Give me a proper notes of drugs for respiratory disorder
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These notes cover 14 drug categories for respiratory disorders, compiled from Katzung's Basic & Clinical Pharmacology (16th Ed) and Goodman & Gilman's. Here's a quick overview of what's included:
β₂ Agonists — SABAs (albuterol, terbutaline) and LABAs (salmeterol, formoterol, vilanterol) with mechanisms, routes, toxicities
Inhaled Corticosteroids — All agents (fluticasone, budesonide, ciclesonide, etc.), local vs systemic toxicities, clinical use
Systemic Corticosteroids — Prednisone and methylprednisolone doses for acute severe asthma
Antimuscarinics — SAMAs (ipratropium) and LAMAs (tiotropium, umeclidinium, aclidinium, glycopyrronium); key role in COPD
Methylxanthines — Theophylline/aminophylline with narrow therapeutic index and drug interactions
Leukotriene Inhibitors — Zileuton (5-LOX inhibitor) and LTRAs (montelukast, zafirlukast) including black box warning
Mast Cell Stabilizers — Cromolyn (prophylaxis only, not for acute)
Biologics — Omalizumab, mepolizumab, dupilumab, tezepelumab and selection by biomarker