Abstract
1. The effect of three single doses of nifedipine on exercise-induced asthma has been examined in 11 asthmatic subjects. 2. On four separate days patients undertook 6 min of exercise on a treadmill 30 min after taking placebo or nifedipine 10, 20 or 30 mg administered double-blind and in random order. 3. Nifedipine had no significant effect on resting FEV1 measurements. 4. Nifedipine, in doses of 10, 20 and 30 mg, inhibited exercise induced bronchoconstriction, reducing the maximum fall in FEV1 from 30.8 +/- 3.5% after placebo to 21.9 +/- 3.4% (NS), 13 +/- 3.4% (P less than 0.01) and 15 +/- 3.9% (P less than 0.01) respectively. 5. This study has shown that the protective effect of nifedipine against exercise-induced asthma is dose related with the maximum inhibitory effect being observed with a single dose of 20 mg.
Full text
PDF





Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Barnes P. J. Clinical studies with calcium antagonists in asthma. Br J Clin Pharmacol. 1985;20 (Suppl 2):289S–298S. doi: 10.1111/j.1365-2125.1985.tb02815.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Barnes P. J., Wilson N. M., Brown M. J. A calcium antagonist, nifedipine, modifies exercise-induced asthma. Thorax. 1981 Oct;36(10):726–730. doi: 10.1136/thx.36.10.726. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cerrina J., Denjean A., Alexandre G., Lockhart A., Duroux P. Inhibition of exercise-induced asthma by a calcium antagonist, nifedipine. Am Rev Respir Dis. 1981 Feb;123(2):156–160. doi: 10.1164/arrd.1981.123.2.156. [DOI] [PubMed] [Google Scholar]
- Church M. K., Pao G. J., Holgate S. T. Characterization of histamine secretion from mechanically dispersed human lung mast cells: effects of anti-IgE, calcium ionophore A23187, compound 48/80, and basic polypeptides. J Immunol. 1982 Nov;129(5):2116–2121. [PubMed] [Google Scholar]
- Corris P. A., Nariman S., Gibson G. J. Nifedipine in the prevention of asthma induced by exercise and histamine. Am Rev Respir Dis. 1983 Dec;128(6):991–992. doi: 10.1164/arrd.1983.128.6.991. [DOI] [PubMed] [Google Scholar]
- Cuss F. M., Barnes P. J. The effect of inhaled nifedipine on bronchial reactivity to histamine in man. J Allergy Clin Immunol. 1985 Nov;76(5):718–723. doi: 10.1016/0091-6749(85)90677-3. [DOI] [PubMed] [Google Scholar]
- Edmunds A. T., Tooley M., Godfrey S. The refractory period after exercise-induced asthma: its duration and relation to the severity of exercise. Am Rev Respir Dis. 1978 Feb;117(2):247–254. doi: 10.1164/arrd.1978.117.2.247. [DOI] [PubMed] [Google Scholar]
- Foreman J. C., Hallett M. B., Mongar J. L. The relationship between histamine secretion and 45calcium uptake by mast cells. J Physiol. 1977 Sep;271(1):193–214. doi: 10.1113/jphysiol.1977.sp011996. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Harries M. G., Burge P. S., O'Brien I., Cromwell O., Pepys J. Blood histamine levels after exercise testing. Clin Allergy. 1979 Sep;9(5):437–441. doi: 10.1111/j.1365-2222.1979.tb02506.x. [DOI] [PubMed] [Google Scholar]
- Henderson A. F., Heaton R. W., Dunlop L. S., Costello J. F. Effects of nifedipine on antigen-induced bronchoconstriction. Am Rev Respir Dis. 1983 May;127(5):549–553. doi: 10.1164/arrd.1983.127.5.549. [DOI] [PubMed] [Google Scholar]
- Kim Y. Y., Holgate S. T., Church M. K. Inhibition of histamine release from dispersed human lung and tonsillar mast cells by nicardipine and nifedipine. Br J Clin Pharmacol. 1985 May;19(5):631–638. doi: 10.1111/j.1365-2125.1985.tb02690.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kirkpatrick C. T. Excitation and contraction in bovine tracheal smooth muscle. J Physiol. 1975 Jan;244(2):263–281. doi: 10.1113/jphysiol.1975.sp010796. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lee T. H., Brown M. J., Nagy L., Causon R., Walport M. J., Kay A. B. Exercise-induced release of histamine and neutrophil chemotactic factor in atopic asthmatics. J Allergy Clin Immunol. 1982 Aug;70(2):73–81. doi: 10.1016/0091-6749(82)90232-9. [DOI] [PubMed] [Google Scholar]
- Lee T. H., Nagy L., Nagakura T., Walport M. J., Kay A. B. Identification and partial characterization of an exercise-induced neutrophil chemotactic factor in bronchial asthma. J Clin Invest. 1982 Apr;69(4):889–899. doi: 10.1172/JCI110528. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marin M. G., Estep J. A., Zorn J. P. Effect of calcium on sulfated mucous glycoprotein secretion in dog trachea. J Appl Physiol Respir Environ Exerc Physiol. 1982 Jan;52(1):198–205. doi: 10.1152/jappl.1982.52.1.198. [DOI] [PubMed] [Google Scholar]
- McFadden E. R., Jr, Lenner K. A., Strohl K. P. Postexertional airway rewarming and thermally induced asthma. New insights into pathophysiology and possible pathogenesis. J Clin Invest. 1986 Jul;78(1):18–25. doi: 10.1172/JCI112549. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Patakas D., Vlachoianni E., Tsara V., Louridas G., Argiropoulou P. Nifedipine in bronchial asthma. J Allergy Clin Immunol. 1983 Sep;72(3):269–273. doi: 10.1016/0091-6749(83)90031-3. [DOI] [PubMed] [Google Scholar]
- Patel K. R. The effect of calcium antagonist, nifedipine in exercise-induced asthma. Clin Allergy. 1981 Sep;11(5):429–432. doi: 10.1111/j.1365-2222.1981.tb01615.x. [DOI] [PubMed] [Google Scholar]
- Schoeffel R. E., Anderson S. D., Gillam I., Lindsay D. A. Multiple exercise and histamine challenge in asthmatic patients. Thorax. 1980 Mar;35(3):164–170. doi: 10.1136/thx.35.3.164. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Suzuki T., Mori K., Uchida M. Inhibition by calcium antagonists of histamine release and calcium influx of rat mast cells: difference between induction of histamine release by concanavalin A and compound 48/80. Eur J Pharmacol. 1982 Nov 19;85(2):155–161. doi: 10.1016/0014-2999(82)90460-5. [DOI] [PubMed] [Google Scholar]
- Waller D. G., Renwick A. G., Gruchy B. S., George C. F. The first pass metabolism of nifedipine in man. Br J Clin Pharmacol. 1984 Dec;18(6):951–954. doi: 10.1111/j.1365-2125.1984.tb02569.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Williams D. O., Barnes P. J., Vickers H. P., Rudolf M. Effect of nifedipine on bronchomotor tone and histamine reactivity in asthma. Br Med J (Clin Res Ed) 1981 Aug 1;283(6287):348–348. doi: 10.1136/bmj.283.6287.348. [DOI] [PMC free article] [PubMed] [Google Scholar]
