenaline, Ephedrine
• Drug with beta1 and beta2 effect -
Isoprenaline, orciprenaline
• Drug with beta2 effect – Salbutamol,
terbutaline
Class 2
Anticholinergic
drugs
• Atropine
• Ipratropine
Class 3
Phosphodiesterase
Inhibitors
• Theophylline
• Aminophylline
BRONCHODILATORS - PHARMACOLOGY
1. Sympathomimetics:
Smooth Muscle
relaxation –
Bronchodilation
BRONCHODILATORS - PHARMACOLOGY
1. Sympathomimetics:
Preparation:
BRONCHODILATORS - PHARMACOLOGY
2. Anticholinergics:
Preparation:
Ipratropium – Atrovent -40-80
microgram inhalation
BRONCHODILATORS - PHARMACOLOGY
3. Phosphodiesterase inhibitors:
Preparation:
 Aminophylline 250mg slow IV
 Choline theophyllinate 400mg oral
TREATMENT OF STATUS ASTHMATICUS
TREATMENT OF STATUS ASTHMATICUS
NASAL DECONGESTANT
NASAL DECONGESTANT
NASAL DECONGESTANT
ORAL DECONGESTANT
TOPICAL NASAL DECONGESTANT
TOPICAL NASAL DECONGESTANT
NASAL DECONGESTANT – MECHANISM OF ACTION
NASAL DECONGESTANT – MECHANISM OF ACTION
NASAL DECONGESTANT – THERAPEUTIC USES
NASAL DECONGESTANT – SIDE EFFECTS
ANTITISSIVES
COUGH PHYSIOLOGY
TWO BASIC TYPES OF COUGH
COUGHING
ANTITISSIVES
ANTITISSIVES – MECHANISM OF ACTION
ANTITISSIVES – MECHANISM OF ACTION
ANTITISSIVES – THERAPEUTIC USES
ANTITISSIVES – SIDE EFFECTS
EXPECTORANT
EXPECTORANT – MECHANISM OF ACTION
EXPECTORANT – MECHANISM OF ACTION
EXPECTORANT – MECHANISM OF ACTION
EXPECTORANT – DRUG EFFECT
EXPECTORANT – THERAPEUTIC USES
EXPECTORANT – SIDE EFFECTS

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Drug acting on respiratory system