Bronchodilators remain central to the symptomatic management of chronic obstructive pulmonary disease and asthma, and, for this reason and also because the patent protection of many bronchodilators has expired, several companies have reinitiated research into the field. The only limits set for the development of a long-lasting bronchodilator with a new product profile are medical needs and marketing opportunities. The incorporation of once-daily dose administration is an important strategy for improving adherence and is a regimen preferred by most patients. A variety of beta(2)-agonists and antimuscarinic agents with longer half-lives and inhalers containing a combination of several classes of long-acting bronchodilator are currently under development. The present article reviews all of the most important compounds under development, describing what has been done and discussing their genuine advantage.

译文

:支气管扩张剂仍然是对慢性阻塞性肺疾病和哮喘进行对症治疗的核心,并且由于这个原因,并且由于许多支气管扩张剂的专利保护期已到期,因此几家公司重新开始了对该领域的研究。开发具有新产品特性的长效支气管扩张剂的唯一限制是医疗需求和市场机会。每天一次的剂量给药是改善依从性的重要策略,并且是大多数患者首选的治疗方案。目前正在开发各种具有更长半衰期的β(2)-激动剂和抗毒蕈碱剂,以及包含几种长效支气管扩张剂的组合的吸入器。本文回顾了所有正在开发的最重要的化合物,描述了已完成的操作并讨论了它们的真正优势。

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