Bronchodilators corticosteroids for dogs

Getting the dose of theophylline and aminophylline just right can be tricky. The body breaks down (metabolises) theophylline in the liver. This metabolism varies from person to person. The blood levels of the medicine, therefore, can vary enormously. This is particularly the case in smokers, people with liver damage or impairment and in heart failure. In some conditions, the breakdown is reduced and blood levels increase. In other conditions, the breakdown is increased and so blood levels of theophylline fall. This is very important, as the toxic (dangerous) dose for theophylline is only just above the dose that is needed for the medicine to work well. When you first start treatment with one of these medicines your doctor will take some blood tests to make sure you are getting the right amount of medicine. This blood test measures how much theophylline is in your blood. Ideally the amount of theophylline in the blood is kept between 10 and 20 mg/L. Once you are settled on treatment your doctor may do more blood tests from time to time to check how much theophylline is in your blood.

Nebulisers are machines that turn the liquid form of your short-acting bronchodilator medicines into a fine mist, like an aerosol. You breathe this in with a face mask or a mouthpiece. Nebulisers are no more effective than normal inhalers. However, they are extremely useful in people who are very tired (fatigued) with their breathing, or people who are very breathless. Nebulisers are used mainly in hospital for severe attacks of COPD when large doses of inhaled medicines are needed. They are used less commonly than in the past, as modern spacer devices are usually just as good as nebulisers for giving large doses of inhaled medicines. You do not need any co-ordination to use a nebuliser - you just breathe in and out, and you will breathe the medicine in.

References: 1. Tashkin DP. A review of nebulized drug delivery in COPD. Int J Chron Obstruct Pulmon Dis. 2016;11:2585-2596. 2. Restrepo RD, Alvarez MT, Wittnebel LD, et al. Medication adherence issues in patients treated for COPD. Int J Chron Obstruct Pulmon Dis. 2008;3(3):371-384. 3. Lavorini F, Magnan A, Dubus JC, et al. Effect of incorrect use of dry powder inhalers on management of patients with asthma and COPD. Respir Med. 2008;102(4):593-604. 4. Koehorst-ter Huurne K, Movig K, van der Valk P, van der Palen J, Brusse-Keizer M. The influence of type of inhalation device on adherence of COPD patients to inhaled medication. Expert Opin Drug Deliv. 2016;13(4):469-475. 5. Dolovich MB, Ahrens RC, Hess DR, et al. Device selection and outcomes of aerosol therapy: Evidence-based guidelines: American College of Chest Physicians/American College of Asthma, Allergy, and Immunology. Chest. 2005;127(1):335-371. 6. Dhand R, Dolovich M, Chipps B, Myers TR, Restrepo R, Farrar JR. The role of nebulized therapy in the management of COPD: evidence and recommendations. COPD. 2012;9(1):58-72.

Bed rest is an essential part of the recovery process. Bronchitis may make it difficult to get a good night’s sleep, but simply lying down in a comfortable spot can make a huge difference in the body’s ability to fight infection. There is a lot going on in the body when a virus takes hold and a lot of energy needs to be diverted to the immune system so that white blood cells can be manufactured and sent to the site of the infection. If your body is going to keep up with its internal demands, it cannot “waste” precious energy reserves on regular daily activities like working, cleaning house, etc. In this case, the best solution is to call off sick and enlist the help of friends or family to help take care of things while you take to old-fashioned bed rest. Consider keeping a book, tablet computer, or the television remote nearby to make the time pass a little quicker.

Bronchodilators corticosteroids for dogs

bronchodilators corticosteroids for dogs

Bed rest is an essential part of the recovery process. Bronchitis may make it difficult to get a good night’s sleep, but simply lying down in a comfortable spot can make a huge difference in the body’s ability to fight infection. There is a lot going on in the body when a virus takes hold and a lot of energy needs to be diverted to the immune system so that white blood cells can be manufactured and sent to the site of the infection. If your body is going to keep up with its internal demands, it cannot “waste” precious energy reserves on regular daily activities like working, cleaning house, etc. In this case, the best solution is to call off sick and enlist the help of friends or family to help take care of things while you take to old-fashioned bed rest. Consider keeping a book, tablet computer, or the television remote nearby to make the time pass a little quicker.

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