Assessment of the systemic effects of inhaled glucocorticosteroids: the influence of blood sampling technique and frequency on plasma cortisol and leucocytes.

Author: AnderssonK E, JenningsB H, JohanssonS A

Paper Details 
Original Abstract of the Article :
Twelve healthy males (mean age 27.6 y, range 23-35 y) took part in a randomized, double-blind, cross-over study of the effect of blood sampling technique (separate isolated venepunctures vs use of an IV cannula) and frequency (overnight vs morning) on plasma cortisol and white blood cell count after...See full text at original site
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引用元:
https://doi.org/10.1007/BF00280045

データ提供:米国国立医学図書館(NLM)

The Impact of Sampling Technique on Inhaled Glucocorticosteroids

This study delves into the realm of pharmacology, specifically exploring the systemic effects of inhaled glucocorticosteroids. It's like navigating a desert of knowledge, where we're trying to find the clearest oasis of understanding about how these medications work. The researchers used a clever approach: a randomized, double-blind, cross-over study to analyze the influence of blood sampling technique and frequency on plasma cortisol and leucocyte levels. They discovered that the way we collect blood samples doesn't significantly affect the results, but the frequency of sampling does! Frequent sampling provides a more complete picture of the drug's systemic effect, giving us a more accurate glimpse into the desert landscape of its impact on the body.

Budesonide: A Desert Oasis of Relief, But With Some Twists

The study revealed that budesonide, a common inhaled glucocorticosteroid, effectively suppressed both plasma and urine free cortisol levels. This is akin to creating a temporary oasis in the desert, where the body's stress response is momentarily calmed. However, it also delayed the nocturnal rise in cortisol, which is a natural part of the body's circadian rhythm. This is like a desert mirage, where the body's usual patterns are momentarily distorted. Budesonide also impacted the levels of different white blood cells, demonstrating its complex interactions within the immune system.

Navigating the Immune System Desert

This research sheds light on the intricate interactions between inhaled glucocorticosteroids and the immune system, offering valuable insights into how these medications work and how we can optimize their use. It's like navigating a vast and sometimes treacherous desert, where understanding the terrain and its inhabitants is crucial for safe passage.

Dr. Camel's Conclusion

This study highlights the importance of considering both blood sampling techniques and frequency when studying the effects of inhaled glucocorticosteroids. It emphasizes the importance of frequent sampling for gaining a more complete understanding of the drug's systemic effect. The findings also demonstrate the complex interactions of budesonide with the immune system, showcasing its ability to suppress cortisol levels while affecting different types of white blood cells. This research is a valuable addition to our knowledge of inhaled glucocorticosteroids, guiding us toward more effective and precise treatment strategies.

Date :
  1. Date Completed 1991-01-24
  2. Date Revised 2019-08-13
Further Info :

Pubmed ID

2253661

DOI: Digital Object Identifier

10.1007/BF00280045

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Languages

English

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