Asthma and Its Treatments

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Questions and Answers

What is the primary duration of action for long-acting Beta2 agonists (LABA)?

  • 5-7 hours
  • 8-12 hours (correct)
  • 12-16 hours
  • 3-5 hours

Which of the following is NOT a side effect of Beta2 agonists?

  • Tachycardia
  • Hypokalemia
  • Tremor
  • Dizziness (correct)

In what manner are long-acting Beta2 agonists usually administered?

  • Regularly, twice daily (correct)
  • Once a week
  • As needed for symptom relief
  • Four times a day

Which of these medication examples is a long-acting Beta2 agonist?

<p>Salmeterol (B)</p> Signup and view all the answers

What is a typical dosing frequency for long-acting Beta2 agonists?

<p>Twice daily (A)</p> Signup and view all the answers

What is the primary mechanism of action of methylxanthines in treating bronchial spasm?

<p>Inhibition of phosphodiesterase isoenzymes (D)</p> Signup and view all the answers

Which of the following is a common side effect associated with methylxanthines?

<p>Seizures at concentrations &gt;40 mg/L (D)</p> Signup and view all the answers

Which methylxanthine is specifically indicated for intravenous administration?

<p>Aminophylline (C)</p> Signup and view all the answers

What effect does the inhibition of PDE III and PDE IV have on cAMP and cGMP levels?

<p>Increase in both cAMP and cGMP (C)</p> Signup and view all the answers

Anorexia, headache, and abdominal discomfort are all potential side effects of which medication class?

<p>Methylxanthines (B)</p> Signup and view all the answers

What characterizes an asthmatic airway during an attack?

<p>Tightened smooth muscle with air trapped in alveoli (D)</p> Signup and view all the answers

Which of the following is NOT classified as an anti-inflammatory drug used for asthma relief?

<p>Salbutamol (A)</p> Signup and view all the answers

Which medication class includes both Theophylline and Aminophylline?

<p>Methylxanthines (B)</p> Signup and view all the answers

Among the following, which drug is classified as an anticholinergic used in asthma treatment?

<p>Ipratropium bromide (C)</p> Signup and view all the answers

Asthma is characterized by which type of airway obstruction?

<p>Recurrent and reversible (C)</p> Signup and view all the answers

What mechanism do selective beta 2 agonists use to relax bronchial smooth muscle?

<p>By activating adenyl cyclase to increase cyclic AMP (A)</p> Signup and view all the answers

What effect do selective beta 2 agonists have on ciliary action?

<p>They increase mucus clearance by enhancing ciliary action (C)</p> Signup and view all the answers

Which of the following characteristics describes beta 2 adrenergic agonists?

<p>They can be both short-acting and long-acting (D)</p> Signup and view all the answers

What is the primary outcome of increased cyclic AMP levels in bronchial smooth muscle?

<p>Inhibition of bronchoconstriction (C)</p> Signup and view all the answers

What distinguishes selective beta 2 agonists from non-selective beta agonists?

<p>Selective beta 2 agonists promote selective bronchodilation (B)</p> Signup and view all the answers

What is the primary route of administration for β2-adrenoceptor agonists?

<p>Inhalation of aerosol, powder, or nebulized solution (A)</p> Signup and view all the answers

Which of the following best describes short-acting β2 agonists (SABA)?

<p>They are primarily inhaled medications for acute asthma relief. (A)</p> Signup and view all the answers

How frequently should SABA be used for symptomatic relief?

<p>4-6 times a day as needed (A)</p> Signup and view all the answers

Which of the following is an example of a short-acting β2 agonist (SABA)?

<p>Salbutamol (B)</p> Signup and view all the answers

Which of the following statements about β2-adrenoceptor agonists is incorrect?

<p>They are used primarily for chronic asthma management. (B)</p> Signup and view all the answers

What is the primary mechanism of action of anticholinergic agents like Ipratropium Bromide?

<p>Blocking M3 receptors in the lungs (A)</p> Signup and view all the answers

Which side effect is NOT commonly associated with anticholinergic agents?

<p>Increased appetite (D)</p> Signup and view all the answers

Corticosteroids contribute to asthma management by primarily doing what?

