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Investigation into isoprenaline resistance in patients with obstructive lung disease

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Summary

12 patients with chronic obstructive lung disease have been studied in an investigation regarding the causes of resistance to isoprenaline. The effects of repeated intravenous doses of 10 µg isoprenaline were assessed by cross over comparison before and after infusions of isoprenaline and a placebo; the infusions lasted for 35 to 40 min and the amount of isoprenaline infused was 0.5 µg/min. Total resistance, thoracic gas volume (whole-body plethysmography) and heart rate (ECG) were measured. No decrease in bronchospasmolytic or positive chronotopic effects on single isoprenaline injections could be demonstrated after prolonged infusions of isoprenaline.

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References

  1. Altounyan, R.E.C.: Measurements of factors influencing bronchoconstriction. Proc. roy. Soc. Med.59 (Suppl.), 56–62 (1969)

    Google Scholar 

  2. Atkinson, J.M., Rand, M.J.: Mutual suppression of cardiovascular effects of some β-adrenoreceptor agonists in the cat. J. Pharm. Pharmacol.20, 916–922 (1968)

    Google Scholar 

  3. Balazs, T., Ohtake, S., Noble, J.F.: The development of resistance to the ischemic cardiopathic effect of isoproterenol. Toxicol. appl. Pharmacol.21, 200–213 (1972)

    Google Scholar 

  4. Blackwell, E.W., Conolly, M.E., Davies, D.S., Dollery, C.T., George, C.F.: Resistance to β-adrenoceptor stimulants and death from bronchial asthma. Brit. J. Pharmacol.41, 410 P (1971)

    Google Scholar 

  5. Butterworth, K.R.: The β-adrenergic blocking and pressor actions of isoprenaline in the cat. Brit. J. Pharmacol.21, 378–392 (1963)

    Google Scholar 

  6. Butterworth, K.R.: The pressor response in the cat to isoprenaline following β-adrenergic blockade. Int. J. Neuropharmacol.3, 23–25 (1964)

    Google Scholar 

  7. Champy, C., Gley, E.: Sur la toxicité des extraits de corps jaune. Immunisation rapide consécutive à l'injection de petites doses de ces extraits (tachyphylaxie). C.R. Soc. Biol. (Paris),71, 159 (1911)

    Google Scholar 

  8. Conolly, M.E., Davies, D.S., Dollery, C.T., George, C.F.: Resistance to β-adrenoceptor stimulants (a possible explanation for the rise in asthma deaths). Brit. J. Pharmacol.43, 389–402 (1971)

    Google Scholar 

  9. Coret, I.A., van Dyke, H.B.: The altered blood-pressure response after adrenolytic drugs and large doses of sympathomimetic amines. J. Pharmacol. exp. Ther.95, 415–420 (1949)

    Google Scholar 

  10. Curtis, J.K., Liska, A.P., Rasmussen, H.K., Cree, E.M.: The bronchospastic component in patients with chronic bronchitis and emphysema. J. Amer. med. Ass.197, 693–696 (1966)

    Google Scholar 

  11. Feinmann, L., Newell, D.J.: Isoprenaline in the treatment of chronic bronchitis. A controlled trial of different methods of administration. Brit. J. Dis. Chest.57, 140–146 (1963)

    Google Scholar 

  12. Flecker, A.: Zur Wirkung von Aludrin auf das Atem- und Kreislaufzentrum und dessen Dosierung. Wien. klin. Wschr.74, 13–15 (1962)

    Google Scholar 

  13. Fleisch, J.H., Titus, E.: The prevention of isoproterenol desensitization and isoproterenol reversal. J. Pharmacol. exp. Ther.181, 425–433 (1972)

    Google Scholar 

  14. George, C.F., Conolly, M.E., Fenyvesi, T., Briant, R., Dollery, C.T.: Intravenously administered isoproterenol sulfate dose-response curves in man. Arch. intern. Med.130, 361–364 (1972)

