Targeting Drug Delivery to the Lungs by Inhalation

Most drugs targeted to the respiratory tract are used for their local action. For example, ephidrine for nasal decongestion, beta-2 agonists for bronchodilatation, and inhaled steroids to suppress the inflammation seen in asthmatic airways. Since the drug is delivered directly to its required site,...

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Main Author: C. O'Callaghan
Format: Article
Language:English
Published: Wiley 1994-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/S0962935194000724
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author C. O'Callaghan
author_facet C. O'Callaghan
author_sort C. O'Callaghan
collection DOAJ
description Most drugs targeted to the respiratory tract are used for their local action. For example, ephidrine for nasal decongestion, beta-2 agonists for bronchodilatation, and inhaled steroids to suppress the inflammation seen in asthmatic airways. Since the drug is delivered directly to its required site, only a small quantity is needed for an adequate therapeutic response, and consequently there is a low incidence of systemic side effects compared with oral or intravenous administration. More recently, it has become apparent that the lining of the respiratory tract, from nasal mucosa to airways and alveoli, may be used for the absorption of a drug for its systemic effect. This route of administration may be particularly attractive if it avoids the metabolic destruction encountered when some drugs are administered by alternative routes (for instance, peptides and proteins are rapidly destroyed by peptidases when Oven by the oral route). If there is a lack ofclinical response to an aerosolized drug, it is important to question whether the drug has failed or whether delivery to the site of action is inadequate. To deliver therapeutic agents by inhalation to the lower respiratory tract, inhaled drug particles must have appropriate aerodynamic characteristics. In addition, the anatomy and pathophysiology of the patient's respiratory tract, mode of inhalation through the inhaler, and the characteristics of the inhalational device itself, may significantly affect drug deposition.
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spelling doaj-art-2175d5debf724257be9950e39b505c072025-02-03T01:29:07ZengWileyMediators of Inflammation0962-93511466-18611994-01-0137S31S3310.1155/S0962935194000724Targeting Drug Delivery to the Lungs by InhalationC. O'Callaghan0Department of Child Health, School of Medicine, University of Leicester, Clinical Science Building, Leicester Royal Infirmary, PO Box 65, Leicester LE2 7LX, UKMost drugs targeted to the respiratory tract are used for their local action. For example, ephidrine for nasal decongestion, beta-2 agonists for bronchodilatation, and inhaled steroids to suppress the inflammation seen in asthmatic airways. Since the drug is delivered directly to its required site, only a small quantity is needed for an adequate therapeutic response, and consequently there is a low incidence of systemic side effects compared with oral or intravenous administration. More recently, it has become apparent that the lining of the respiratory tract, from nasal mucosa to airways and alveoli, may be used for the absorption of a drug for its systemic effect. This route of administration may be particularly attractive if it avoids the metabolic destruction encountered when some drugs are administered by alternative routes (for instance, peptides and proteins are rapidly destroyed by peptidases when Oven by the oral route). If there is a lack ofclinical response to an aerosolized drug, it is important to question whether the drug has failed or whether delivery to the site of action is inadequate. To deliver therapeutic agents by inhalation to the lower respiratory tract, inhaled drug particles must have appropriate aerodynamic characteristics. In addition, the anatomy and pathophysiology of the patient's respiratory tract, mode of inhalation through the inhaler, and the characteristics of the inhalational device itself, may significantly affect drug deposition.http://dx.doi.org/10.1155/S0962935194000724
spellingShingle C. O'Callaghan
Targeting Drug Delivery to the Lungs by Inhalation
Mediators of Inflammation
title Targeting Drug Delivery to the Lungs by Inhalation
title_full Targeting Drug Delivery to the Lungs by Inhalation
title_fullStr Targeting Drug Delivery to the Lungs by Inhalation
title_full_unstemmed Targeting Drug Delivery to the Lungs by Inhalation
title_short Targeting Drug Delivery to the Lungs by Inhalation
title_sort targeting drug delivery to the lungs by inhalation
url http://dx.doi.org/10.1155/S0962935194000724
work_keys_str_mv AT cocallaghan targetingdrugdeliverytothelungsbyinhalation