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salbutamol + ipratropium bromide (Respimat Combivent)

✓ Approved

Boehringer Ingelheim International GmbH · ADRB2 · Small Molecule

What is salbutamol + ipratropium bromide?

salbutamol + ipratropium bromide is a small molecule developed by Boehringer Ingelheim International GmbH. It is approved for therapeutic indications via inhaled.

Drug Profile

Brand NamesRespimat Combivent
CompanyBoehringer Ingelheim International GmbH
Drug ClassSmall Molecule
Molecular TargetADRB2, CHRM1, CHRM2, CHRM3, CHRM4
RouteInhaled
StatusApproved

Mechanism of Action

Molecular Targets

salbutamol + ipratropium bromide acts on 5 molecular targets:

ADRB2adrenoceptor beta 2 (B2AR, ARB2)
CHRM1cholinergic receptor muscarinic 1 (M1, HM1)
CHRM2cholinergic receptor muscarinic 2 (HM2)
CHRM3cholinergic receptor muscarinic 3 (HM3, PBS)
CHRM4cholinergic receptor muscarinic 4 (HM4, M4R)
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Therapeutic Indications

salbutamol + ipratropium bromide is developed for 2 unique indications across 1 therapeutic area.

Therapeutic AreaConditionPhase
Respiratory, thoracic and mediastinal disordersChronic obstructive pulmonary disease✓ Approved
Respiratory, thoracic and mediastinal disordersAsthmaPhase III

Related Research Articles

PubMedDrug development and industrial pharmacy2026-08-30

Development of Extended-Release Oral Dosage Forms of Salbutamol Sulfate Using the Hot-Melt Extrusion Manufacturing Technique.

Ramadan Banan B, Al-Zoubi Nizar N, Migdadi Eman E, AlSuwais Alia Kh AK et al.

To fabricate and characterize extrudable polymeric matrices using a combination of ethyl cellulose (EC) and two different grades of hydroxypropyl cellulose (HPC) that can provide sustained drug release of the model drug salbutamol sulfate. Implementation of the Hot-Melt Extrusion (HME) technique in the fabrication of polymeric combinations that will provide ready-to-use matrices for sustained release dosage forms. Two formulation groups were developed; each with six formulations. The first group contained EC: HPC 370,000 ratios ranging from 55.52:13.8% to 6.9:62.46%, respectively. The second group contained EC: HPC 80,000 ranging from 59.4:10% to 9.4:60%, respectively. The release profiles were determined via in vitro studies to assess the ability of matrices to prolong salbutamol release. Solid-state characterization was also performed on the raw material and representative extrudates formulations using differential scanning calorimetry (DSC) and X-ray powder diffraction (XRPD) and polarized light microscopy (PLM). The first group formulations exhibited prolonged drug release profiles that accelerated progressively as the level of HPC 370,000 increased. In contrast, the second group formulations exhibited a noticeably faster release, demonstrating that HPC 80,000 can effectively accelerate drug release through enhanced matrix erosion and water penetration. DSC and XRPD revealed that the model drug remained in its stable crystalline state even after thermal processing via HME. PLM further confirmed drug crystallinity within the extrudates. EC-HPC matrices successfully demonstrated the feasibility of using HME to prepare sustained-release matrices for salbutamol sulfate with the ability to tune drug release by varying polymer grade and ratio.

PubMedAngewandte Chemie (International ed. in English)2026-08-29

An Engineering-Editable Hybrid Membrane‑Camouflaged DNA Origami Drug Enables Checkpoint Blockade and Immune Activation for Triple-Negative Breast Cancer Immunotherapy.

Gong Xiaqing X, Yuan Han H, Fang Ying Y, Song Mingming M

The clinical response to immunotherapy in triple-negative breast cancer (TNBC) is often limited by the immunosuppressive microenvironment, immune cell exhaustion, and multidrug resistance. Through a high-throughput screen of 2,500 FDA-approved drugs using a three-dimensional tumor organoid platform, we identified thonzonium bromide (THO) as an inducer of gasdermin D (GSDMD)-mediated pyroptosis, which results in the release of damage-associated molecular patterns (DAMPs) to activate antitumor immunity. To achieve targeted delivery, we designed a core-shell-structured biomimetic nanoparticle (THO/AMT-si NP) consisting of a core formed by tetrahedral DNA (TDN NPs) constructed using DNA origami technology, which is loaded with THO and P-gp siRNA, and an outer layer coated with a programmatically designed hybrid membrane (AREP). These findings indicate that THO/AMT-Si NPs can effectively target TNBC tumors, convert "cold" tumors into "hot" tumors by inducing pyroptosis in cancer cells, reverse immune cell exhaustion, and simultaneously overcome cancer cell multidrug resistance, thereby achieving synergistic inhibition of tumor growth and metastasis. In summary, this biomimetic nanomedicine enhances immunotherapy for TNBC by combining synergistic cascade targeting, immune checkpoint blockade, and thermosis-mediated immune activation.

