17. Drugs and The Respiratory System

Sheila A Doggrell

Discipline of Medical Sciences, Faculty of Science and Technology, Queensland University of Technology, Gardens Point, GPO Box 2434, QLD 4001, Australia

Phone +61 7 38705741 Fax +61 7 31381534 Email sheila.doggrell@qut.edu.au

Reviewer: Petra Czarniak, Curtin University of Technology

Key words: asthma, COPD, β2-adrenoceptor agonists, salbutamol, salmeterol, muscarinic receptor antagonist, ipratropium, tiotropium, leukotriene receptor antagonists, montelukast, theophylline, oxygen, glucocorticoids, beclomethasone, budesonide, prednisone, cromolyn sodium, formoterol, omalizumab, expectorants, mucolytics, acetylcysteine, cough, menthol, codeine, dextromethorphan, entonox, rhinitis, rhinorrea, histamine H1-receptor antagonist, fexofenadine, sympathomimetics, ephedrine

Contents

17.1 Drugs for bronchial asthma and Chronic Obstructive Pulmonary Disease (COPD)

17.1.1 Introduction to asthma

17.1.2 Introduction to COPD

17.1.3 Drug delivery by inhalation

17.1.4 Drugs to treat

17.1.4.1 β2-adrenoceptor agonists

17.1.4.2 Muscarinic receptor antagonists

17.1.4.3 Leukotriene receptor antagonists

17.1.4.4 Theophylline

17.1.4.5 Oxygen for COPD

17.1.5 Drugs to prevent asthma

31.5.1 Glucocorticoids

31.5.2 Cromolyn sodium

17.1.6 Combination to treat and prevent asthma

17.1.7 Drug for allergic asthma – omalizumab

17.1.8 Emergency treatment of asthma

17.2. Expectorants, mucolytics, cough and oxygen

17.2.1 Introduction to expectorants and mucolytics

17.2.2 Expectorants

17.2.3 Mucolytics

17.2.4 Cough

17.2.5 Oxygen

17.3. Drugs for rhinitis and rhinorrea

17.3.1 Introduction

17.3.2 Histamine and H1-receptor antagonists

17.3.3 Sympathomimetic

17.3.4 Muscarinic receptor antagonists

17.3.4 Cromolyn sodium

17.3.5 Glucocorticoids

In this section, initially the drugs for bronchial asthma and Chronic Obstructive Pulmonary Disease (COPD) are considered. This is followed by a discussion of expectorants, mucolytics, drugs for cough and oxygen, and then of the drugs for rhinitis and rhinorrhea.