Cough
Antitussives
?: up regulation of NMDA receptor
? antagonizes NMDA glutamate receptors
- ??? ??
- Narcotic opioids
- Morphine, codeine, hydrocodone
- ???? ?? ??, ??, ??, ????, ??
- Non-narcotic opioids
- Dextromethrophan; weak NMDA antagonist
- Nonopioids
- ??????: dextromethorphan + ephedrine + pheniramine
- ????: dextromethorphan ?? codeine -> ?? ?? ??.
- ?????: ??? codeine + guaifenesin
- Narcotic opioids
- ??? ??
- Levodropropizine ????, ?? ?? ? C-fiber ??.
24?? ?? ???, ?? ??? ?? ? ?? - Guaifenesin ?? ???? ??. ?? ?? ????? ??? ?? ??? ???? ??.
- Levodropropizine ????, ?? ?? ? C-fiber ??.
- ? ?
- 1?? ?????
- CNS ????, ????? ??.
- ???? (e.g., ipratropium bromide ???)
- 1?? ?????
Sputum
https://www.ekjm.org/upload/7806682.pdf
Expectorants 분비촉진제
An agent that induces discharge or expulsion of mucus from the respiratory tract
- Hypertonic saline
- Iodine-containing compounds
- Guaifenesin (glyceryl guaiacolate)
- Bromhexine
- Ion channel modifiers
- Tricyclic nucleotides
- Regulate ion transport through P2Y2 purinergic receptors that increase intracellular calcium
- Nebulised uridine triphosphate aerosol
- Tricyclic nucleotides
Mucoregulators 점액조절제
Drugs that regulate mucus secretion or interfere with the DNA/F-actin network
- Carbocysteine
- S-Carboxymethylcysteine (SCMC-Lys)
- Anticholinergic agents
- Glucocorticoids
- Macrolide antibiotics
Mucolytics 점액용해제
Liquifies mucus by disrupting disulfide bonds.
- N-acetylcysteine (NAC)
- Erdostein
- Peptide mucolytics
- Lysozyme, streptodornase, dornase alpha
- Non-destructive mucolytics
- Bromhexine
Mucokinetics
The majority of mucokinetic agents (sometimes referred to as cough clearance promoters) increase mucociliary clearance by acting on the cilia.
- Bronchodilators
- �2 agonist:
- Ambroxol
- Stimulate surfactant and mucus secretion
Hemoptysis
- Chest PA
Antibiotics 항생제
http://www.ksid.or.kr/file/2017_49_4_ko.pdf
Oseltamivir
??: qd, 10? ??: bid, 5?
JX999 ?? ??
- ????: 48?? ? ??? ?? ?? ????? ?? ??, (???? ???) ???? ? ????
- ????: 48?? ? ??? ?? ?? ????? ?? ??, ????? ?? ?? ??.
??
Nasal spray
Mometasone furoate 60?, 140? ? ??????