Magnussen H, Fontani M
Dtsch Med Wochenschr. 1985 Aug 30;110(35):1328-31. doi: 10.1055/s-2008-1069004.
The bronchodilator effect of a single dose of 0.4 mg fenoterol aerosol was compared with the sequential application of the same total dose in 11 patients with bronchial asthma. The patients received either 0.4 mg fenoterol followed by 3 doses of placebo at 30 minute intervals or four 0.1 mg doses of fenoterol each at 30 minute intervals on 2 days in a double-blind randomised investigation. Both application forms had a marked bronchodilator effect. At 60 minutes two 0.1 mg doses of fenoterol had the same effect as the initial dose of 0.4 mg whereas at 120 minutes the sequential inhalation of 0.1 mg had the most marked bronchodilator effect.
An improvement in beta 2-sympathomimetic inhalation therapy can be achieved more readily by reducing the dose interval than by raising the total dose.
在11例支气管哮喘患者中,比较了单剂量0.4毫克非诺特罗气雾剂的支气管扩张作用与相同总剂量的序贯应用。在一项双盲随机研究中,患者在2天内接受以下两种治疗之一:先给予0.4毫克非诺特罗,然后每隔30分钟给予3剂安慰剂;或每隔30分钟给予4剂0.1毫克非诺特罗。两种给药方式均有显著的支气管扩张作用。在60分钟时,两剂0.1毫克非诺特罗的效果与初始剂量0.4毫克相同,而在120分钟时,序贯吸入0.1毫克的支气管扩张作用最为显著。
通过缩短剂量间隔比增加总剂量更容易改善β2-拟交感神经吸入疗法。