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High-throughput Fluorometric Measurement of Potential Soil Extracellular Enzyme Activities
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[Not Available].

Dorrà Dridi1, Mossadok Ben Attia2, Karim Aouam1

  • 1Laboratoire de Pharmacologie, Faculté de Médecine, Monastir, Tunisie.

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Summary

Optimizing corticoid medication timing, considering cortisol

Keywords:
Cortisolasthme nocturneciclesonidecircadian rhythmscorticoadrenalcorticosteroidscorticostéroïdescorticosurrénaliennenocturnal asthmapathologiepathologyrythmes circadiens

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Area of Science:

  • Pharmacology
  • Endocrinology
  • Chronobiology

Context:

  • Corticoids, including cortisol and its derivatives, are vital anti-inflammatory drugs.
  • Their therapeutic efficacy and side effects are influenced by physiological circadian rhythms.
  • Optimal drug administration requires understanding these time-dependent effects.

Purpose:

  • To explore chronotherapeutic optimization of corticoid dosing for enhanced efficacy and safety.
  • To investigate the application of chronobiology in treating conditions like asthma and adrenal insufficiency.
  • To highlight the advantages of novel inhaled corticoids, such as ciclesonide, within a chronobiologic framework.

Summary:

  • Therapeutic use of corticoids presents challenges due to cortisol's physiological roles and circadian rhythms.
  • Time-related administration significantly impacts both beneficial and adverse effects of corticoids.
  • Chronotherapeutic optimization improves desirable effects and safety in treating adrenocortical failure, congenital adrenal hyperplasia, and asthma.

Impact:

  • Knowledge of physiological rhythms enables optimized oral corticoid treatment, particularly for asthma.
  • A chronobiologic approach, combined with molecule modification and inhalation, offers advanced optimization strategies.
  • This approach positions inhaled corticoids like ciclesonide favorably for improved patient outcomes.