氣喘或慢性阻塞性肺病 Maintenance treatment of airflow obstruction in patients with COPD
藥理
Umeclidinium, a long-acting anticholinergic, competitively and reversibly inhibits the action of acetylcholine at type 3 muscarinic (M3) receptors in bronchial smooth muscle causing bronchodilation. Vilanterol: LABA, stimulation of intracellular adenyl cyclase. Increased cyclic AMP levels cause relaxation of bronchial smooth muscle; inhibition of release of mediators of immediate hypersensitivity from cells.
藥動學
Umeclidinium and Vilanterol : mostly absorbed from the lung after inhaled doses. Tmax, Inhalation: 5 to 15 minutes (umeclidinium and vilanterol); Elimination Half Life: Umeclidinium, 11 hurs; Vilanterol, 11 hurs.
禁忌症
Severe hypersensitivity to milk proteins; hypersensitivity to umeclidinium, vilanterol, or any of the excipients.