PubMedInternational journal of biological macromolecules2026-08-29

Interfacial synergistic effects of lignin-titanium dioxide composites in emulsified asphalt and their anti-aging performance.

Wei Xiufang X, Wu Haisheng H, Li Hao H, Xiang Minru M et al.

Conventional surfactant-stabilized emulsified asphalt can achieve rapid emulsification by reducing oil-water interfacial tension. However, the interfacial film formed by surfactants has limited mechanical strength, making the emulsion prone to coalescence and demulsification during storage and transportation. In addition, surfactants mainly function during the emulsification stage and provide limited protection against thermo-oxidative and ultraviolet(UV) aging of the evaporative residue after emulsion breaking. In this study, lignin-TiO2 composite particles (LTiO2) were prepared by a hydrothermal method and combined with cetyltrimethylammonium bromide (CTAB) to construct a cationic emulsified asphalt system based on surfactant-particle synergy. LTiO2 significantly improved the storage stability of emulsified asphalt, reduced the average droplet size, and maintained a high zeta potential. Cryo-scanning electron microscopy(Cryo-SEM) results showed that LTiO2 promoted close droplet packing and a honeycomb-like network structure, thereby enhancing resistance to coalescence and demulsification. After short-term aging and UV aging, LTiO2 weakened the rheological hardening of the evaporative residue and reduced the growth of carbonyl and sulfoxide indices. Atomic force microscopy(AFM) further showed that LTiO2 inhibited aging-induced bee-like structure evolution and polar component aggregation. These results indicate that CTAB enables rapid interfacial tension reduction and droplet formation, while LTiO2 strengthens the oil-water interfacial film and improves the thermo-oxidative and UV aging resistance of the evaporative residue after demulsification. This study provides a new strategy for stable and green multifunctional emulsified asphalt.

PubMedRSC advances2026-08-29

Extraction solvent shapes the phytochemistry, multi-target bioactivity, and machine learning-predicted anticancer targets of Seseli libanotis.

Cetiz Mehmet Veysi MV, Uba Abdullahi Ibrahim AI, Terzic Milena M, Jeko Josef J et al.

Seseli libanotis (L.) W. D. J. Koch (Apiaceae) is a wild vegetable traditionally consumed in eastern Anatolia, but its non-volatile phytochemistry and multi-target bioactivity remain insufficiently characterized. This study evaluated how extraction polarity shapes the chemical and biological profiles of four aerial-part extracts. The extracts were analyzed for total phenolic and flavonoid contents, chemical composition, antioxidant activity, inhibition of five enzymes, cytotoxicity against three tumor cell lines and human embryonic kidney (HEK-293) cells, and in silico molecular docking with enzyme targets. The ethanol/water extract showed the highest total phenolic content. Qualitative liquid chromatography-mass spectrometry (LC-MS) profiling showed broad coverage of caffeoylquinic acids and flavonoid glycosides in the polar extracts. Antioxidant activity was solvent- and assay-dependent: water was most active in the 2,2-diphenyl-1-picrylhydrazy (DPPH), cupric reducing antioxidant capacity (CUPRAC), and ferric reducing antioxidant power (FRAP) assays, ethanol/water in the 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) assay, and ethyl acetate (EA) in the phosphomolybdenum assay. Ethanol and ethanol/water showed the highest acetylcholinesterase (AChE) and α-glucosidase inhibition, without significant differences between them; EA was most active against butyrylcholinesterase (BChE) and α-amylase. Molecular docking analyses suggested favorable binding modes of selected phytochemicals within the active sites of the investigated enzyme targets. Subsequent molecular dynamics simulations validated these interactions by demonstrating stable binding conformations sustained through persistent hydrogen-bonding networks. The ethanol/water extract was the most cytotoxic against three tumor cell lines (IC50 31.77-41.25 µg mL-1). Annexin V and propidium iodide staining (Annexin V/PI) and acridine orange/ethidium bromide (AO/EB) staining indicated apoptosis-associated viability loss; however, similar activity against HEK-293 cells indicated limited tumor selectivity. Extraction solvent was the principal determinant of phytochemical composition and bioactivity, while the low selectivity highlights the need for fractionation and compound-level validation.

