Practitioner´s information: Inhalation therapy with eFlow®rapid:
Inhalation Solutions & Treatment Time
Active Agent
Concentration1)
Substance
Class1)
eFlow® rapid
Details
TOR
g/min 4)
MMD
μm 4)
RF %
< 5μm 4)
Time
Min
Tobramycin
300mg/5 ml
Aminoglycoside
Antibiotic
Serum level is comparable to standard therapy using
the PARI LC PLUS® nebuliser. Serum value approx.
1 μg/ml data on file (n=9).2)
Tested with TOBI®(Chiron/Novartis) 0.50 3.9 73 6-8
Colistimethate sodium
79 mg (1 Mio units)/3 ml
Polymyxine
Polypeptide Antibiotic
Colistin powder has to be dissolved carefully in 3 ml
0.9 % sodium chloride solution.
Tested with Colistin CF (Grünenthal) 0.58 3.9 69 3-4
Salbutamol
2.5 mg/2.5 ml
Bronchodilator
Beta 2 mimetic
Comparable treatment safety: Heart rate pre and post
delivery of Salbutamol (10 min after inhalation) is
comparable to LC PLUS® nebuliser. Data on file (n=10).2)
Tested with Sultanol®forte (Glaxo Smith Kline)
0.68 4.3 64 2-3
Ipratropiumbromide
500 μg/2 ml
Bronchodilator
Anticholinergic
Tested with Atrovent®(Boehringer Ingelheim) 0.69 4.3 63 1-2
Dornase alfa
2.5 mg/2.5 ml
Mucolytic agent Enzymatic activity remains largely stable
after nebulization (90%) as for PARI LC PLUS®
nebuliser 2)3). Tested with Pulmozyme®(Roche) 0.61 3.9 72 2-3
Acetylcysteine
300 mg/3 ml
Mucolytic Tested with Fluimucil®(Zambon) 0.60 4.1 70 4-5
Medical product:
Isotonic sodium chloride
solution (0.9 %) 2.5 ml
PARI NaCl Inhalation Solution
Secretolytic Individual treatment schedule.
Tested with PARI NaCl Inhalation Solution
0.70 4.3 67 2-3
Dispensed hypertonic
saline solution
(Sodium chloride 5.8%) 2.5 ml
Secretolytic Individual treatment schedule.
Tested with dispensed saline solution 5.8 % 0.69 4.2 69 2-3
1) These agents are approved for inhalation therapy in Germany. 2) Seemann et al: Improving aerosol drug delivery in CF therapy. European Cystic Fibrosis Society, 28 th European Cystic Fibrosis
Conference, Crete, Greece, June 22-25, 2005. 3) Lichtinghagen (2004 and 2005), MHH. 4) PARI internal tests, measured with the
Malvern MasterSizer X at 23°C and 50% relative humidity. Inspiratory flow 20 l/min. TOR, MMD, RF, time (mean values).