Effects of terbutaline sulphate aerosol on bronchodilator response and lung mucociliary clearance in patients with mild stable asthma

Br J Clin Pharmacol. 1983 Jun;15(6):695-700. doi: 10.1111/j.1365-2125.1983.tb01552.x.

Abstract

Ventilatory function and whole lung mucociliary clearance have been assessed in 10 patients with mild stable asthma following inhalation of 1 mg of the beta-adrenergic receptor agonist terbutaline sulphate (Bricanyl, Astra Pharmaceuticals) from a metered dose inhaler (MDI). Compared to placebo inhalation, terbutaline produced marked bronchodilatation (mean percentage increase in FEV1 14%, P less than 0.01). Mucociliary clearance (measured by the in vivo radioaerosol technique) was assessed on three occasions--control, followed by placebo or terbutaline studies in a double-blind, cross-over manner. Particles were removed from the lung at a similar rate in all three studies. The mean (+/- s.e. mean) percentage of aerosol retained in the lungs after 6 h was 58 +/- 5%, 57% +/- 5% and 57 +/- 4% for control, placebo and drug studies respectively. It is concluded that terbutaline sulphate, given as a 1 mg acute dose, does not enhance mucociliary clearance in mild stable asthmatics, although it produces marked bronchodilatation.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aerosols
  • Asthma / drug therapy*
  • Bronchodilator Agents*
  • Cilia / drug effects
  • Double-Blind Method
  • Female
  • Forced Expiratory Volume
  • Humans
  • Lung / drug effects*
  • Lung / metabolism
  • Male
  • Middle Aged
  • Mucous Membrane / drug effects
  • Terbutaline / administration & dosage
  • Terbutaline / pharmacology*
  • Time Factors

Substances

  • Aerosols
  • Bronchodilator Agents
  • Terbutaline