    Google Scholar 

  15. Hume, K.M., Gandevia, B.: Forced expiratory volume before and after isoprenaline. Thorax12, 276–278 (1957)

    Google Scholar 

  16. Hume, K.M., Rhys-Jones, E.: The response to bronchodilators in intrinsic asthma. Quart. J. Med.30, 189–199 (1961)

    Google Scholar 

  17. Kingsley, P.J., Littlejohns, D.W., Prichard, B.N.C.: Isoprenaline-induced tachycardia in man. Brit. J. Pharmacol.46, 539 P-540 P (1972)

    Google Scholar 

  18. Paterson, J.W., Conolly, M.E., Davies, D.S., Dollery, C.T.: Isoprenaline resistance and the use of pressurised aerosols in asthma. Lancet1968 II, 426–429

    Google Scholar 

  19. Paterson, J.W.: Human pharmacology: comparison of intravenous isoprenaline and salbutamol in asthmatic patients. Postgrad. med. J. (Suppl.) 38–39 (1971)

  20. Pun, L.Q., McCulloch, M.W., Rand, M.J.: Bronchodilator effects of sympathomimetic amines given singly and in combination. Europ. J. Pharmacol.2, 140–149 (1971)

    Google Scholar 

  21. Shenfield, G.M., Paterson, J.W.: Clinical assessment of bronchodilator drugs delivered by aerosol. Thorax28, 124–128 (1973)

    Google Scholar 

  22. Svedmyr, N., Malmberg, R., Thiringer, G.: The effect of a new beta2-receptor stimulary agent (rimiterol, R 798) in patients with chronic obstructive lung disease. Scand. J. resp. Dis.53, 302–313 (1972)

    Google Scholar 

  23. Svedmyr, N., Thiringer, G.: The effects of salbutamol and isoprenaline on beta-receptors in patients with chronic obstructive lung disease. Postgrad. med. J.1971, 44–46 (1971)

    Google Scholar 

  24. Tendis, N.: Über die Kreislaufwirkung einiger adrenalinähnlicher Substanzen im Vergleich zum Ausgangsstoff Adrenalin. Inaug. Diss. Mainz 1949

    Google Scholar 

  25. Thiringer, G., Bergh, N.P., Svedmyr, N.: A comparative study of the effects of isoetharine and some other adrenergic beta-stimulators in chronic obstructive lung disease. Scand. J. resp. Dis.52, 183–191 (1971)

    Google Scholar 

  26. Ulmer, W.T.: Was ist gesichert in der Behandlung der obstruktiven Atemwegserkrankungen? Internist13, 507–513 (1972)

    Google Scholar 

  27. Valette, G., Cohen, Y., Bralet, J., Jacquot, C.: Tolérance et tachyphylaxie à la lumière d'expériences effectuées sur l'ephedrine. Proc. Europ. Soc. Study Drug Toxicity12, 37–49 (1971)

    Google Scholar 

  28. Warrell, D.A., Robertson, D.G., Newton Howes, J., Conolly, M.E., Paterson, J.W., Beilin, L.J., Dollery, C.T.: Comparison of cardiorespiratory effects of isoprenaline and salbutamol in patients with bronchial asthma. Brit. med. J.1970 I, 65–70

    Google Scholar 

  29. Wettengel, R., Fabel, H.: Placebovergleich mit Berotec-Dosier-Aerosol und ansteigenden Dosierungen. Int. J. clin. Pharmacol., Beiheft 4 Berotec 96–99 (1971)

  30. Terminology, definitions, and classification of chronic pulmonary emphysema and related conditions. A report of the conclusion of a Ciba Guest Symposium. Thorax 14, 286–299 (1959)

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Lichterfeld, A., Löllgen, H. Investigation into isoprenaline resistance in patients with obstructive lung disease. Eur J Clin Pharmacol 7, 347–351 (1974). https://doi.org/10.1007/BF00558204

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