Skip to main content
Log in

Effect of oral slow-release terbutaline on early morning dyspnoea

  • Originals
  • Published:
European Journal of Clinical Pharmacology Aims and scope Submit manuscript

Summary

Eight male patients with partly reversible airflow obstruction, who had a diurnal variation in peak expiratory flow rate (PEFR) of more than 20% were treated with placebo and slow-release terbutaline tablets (5 mg at 08.00 hours and 10 mg at 20.00 hours) for 8 days. On Day 8 of each period, PEFR and serum terbutaline were measured at 4 and 2-h intervals, respectively. PEFR on the terbutaline day showed a significant increase at 08.00, 12.00, 24.00, 04.00 and 08.00 hours as compared to the placebo day. Slow-release terbutaline prevented early morning dyspnoea. The serum concentration was 3.3 ng/ml during the day and 3.5 ng/ml during the night. During terbutaline therapy the patients reported fewer complaints than during the placebo period. It was concluded that slow-release terbutaline tablets are suitable for twice daily treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Barnes P, FitzGerald C, Brown M, Dollery C (1980) Nocturnal asthma and changes in circulating epinephrine, histamine, and cortisol. N Engl J Med 303: 263–267

    Google Scholar 

  • Berg W van den, Leferink JG, Maes RAA, Fokkens JK, Kreukniet J, Bruynzeel PLB (1984) The effects of oral and subcutaneous administration of terbutaline in asthmatic patients. Eur J Respir Dis 65 [Suppl 134]: 181–193

    Google Scholar 

  • Bhalla JS, Pande JN, Guleria JS (1978) Bronchodilator efficacy of a single oral dose of terbutaline sulphate — a double blind study. Indian J Chest Dis Allied Sci 20: 161–167

    Google Scholar 

  • Eriksson NE, Haglind K, Ljungholm K (1982) A comparison of sustained-release terbutaline and ordinary terbutaline in bronchial asthma. Br J Dis Chest 76: 202–204

    Google Scholar 

  • Fagerberg E, Tegner K-B (1972) Effects of oral terbutaline in asthmatic patients. A dose response study. Scand J Respir Dis 53: 3–9

    Google Scholar 

  • Formgren H (1970) A clinical comparison of the effect of oral terbutaline and orciprenaline. Scand J Respir Dis 51: 195–202

    Google Scholar 

  • Formgren H (1975) The therapeutic value of oral long-term treatment with terbutaline (Bricanyl) in asthma. Scand J Respir Dis 56: 321–328

    Google Scholar 

  • Leferink JG, Wagemakers-Engels L, Maes RAA, Lamont H, Pauwels R, Staeten M v.d. (1977) Quantitative analysis of terbutaline in serum and urine at therapeutic levels using gas chromatography-mass spectrometry. J Chromatogr 143: 299–305

    Google Scholar 

  • Reinberg A, Ghata J, Sicli E (1963) Nocturnal asthma attacks: their relationship to the ciradian adrenal cycle. J Allergy 34: 323–330

    Google Scholar 

  • Reinberg A, Gervens P (1972) Circadian rhythms in respiratory functions with special references to human chronophysiology and chronopharmacology. Bull Physiopathol Res 8: 663–677

    Google Scholar 

  • Soutar CA, Costello J, Ijaduola O, Turner-Warwick M (1975) Nocturnal and morning asthma: relationship to plasma corticosteroids and response to cortisol infusion. Thorax 30: 436–440

    Google Scholar 

  • Tashkin DP, Meth R, Simmons DH, Lee YE (1975) Double-blind comparison of acute bronchial and cardiovascular effects of oral terbutaline and ephedrine. Chest 68: 155–161

    Google Scholar 

  • Taudorf E, Bundgaard A, Fagerström PO, Weeke E, Weeke B (1981) Terbutaline depot tablets in asthma. Allergy 36: 495–500

    Google Scholar 

  • Trembath PW, Greenacre JK, Anderson M, Dimmock S, Mansfield L, Wadsworth J, Green M (1979) Comparison of four weeks' treatment with fenoterol and terbutaline aerosols in adult asthmatics. A double-blind crossover study. J Allergy Clin Immunol 63: 395–400

    Google Scholar 

  • Vries K de, Goei JT, Booy-Noord H, Orie NGM (1962) Changes during 24 hours in the lung function and histamine hyperreactivity of the bronchial tree in asthmatic and bronchitic patients. Int Arch Allergy 20: 93–101

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Koëter, G.H., Postma, D.S., Keyzer, J.J. et al. Effect of oral slow-release terbutaline on early morning dyspnoea. Eur J Clin Pharmacol 28, 159–162 (1985). https://doi.org/10.1007/BF00609685

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00609685

Key words

Navigation