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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1997-3-7
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pubmed:abstractText |
Bambuterol, a carbamate prodrug of terbutaline, is the first once-daily oral beta 2-agonist. The effect/side effect ratio of bambuterol oral solution was compared with terbutaline mixture in elderly patients with chronic reversible obstructive airways disease. The study was of a double-blind, crossover, randomized design and consisted of a 4-7-day run-in period followed by four consecutive treatment periods each of 2 weeks. The treatments were bambuterol solution 20 mg nocte (B20), 10 mg nocte (B10), terbutaline mixture 3 mg t.i.d., (T), and placebo solution (P). Patients measured daily peak expiratory flow rate (PEFR), asthma symptoms, use of inhaled beta 2-agonist, and tremor. Of 84 patients, 66 completed all periods. Mean age was 67 years (60-90), basal FEV1 1.49 L, and reversibility of FEV1 30%. Ninety-four percent of the patients used inhaled/oral steroids in constant dosage. All treatments were significantly more effective than placebo. B20 resulted in higher morning PEFR than T (306 +/- 2.9 L/min vs. 297 +/- 2.9 L/min), while B10 gave equivalent results to T. No differences were seen in the use of inhaled beta 2-agonist. Less shortness of breath was experienced during the night with B20 and during the day with B10 compared with placebo. Both B20 and T produced more tremor than B10 and P. In elderly patients with chronic reversible airways obstruction once-daily bambuterol (10-20 mg) has a better effect/side effect ratio than 3 mg terbutaline thrice daily.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0277-0903
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
34
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
53-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9033440-Administration, Oral,
pubmed-meshheading:9033440-Aged,
pubmed-meshheading:9033440-Aged, 80 and over,
pubmed-meshheading:9033440-Analysis of Variance,
pubmed-meshheading:9033440-Bronchodilator Agents,
pubmed-meshheading:9033440-Cross-Over Studies,
pubmed-meshheading:9033440-Delayed-Action Preparations,
pubmed-meshheading:9033440-Double-Blind Method,
pubmed-meshheading:9033440-Humans,
pubmed-meshheading:9033440-Lung Diseases, Obstructive,
pubmed-meshheading:9033440-Middle Aged,
pubmed-meshheading:9033440-Statistics, Nonparametric,
pubmed-meshheading:9033440-Terbutaline,
pubmed-meshheading:9033440-Treatment Outcome
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pubmed:year |
1997
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pubmed:articleTitle |
Comparison of oral bambuterol and terbutaline in elderly patients with chronic reversible airflow obstruction.
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pubmed:affiliation |
Austin & Repatriation Medical Centre, Victoria, Australia.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Multicenter Study
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