Evidence based review on levosalbutamol.
Indian J Pediatr
;
2007 Feb; 74(2): 161-7
Article
in English
| IMSEAR
| ID: sea-84384
ABSTRACT
Salbutamol, the most commonly used bronchodilator, is a chiral drug with R (levosalbutamol) and S-isomers (also known as enantiomer). The commonly used formulation is a racemic mixture that contains equal amounts of both R and S isomers. Levosalbutamol is the therapeutically active isomer and has all the beta 2 agonist activity. Until recently S-salbutamol was considered inert filler in the racemic mixture but animal as well as human studies have shown that S-salbutamol is not inert rather it may have some deleterious effects. Enantioselective metabolism of salbutamol leads to higher and sustained plasma levels of S-salbutamol with repeated dosing. There has been concern that chronic use of racemic salbutamol may lead to loss of effectiveness and clinical deterioration. Formulation of salbutamol containing only R- isomer (levosalbutamol) has been available in international market since last few years. Clinical trials in acute as well as chronic asthma in adults as well as children have shown that it has therapeutic advantage over racemic salbutamol and also is more cost effective. But, large multicenter trials are needed to prove its therapeutic superiority and cost-effectiveness in long term.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Quality of Life
/
Respiratory Function Tests
/
Asthma
/
Severity of Illness Index
/
Administration, Inhalation
/
Female
/
Humans
/
Male
/
Drug Administration Schedule
/
Randomized Controlled Trials as Topic
Type of study:
Controlled clinical trial
/
Observational study
/
Prognostic study
Country/Region as subject:
Asia
Language:
English
Journal:
Indian J Pediatr
Year:
2007
Type:
Article
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