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Treatment of bronchial obstruction in asthmatic children

V Spicak1, S Kacirek, P Pohunek

  • 1Faculty Hospital, Bulovka, Prague, CSSR.

Bulletin Europeen De Physiopathologie Respiratoire
|January 1, 1987
PubMed

Insights

Clenbuterol offers 12-hour bronchodilation in children with asthma. Other medications like ipratropium bromide, fenoterol, theophylline, and ambroxol hydrochloride also effectively manage asthma symptoms, including cough and sputum.

Area of Science:

  • Pediatric Pulmonology
  • Pharmacology

Background:

  • Asthma in children presents challenges in managing bronchoconstriction and associated symptoms like cough and sputum.
  • Effective bronchodilators and anti-inflammatory agents are crucial for controlling pediatric asthma exacerbations and long-term management.

Purpose of the Study:

  • To review the efficacy of various pharmacological agents in managing asthma symptoms in children.
  • To highlight the duration of action and specific benefits of different asthma medications.

Main Methods:

  • Literature review of studies evaluating bronchodilators and anti-asthmatic medications in pediatric populations.
  • Analysis of reported efficacy, duration of action, and symptom relief provided by individual drugs and combinations.

Main Results:

  • Clenbuterol demonstrates 12-hour bronchodilation in asthmatic children.
  • Ipratropium bromide and fenoterol combination effectively reduces cough linked to bronchial obstruction.
  • Sustained-release theophylline maintains therapeutic levels for 16 hours.
  • Ambroxol hydrochloride aids in reducing cough and sputum.
  • Cromoglycate and ketotifen are suitable for long-term asthma control.
  • Combination bronchodilators may improve nocturnal asthma management.

Conclusions:

  • A range of pharmacological options exist for pediatric asthma, each with specific benefits.
  • Medication choice should consider symptom profile, duration of action, and long-term control needs.
  • Combination therapy can enhance asthma control, particularly for nocturnal symptoms.

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