Asthma Medications

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Questions and Answers

Which mechanism of action is characteristic of inhaled corticosteroids (ICS)?

  • Stimulating α1 receptors, causing vasoconstriction.
  • Blocking M3 receptors in bronchial smooth muscle.
  • Inhibiting phospholipase A2, decreasing leukotriene and prostaglandin synthesis. (correct)
  • Stimulating β2 receptors in bronchial smooth muscle.

What receptor subtypes does epinephrine act upon?

  • α1, β1, and β2 receptors. (correct)
  • β2 receptors only.
  • α1 and β1 receptors only.
  • M3 receptors only.

Albuterol provides rapid relief of asthma symptoms through which mechanism?

  • Reducing mucus production in the airways.
  • Relaxing bronchial smooth muscle by stimulating β2-adrenergic receptors. (correct)
  • Blocking inflammatory cytokine release in the airways.
  • Blocking M3 receptors in bronchial smooth muscle.

Which of the following medications primarily provides prolonged bronchodilation?

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

What distinguishes Tiotropium from Ipratropium?

<p>Tiotropium selectively blocks M3 receptors for a prolonged duration. (B)</p> Signup and view all the answers

A patient experiencing anaphylaxis would most likely be administered which of the following?

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

Which combination provides both anti-inflammatory effects and bronchodilation in a single inhaler?

<p>Budesonide + Formoterol (D)</p> Signup and view all the answers

A patient with asthma is prescribed both Albuterol and Salmeterol inhalers. How should the patient be counselled to use these medications?

<p>Use Albuterol as needed for acute symptoms and Salmeterol daily for maintenance. (C)</p> Signup and view all the answers

A researcher is studying the effects of a novel drug on airway smooth muscle. They observe that the drug increases intracellular cAMP levels in these cells. Which receptor type is the drug most likely targeting?

<p>β2-adrenergic receptors (B)</p> Signup and view all the answers

Which of the following describes the most significant difference between the mechanisms by which Budesonide and Formoterol alleviate asthma symptoms?

<p>Budesonide targets intracellular glucocorticoid receptors to modulate inflammation, while Formoterol activates adenylyl cyclase via β2-adrenergic receptor stimulation. (A)</p> Signup and view all the answers

Flashcards

Beclomethasone

Inhaled corticosteroid that reduces inflammation by inhibiting phospholipase A2, decreasing leukotriene and prostaglandin synthesis.

Fluticasone

Inhaled corticosteroid that binds to glucocorticoid receptors to reduce airway inflammation and mucus production.

Budesonide

Inhaled corticosteroid that suppresses inflammatory response in the airways by inhibiting cytokine release and reducing eosinophil activity.

Epinephrine

Non-selective adrenergic agonist that stimulates α1, β1, and β2 receptors. Used in anaphylaxis.

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Albuterol (SABA)

Short-acting β2-adrenergic agonist that causes rapid bronchodilation by relaxing bronchial smooth muscle.

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Salmeterol (LABA)

Long-acting β2-adrenergic agonist that provides prolonged bronchodilation by stimulating β2 receptors in bronchial smooth muscle.

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Formoterol (LABA)

Long-acting β2-adrenergic agonist; fast onset and sustained bronchodilation by relaxing airway smooth muscle.

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Budesonide + Formoterol

Combination of an ICS (Budesonide) for anti-inflammatory action and a LABA (Formoterol) for bronchodilation.

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Ipratropium

Blocks M3 receptors in bronchial smooth muscle, leading to bronchodilation.

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Tiotropium

Long-acting muscarinic antagonist (LAMA); selectively blocks M3 receptors to provide prolonged bronchodilation.

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Study Notes

  • Beclomethasone is an inhaled corticosteroid (ICS) that reduces inflammation by inhibiting phospholipase A2, decreasing leukotriene and prostaglandin synthesis.
  • Fluticasone is an inhaled corticosteroid (ICS) that binds to glucocorticoid receptors reducing airway inflammation and mucus production.
  • Budesonide is an inhaled corticosteroid (ICS) that suppresses inflammatory response in the airways, inhibiting cytokine release and reducing eosinophil activity.
  • Epinephrine is a non-selective adrenergic agonist that stimulates α1 (vasoconstriction), β1 (increased heart rate), and β2 (bronchodilation) receptors, and is used in anaphylaxis.
  • Albuterol (SABA) is a short-acting β2-adrenergic agonist causing rapid bronchodilation by relaxing bronchial smooth muscle.
  • Salmeterol (LABA) is a long-acting β2-adrenergic agonist providing prolonged bronchodilation by stimulating β2 receptors in bronchial smooth muscle.
  • Formoterol (LABA) is a long-acting β2-adrenergic agonist with fast onset and sustained bronchodilation by relaxing airway smooth muscle.
  • Budesonide + Formoterol combines an ICS (Budesonide) for anti-inflammatory action and a LABA (Formoterol) for bronchodilation.
  • Ipratropium blocks M3 receptors in bronchial smooth muscle, leading to bronchodilation, and is shorter acting than Tiotropium.
  • Tiotropium is a long-acting muscarinic antagonist (LAMA) that selectively blocks M3 receptors to provide prolonged bronchodilation.

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