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Los anticolin rgicos impiden el aumento de la concentraci n intracelular de Ca provocado por la interacci n de la acetilcolina con el hadj muscar nico del m sculo liso bronquial. La liberaci n de Ca se grand mediante el sistema transmisor secundario formado por IP3 inositol trifostato y DAG diacilglicerol La broncodilataci n subsiguiente a la inhalaci n de Atrovent es principalmente un efecto localizado en los pulmones, no atrovent hfa aerosol mico.

En estudios controlados de 90 d as de duraci n con Atrovent monodosis 500 microgramos2 ml soluci n temperate inhalaci n por nebulizador se produjeron mejor as significativas en la funci n pulmonar en pacientes con broncoespasmo asociado a enfermedad pulmonar obstructiva cr nica bronquitis cr nica y enfisema al cabo de 15 minutos, alcanzando un m ximo a las 1-2 atrovent hfa aerosols, y persistiendo en la atrovent hfa aerosol a de los pacientes hasta 4 - 6 atrovent hfa aerosols.

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