<p>Decreasing bronchial hyperactivity (B)</p> Signup and view all the answers

Which of the following is NOT a mechanism of action for corticosteroids in asthma treatment?

<p>Promoting inflammatory mediator formation (D)</p> Signup and view all the answers

In asthma treatment, why are anticholinergic agents used alongside LABA?

<p>To enhance the effectiveness of beta-2 agonists (A)</p> Signup and view all the answers

What is a common side effect of inhaled corticosteroids?

<p>Pharyngeal irritation (A)</p> Signup and view all the answers

Which medication is classified as a leukotriene receptor antagonist?

<p>Zafirlukast (A), Montelukast (C)</p> Signup and view all the answers

In which scenario is a leukotriene inhibitor particularly useful?

<p>For patients unable to use inhalers (A)</p> Signup and view all the answers

Inhaled corticosteroids are considered effective because they:

<p>Are administered in low doses (B)</p> Signup and view all the answers

Which side effect is associated with leukotriene inhibitors?

<p>Insomnia (A)</p> Signup and view all the answers

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Study Notes

Asthma Overview

  • Recurrent, reversible airway obstruction caused by bronchoconstriction and increased bronchial secretions.

Drugs for Asthma Relief

  • Bronchodilators: Expand airways to alleviate symptoms.
  • Anti-inflammatory drugs: Reduce inflammation in airways.

Anti-inflammatory Drugs

  • Corticosteroids:
    • Hydrocortisone
    • Beclomethasone
  • Leukotriene antagonists:
    • Montelukast

Bronchodilators

  • β₂-agonists:
    • Salbutamol and Terbutaline for short-acting relief.
  • Anticholinergic drugs:
    • Ipratropium bromide, effective in preventing bronchoconstriction.
  • Methylxanthines:
    • Theophylline and Aminophylline relieve bronchial spasm.

Airway Conditions

Condition Description
Normal Airway Relaxed smooth muscle
Asthmatic Airway Inflamed and thickened
Asthmatic During Attack Tightened smooth muscle; air trapped

Selective Beta 2 Agonist Mechanism

  • Direct Action: Activates adenyl cyclase → increases cyclic AMP → relaxes bronchial smooth muscle.
  • Mucus Clearance: Enhances action on cilia for improved mucus clearance.

Beta 2 Adrenergic Agonist Types

  • Selective and Non-selective: Varying affinities for β-adrenoceptors.
  • Short-acting (SABA):
    • Quick relief, up to 4-6 times daily (e.g., Salbutamol, Terbutaline).
  • Long-acting (LABA):
    • Administered twice daily; lasts 8-12 hours (e.g., Salmeterol, Formoterol).

Side Effects of β2 Agonists

  • Common: Tachycardia, tremors, tolerance, hypokalemia.

Methylxanthines

  • Mechanism: Inhibition of phosphodiesterase increases cAMP/cGMP, leading to bronchodilation.
  • Commonly used for severe asthma.
  • Side Effects: Anorexia, headache, nausea, vomiting, abdominal discomfort, anxiety, seizures/arrhythmias at high concentrations.

Anticholinergic Agents

  • Example: Ipratropium Bromide.
  • Mechanism: Blocks M3 receptors to prevent cholinergic bronchoconstriction.
  • Side Effects: Dry mouth, gastrointestinal distress, headache, coughing, anxiety.

Corticosteroids

  • Use: Decrease bronchial hyperactivity, increase airway caliber, reduce attack frequency.
  • Mechanism: Stabilize cell membranes, inhibit inflammatory mediators, restore β2-receptor sensitivity.
  • Inhaled Corticosteroids (ICS):
    • e.g., Beclomethasone; significant in managing chronic asthma.
  • Side Effects: Pharyngeal irritation, coughing, dry mouth, oral fungal infections. Systemic effects are rare due to low doses.

Leukotriene Inhibitors

  • Types:
    • 5-Lipooxygenase inhibitor (Zileuton).
    • Leukotriene receptor antagonists (Montelukast, Zafirlukast).
  • Use: For long-term control of asthma, especially in patients unable to use inhalers.
  • Side Effects: Insomnia, irritability.

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