MODERN BRONCHODILATION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Background. Chronic obstructive pulmonary disease (COPD) is a widespread acquired disease, accompanied by irreversible bronchial obstruction and significantly impaired quality of life. Tobacco addiction, as well as comorbid conditions, complicating the health of patients in the second half of life, often make it difficult to individually select the drug therapy for COPD. Undoubtedly, optimal bronchodilation is a key part of the pharmacotherapy of this disease, while the expanded range of drugs allows individual approach to the choice of therapy for each patient. Description of the clinical case. The article presents several clinical examples of the course of COPD, in which the condition was stabilized with glycopyrronium bromide, an anticholinergic drug with 24-hour duration of action, as a background therapy. Conclusion. The unique pharmacological as well as clinical properties of the molecule described in this article allow this bronchodilator to be used in various clinical situations of the COPD course - against smoking cessation, as a monotherapy, and as an addition to the available background therapy in the presence of concomitant pathology. Stabilization of the clinical condition of patients against the background of improvement of spirometric parameters proves the high clinical effectiveness of glycopyrronium in COPD therapy.

全文:

受限制的访问

作者简介

M. Lebedeva

Sechenov First Moscow State Medical University (Sechenov University)

Email: marinaamica@mail.ru
PhD, Associate Professor at the Department of Internal Diseases, Occupational Diseases and Pulmonology of the Medical-Preventive Faculty

参考

  1. GOLD 2018. Global Strategy for the Diagnosis, Management and Prevention of COPD. Updated 2018. Available at: http://www.goldcopd.org/ [Accessed 16 May].
  2. Айсанов З.Р., Авдеев С.Н., Архипов В.В. и др. Национальные клинические рекомендации по диагностике и лечению хронической обструктивной болезни легких: алгоритм принятия клинических решений. Пульмонология. 2017;27(1):13-20. doi: 10.18093/0869-0189-2017-27-1-13-20.
  3. Tashkin D.P Long-acting anticholinergic use in chronic obstructive pulmonary disease: efficacy and safety. Curr. Opin. Pulm. Med. 2010;16:97-105.
  4. Buhl R., Banerji D. Profile of glycopyrronium for once-daily treatment of moderate-to-severe COPD. Int. J. Chron. Obstruct. Pulmon. Dis. 2012; 7:729-41.
  5. Ulrik C.S. Once-daily glycopyrronium bromide, a long-acting muscarinic antagonist, for chronic obstructive pulmonary disease: a systematic review of clinical benefit. Int. J. Chron. Obstruct. Pulmon. Dis. 2012;7:673-78. Doi: 10.2147/ COPD.S35990.
  6. Sykes D.A., Dowling M.R., Leighton-Davies J., et al. The Influence of receptor kinetics on the onset and duration of action and the therapeutic index of NVA237 and tiotropium. J. Pharmacol. Exp Ther. 2012;343:520-28. Doi: https://doi.org/10.1124/ jpet.112.194456.
  7. Bartels C., Looby M., Sechaud R., Kaiser G. Determination of the pharmacokinetics of glycopyrronium in the lung using a population pharmacokinetic modeling approach. Br. J. Clin. Pharmacol. 2013. doi: 10.1111/bcp.12118.
  8. Инструкция по медицинскому применению лекарственного препарата Сибри® Бризхалер® (капсулы с порошком для ингаляций, 50 мкг на дозу). Регистрационное удостоверение ЛП-002244 (Изменение № 7 от 30.03.2017).
  9. Chapman K.R., Fogarty C.M., Peckitt C., et al. Delivery characteristics and patients' handling of two singledose dry-powder inhalers used in COPD. Int. J. Chron. Obstruct. Pulmon. Dis. 2011;6:353-63. doi: 10.2147/COPD.S18529.
  10. D'Urzo A., Ferguson G.T., van Noord J.A., et al. Efficacy and safety of once-daily NVA237 in patients with moderate-to-severe COPD: the GLOW1 trial. Respir. Res. 2011;12:156. doi: 10.1186/1465-9921-12-156.
  11. Kerwin E., Hébert J., Gallagher N., et al. Efficacy and safety of NVA237 versus placebo and tiotropium in patients with COPD: the GLOW2 study. Eur. Respir. J. 2012;40:1106-14. doi: 10.1183/09031936.00040712.
  12. Beeh K.M., Singh D., Di Scala L., Drollmann A. Once-daily NVA237 improves exercise tolerance from the first dose in patients with COPD: the GLOW3 trial. Int. J. Chron. Obstruct. Pulmon. Dis. 2012;7:503-13. doi: 10.2147/COPD.S32451.
  13. Boer L.M., Bischoff E.W., Borgijink X., et al. ‘Exacerbation-free time' to assess the impact of exacerbations in patients with chronic obstructive pulmonary disease (COPD): a prospective observational study. NPJ Primary Care Respir. Med. 2018;28:12. doi: 10.1038/s41533-018-0079-5.

补充文件

附件文件
动作
1. JATS XML

版权所有 © Bionika Media, 2018
##common.cookie##