TOPICAL respiratory

Pharmaceutical powder aerosols have more stringent requirements placed upon the formulation regarding moisture, particle size, and the valve. For metered-dose inhalers, the dispensed product must be deflvered as a spray having a relatively small (3—6 -lm) particle size so that the particles can be deposited at the proper site in the respiratory system. On the other hand, topical powders must be formulated to minimize the number of particles in the 3—6-p.m range because of the adverse effects on the body if these materials are accidently inhaled. 

Rhinitis is characterized by nasal stuffiness with partial or full obstmction, and itching of the nose, eyes, palate, or pharynx, sneezing, and rhinorrhoea. If left untreated it can lead to more serious respiratory diseases such as sinusitis or asthma. Although several types of dmgs are available for treatment, nasal spray topical corticosteroids are widely regarded as the reference standard in rhinitis therapy (250). 

Dru may be applied to the skin and mucous membranes using several routes topically (on the outer layers of skin), transdermally through a patch on which the drug has been implanted, or inhaled through the membranes of the upper respiratory tract. 

The ICRP (1994b, 1995) developed a Human Respiratory Tract Model for Radiological Protection, which contains respiratory tract deposition and clearance compartmental models for inhalation exposure that may be applied to particulate aerosols of americium compounds. The ICRP (1986, 1989) has a biokinetic model for human oral exposure that applies to americium. The National Council on Radiation Protection and Measurement (NCRP) has also developed a respiratory tract model for inhaled radionuclides (NCRP 1997). At this time, the NCRP recommends the use of the ICRP model for calculating exposures for radiation workers and the general public. Readers interested in this topic are referred to NCRP Report No. 125 Deposition, Retention and Dosimetry of Inhaled Radioactive Substances (NCRP 1997). In the appendix to the report, NCRP provides the animal testing clearance data and equations fitting the data that supported the development of the human mode for americium. 

Anti-inflammatory. Elder flowers help soothe an inflamed respiratory tract irritated by hay fever and sinusitis. Elder has even been used to calm the agony of gout. Cool, strained elder flower tea makes an excellent application to inflamed eyes. Elderberries taken internally as a tea, tincture or syrup help to soothe irritated bowels or colitis. Topical applications are also helpful for glandular swellings. Parts used flowers, berries. 

See Chap. Ill, Lower Respiratory Tract Infections, authored by Mark L. Glover and Michael D. Reed, for a more detailed discussion of this topic. 

Toxic effects of expositions are calculated for a variety of exposures and effect combinations, assuming a probabilistic dose-effect relationship. Lethal and incapacitating responses (e.g. respiratory effects, topical skin effects or incapacitating eye effects) of varying degrees of severity are addressed. The model also distinguishes between effects resulting from vapour exposure and from exposures to liquid droplets. These primary effect probabilities are subsequently combined to afford overall casualty probabilities for lethality, severe incapacitation and incapacitation due to topical eye effects. 

Over the past decade, there have been considerable advances in our understanding of the immunobiological mechanisms that result in the quality of immune response necessary for the induction of chemical respiratory allergy. Experiments designed to characterize immune responses in mice to chemical sensitizers have demonstrated that different classes of chemical allergen stimulate the development of qualitatively discrete immune responses consistent with the selective emergence of functional subpopulations of T lymphocytes [16]. Thus, topical exposure of BALB/c strain mice to chemical contact allergens such as 2,4-dinitrochlorobenzene (DNCB) results in the induction of... 

The use of cocaine for local anesthesia has been largely replaced by synthetic drugs that produce less psychoactive effects. However, cocaine is still used sometimes for topical anesthesia of the upper respiratory tract. 

In a review. Arts and Kuper (2007) have summarized the animal test methods, which have been used to detect immune-mediated respiratory disease. The tests for respiratory sensitization include dermal as well as inhalatory or topical exposure of mice, rats, or guinea pigs for induction and challenge, and may measure various endpoints to evaluate respiratory sensitization. The review concludes that standardized and validated dose-response test methods are urgently required in order to allow identification of respiratory allergens and to make it possible to recommend safe exposure levels for consumers and workers. 

A study in mice examined immune responses following topical exposure to three allergenic diisocyanates diphenylmethane-4,4 -diisocyanate (MDI), dicyclohexyl-methane-4,4 -diisocyanate (HMDI), and isophorone diisocyanate (IPDI). Contact and respiratory sensitizers induce differential immune responses in mice characteristic of Thl and Th2 T helper cell activation, respectively. All three chemicals are contact allergens. MDI is, in addition, a known human respiratory allergen. HMDI and IPDI did not produce an immunologic response in the mouse similar to MDI. These findings suggest that HMDI has much less potential to cause respiratory sensitization in humans than does MDI ... 

Topical Symptomatic relief of nasal and nasopharyngeal mucosal congestion due to the common cold, sinusitis, hay fever, or other upper respiratory allergies. 

By inhalative application of vitamin A, an accumulation of peripheral vifamin A stores is achieved. For the Irmg and the respiratory epithelium, concentrations in the range of 1-20 (ig/g were obtained (Biesalski, 1990). Looking at quantitative concentrations in the respiratory epithelium and in the mixed epithelium of the nasal mucosa yielded an accumulation of vifamin A — after topical administration in different animal species — in the epithelium of the nose increased by factor 10-100 (in human of factor 5-20) compared to the concentrations of the respiratory mucosa (Lewis, 1973). 

It should be elucidated to what extent the "topical" application of retinyl esters on the respiratory epithelium, especially with BDP, can contribute to the replenishment of the lung stores and thus leading to the improvement of the clinical outcome. 

Application to the nerve cell ending would result only in topical anesthesia, and blockade of the neuromuscular junction could produce respiratory failure. Administration to the spinal cord is too general an answer. The injection must be near a nerve or nerve plexus proximal to the surgical site. 

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