MEPTIN Tablet Ref.[51010] Active ingredients: Procaterol

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Clinical Pharmacology

Pharmacology

1. Bronchodilatory Action

The bronchodilative action of procaterol hydrochloride hydrate was comparable to or more potent than that of isoproterenol and more potent than that of salbutamol sulfate and orciprenaline sulfate, as determined by inhibition on increased pulmonary resistance in dogs, cats, and guinea pigs.

2. Duration of Bronchodilatory Action

Procaterol hydrochloride hydrate had a longer duration of action than isoproterenol, trimetoquinol, orciprenaline sulfate, and salbutamol sulfate in dogs, cats, and guinea pigs.

3. Selectivity for β2-Adenergic Receptors (Organ Selectivity)

The selectivity of procaterol hydrochloride hydrate for β2-adrenergic receptors in the respiratory system was greater than that for such receptors in the cardiovascular system, as compared to isoproterenol, trimetoquinol, orciprenaline sulfate, and salbutamol sulfate in dogs, cats, and guinea pigs.

4. Anti-allergic Action

Procaterol hydrochloride hydrate exhibited a definite anti-allergic action by inhibiting antibody-induced increase in airway resistance, the PCAreaction, and histamine release from sensitized lung tissues in guinea pigs and rats, as well as allergen-induced skin reactions, and increases in asthmatic responses to antibody inhalation in bronchial asthma patients, as compared to isoproterenol, trimetoquinol, orciprenaline sulfate, and salbutamol sulfate. The drug also inhibited allergen-induced delayed-type and immediate-type bronchial responses.

5. Effects on Airway Secretion

Procaterol hydrochloride hydrate accelerated ciliary activity in airways of pigeons.

6. Inhibitory Effect on Exercise-Induced Asthma Episodes

The results of treadmill or ergometer exercise or methacholine loading tests suggest that procaterol hydrochloride hydrate suppresses exercise-induced asthma attacks in patients with bronchial asthma.

7. Effect on Airway Hypersensitivity

Procaterol hydrochloride hydrate inhibited airway hypersensitivity accelerated by the inoculation of influenza virus C in dogs.

8. Effect on Vascular Permeability Increase

Procaterol hydrochloride hydrate inhibited vascular permeability increase and edema formation in dorsal subcutaneous air pouches induced by various inflammatory chemical agents in rats.

Its potency was similar to that of isoproterenol. Procaterol hydrochloride hydrate also inhibited pulmonary edema induced by histamin inhalation in guinea pigs, with greater potency than salbutamol sulfate.

9. Effect on Cough

Procaterol hydrochloride hydrate inhibited cough in acute bronchitis induces by the inhalation of substance P.

Pharmacokinetics

1. Plasma Concentrations

When Meptin Tablets 50 µg were administered orally to 8 healthy male subjects as single doses of 50µg/subjects as procaterol hydrochloride hydrate, the following plasma concentration curves and pharmacokinetic parameters were obtained.

Plasma kinetic data:

tmax (hr) Cmax (pg/mL) t½ (hr) AUC (pg hr/mL)
1.4 + 0.82 136.4 + 62.9 3.83 + 0.93 690.2 + 262.9

2. Metabolism and Excretion

Following single oral administration of Meptin Tablets 50 µg at a dose of 50ìg/subject as procaterol hydrochloride hydrate, 15.7% of the administered dose was excreted as unchanged compound in the urine within 24 hours postdosing, and 23.6% was excreted as a glucuronide metabolite. Desisopropyl procaterol was also detected as a metabolite in the urine, accounting for 0.48% of the administered dose. It is believed that the main metabolic pathway in humans is glucuronide conjugation.

3. Metabolizing enzyme

CYP3A4 is the main enzyme involved in the formation of desisopropyl procaterol (in vitro).

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