help button home button
AJRCCM
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH

Published ahead of print on July 31, 2003, doi:10.1164/rccm.200302-200OC

Am. J. Respir. Crit. Care Med., Volume 168, Number 7, October 2003, 779-782

A more recent version of this article appeared on October 1, 2003
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
200302-200OCv1
168/7/779    most recent
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Agertoft, L.
Right arrow Articles by Pedersen, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Agertoft, L.
Right arrow Articles by Pedersen, S.

Submitted on February 19, 2003
Accepted on July 29, 2003

Lung deposition and systemic availability of fluticasone Diskus and budesonide Turbuhaler

Lone Agertoft1* and Soren Pedersen1

1 Pediatrics, University of Southern Denmark, Kolding Hospital, Kolding, Denmark

* To whom correspondence should be addressed. E-mail: lone_agertoft{at}dadlnet.dk.

Pharmacokinetic studies can be used to measure lung dose of inhaled drugs. Aim: To compare the lung deposition of budesonide inhaled from Turbuhaler and fluticasone inhaled from Diskus and to assess if the study design used for pharmacokinetic studies can be simplified. Method: Plasma levels of Budesonide and Fluticasone were measured for 21 hours on 5 separate days in 15 patients aged 8 to 14 years: 1) Intravenous infusion of 200 [mu]g Budesonide, 2) Intravenous infusion of 200 [mu]g Fluticasone 3) Inhalation of 800 µg Budesonide via Turbuhaler 4) Inhalation of 750[mu]g Fluticasone via Diskus 5) Inhalation of Budesonide and Fluticasone on the same day. Charcoal was ingested to eliminate drug uptake from the gastrointestinal tract. Results: Mean lung deposition of drug after Turbuhaler and Diskus inhalation was 30,8% (Budesonide) and 8.0% (Fluticasone) when the drugs were administered on separate days and 29.5% (Budesonide) and 7.6% (Fluticasone) when they were inhaled on the same day. Conclusion: Lung deposition is four times higher in children after inhalation from Turbuhaler than after inhalation from Diskus. Pharmacokinetic studies with budesonide and fluticasone can be simplified since the two treatments can be administered on the same day.


Key words: Lung deposition, pharmacokinetics, children, dry powder inhalers, inhaled corticosteroids




This article has been cited by other articles:


Home page
ChestHome page
F. Cerasoli Jr
Developing the Ideal Inhaled Corticosteroid
Chest, July 1, 2006; 130(1_suppl): 54S - 64S.
[Abstract] [Full Text] [PDF]


Home page
Eur Respir JHome page
R. Petersen, L. Agertoft, and S. Pedersen
Treatment of exercise-induced asthma with beclomethasone dipropionate in children with asthma
Eur. Respir. J., December 1, 2004; 24(6): 932 - 937.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Respir. Crit. Care Med.Home page
M. J. Tobin
Pediatrics, Surfactant, and Cystic Fibrosis in AJRCCM 2003
Am. J. Respir. Crit. Care Med., January 15, 2004; 169(2): 277 - 287.
[Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH
Proc. Am. Thorac. Soc. Am. J. Respir. Cell Mol. Biol.
Copyright © 2003 American Thoracic Society