Löfdahl C G, Sigvaldasson A, Skoogh B E, Svedmyr N
Department of Pulmonary Medicine, University of Göteborg, Sweden.
Respiration. 1989;55 Suppl 2:15-9. doi: 10.1159/000195765.
Two double-blind, double-dummy, randomized, crossover studies were performed in 8 asthmatic patients to evaluate beta 2-adrenoceptor selectivity and potency of broxaterol compared to salbutamol. By oral route, a study with cumulatively increasing doses (total dose broxaterol 1.675 mg and salbutamol 26 mg) showed that as a bronchodilator broxaterol was 12-16 times more potent than salbutamol. The same potency difference was seen for an increase of heart rate and decrease of diastolic blood pressure, indicating that the clinical selectivity for beta 2-adrenoceptors is equal for the two drugs. One study with cumulatively increasing doses of broxaterol and salbutamol (total dose 1.5 mg for both) showed that with the inhaled route, broxaterol was somewhat less potent than salbutamol with respect to bronchodilation. Side effects, increase of heart rate and tremor were considerably less pronounced by the inhaled route as compared to the same bronchodilatory effect given by the oral route.
在8名哮喘患者中进行了两项双盲、双模拟、随机、交叉研究,以评估与沙丁胺醇相比,布地奈德的β2-肾上腺素能受体选择性和效力。通过口服途径,一项累积增加剂量的研究(布地奈德总剂量1.675毫克,沙丁胺醇26毫克)表明,作为支气管扩张剂,布地奈德的效力比沙丁胺醇强12至16倍。心率增加和舒张压降低也出现了相同的效力差异,表明两种药物对β2-肾上腺素能受体的临床选择性相同。一项累积增加布地奈德和沙丁胺醇剂量的研究(两者总剂量均为1.5毫克)表明,通过吸入途径,布地奈德在支气管扩张方面的效力略低于沙丁胺醇。与口服途径产生相同支气管扩张作用相比,吸入途径的副作用、心率增加和震颤明显较轻。