ObjectiveTo study the pharmacokinetics of complex prescription of roxithromycin tablets(I) by multiple dose of administration in healthy volunteers.MethodsThe total of 24 healthy volunteers were randomly divided into two groups with twelve each, and given with multiple dose of I or roxithromycin tablets plus ambroxol hydrochloride tablets(II), respectively.The concentration of roxithromycin or ambroxol in plasma was determined by LCMS/MS separately.The pharmacokinetic parameters were calculated with DAS 2.1 practical program and evaluated by ttest.ResultsThe Cmax,t1/2, AUC(0→t) and AUCs of roxithromycin and ambroxol of I were( 6 261.67±2 111.12 )and 51.42±19.83 ng8226;mL1,(14.70±8.91)and (10.19±1.94)h,(96 055.25±38 428.39) and (679.86±183.90 )ng8226;mL18226;h,(47 767.15±16 097.92) and(372.53±119.18) ng8226;mL18226;h,respectively.ConclusionCompared with II,the pharmacokinetic parameters of roxithromycin and ambroxol of I showed no significant difference.
ObjectiveTo investigate the combined effect of salmeterol/fluticasone(SF) therapy on serum levels of interleukin21 (IL21) and total IgE in asthmatics, and to explore the relationship between them in patients with allergic asthma.MethodsA total of 95 blood samples were collected and divided into three groups: control group (n=20) ,allergic asthma group (n=45) and treatment group (n=30).Patients belonging to the treatment group were treated with a combination of 50 μg salmeterol and 250 μg fluticasone twice daily for three months, and it was found that their asthma symptoms were alleviated.The levels of IL21 and total IgE in blood were detected by enzymelinked immunosorbent assay (ELISA).ResultsThe serum levels of IL21 in control group, allergic asthma group and treatment group were 17.19, 21.99 and 17.18 pg8226;mL-1, respectively.The levels of IL21 significantly differ from each other between the control group and allergic asthma group (P<0.05).Negative relationship was found between the levels of IL21 and total serum IgE in allergic asthma group (r=-0.32, P<0.05).In addition, IL21 level were significantly reduced by SF in treatment group compared to allergic asthma group (P<0.05), while SF did not significantly change total IgE levels (P<0.05).ConclusionOur results suggested that combined effect of salmeterol/fluticasone inhalation can reduce levels of IL21 in asthmatic patients, and it might be one of the important mechanisms for the treatment of asthma.