PubMedArchives of microbiology2026-08-29

Multi-target molecular mechanisms of Cymbopogon flexuosus essential oil reveal membrane destabilization, ROS-mediated cellular damage, efflux perturbation, biofilm suppression and resistance-target interference in Staphylococcus aureus.

Imam Md Waquar MW, Mohan Narendra N, Maurya Nidhi N, Chanotiya Chandan S CS et al.

The rapid emergence of antibiotic-resistant Staphylococcus aureus necessitates exploring alternative antimicrobial agents with multi-target mechanisms of action. In the present study, the antibacterial efficacy and mechanistic activity of 21 essential oils were investigated against S. aureus using integrated microbiological, biochemical, flow cytometric, microscopic, and computational approaches. Preliminary screening through disc diffusion, MIC, and MBC assays identified Cymbopogon flexuosus, Cymbopogon nardus, and Eucalyptus hybrida as the most active essential oils, with C. flexuosus exhibiting the strongest antibacterial potency. Percentage inhibition assays, growth kinetics, confirmed concentration-dependent antibacterial activity, with C. flexuosus and C. nardus producing > 60% inhibition and rapid growth suppression within 2 h at MIC and 2×MIC. Mechanistic investigations revealed that C. flexuosus essential oil induced significant membrane destabilization, as evidenced by the crystal violet permeability assay, as they increase relative permeability 58.2% at twice MIC, increased nucleic acid and protein leakage, increased propidium iodide permeability, and elevated ethidium bromide accumulation, indicating membrane disruption and perturbation of efflux pumps. Scanning electron microscopy further confirmed severe morphological alterations, including membrane collapse and cellular deformation. In addition, intracellular reactive oxygen species (ROS) generation increased significantly following treatment, suggesting oxidative stress-mediated bacterial killing. C. flexuosus also demonstrated potent antibiofilm activity, reducing biofilm formation by more than 60% at the MIC and twice the MIC in S. aureus. GC-MS analysis identified geranial, neral, citronellal, geraniol, limonene, and β-caryophyllene as major volatile constituents. Molecular docking studies revealed favourable interactions between several compounds and critical bacterial targets involved in cell wall biosynthesis and antibiotic resistance, including β-lactamases and penicillin-binding proteins. Furthermore, in silico ADMET profiling suggested that the selected constituents possess favourable physicochemical and safety properties for topical therapeutic applications. These findings demonstrate that C. flexuosus essential oil exerts potent anti-staphylococcal activity through multiple mechanisms, including membrane destabilisation, ROS-mediated cellular damage, efflux perturbation, biofilm suppression, and interference with resistance targets. The study highlights the therapeutic potential of C. flexuosus essential oil as a promising natural antibacterial candidate against S. aureus infections.

PubMedThe Journal of asthma : official journal of the Association for the Care of Asthma2026-08-28

General emergency department management of pediatric asthma exacerbations: the impact of pediatric readiness on guideline-concordant care.

Brackman Savannah S, Scott Halden H, Adelgais Kathleen K, Dillon Mairead M et al.

To assess guideline-concordant management of children with moderate to severe asthma exacerbations in general emergency departments (EDs) and whether pediatric readiness is associated with receipt of guideline-concordant care. Retrospective cohort study of children 4-18 years treated at a general ED for asthma exacerbations and transferred and admitted to a pediatric tertiary care hospital health system. Children with complex medical conditions and those discharged from the pediatric tertiary hospital ED after transfer were excluded. General ED weighted Pediatric Readiness Scores (wPRS, range 0-100) obtained from the Colorado Emergency Medical Services for Children 2020 National Pediatric Readiness Project (NPRP) assessment were categorized by quartiles or deemed as no score if wPRS was unavailable (i.e. hospitals that had not completed the NPRP assessment or transfers from general EDs outside of Colorado). The primary outcome was receipt of asthma care in accordance with international guidelines defined as receipt of systemic corticosteroids and inhaled albuterol and ipratropium bromide. Secondary outcomes included clinical outcomes at the pediatric tertiary hospital (i.e. intensive care unit (ICU) admission, hospital length of stay). Multivariable logistic regression tested the association between wPRS and receipt of guideline-concordant asthma care, adjusting for demographics. There were 319 general ED visits from 87 EDs across 4 states for asthma exacerbations requiring admission to the pediatric health system; wPRS was available for 193 visits. Guideline-concordant asthma care was provided in 74% (235/319) of general ED visits. Children who were older, had lower oxygen saturation, and documented wheeze or prolonged expiratory phase were more likely to receive guideline-concordant care. There was no association between general ED wPRS and receipt of guideline-concordant care among the 193 visits with PRS data. Patients receiving guideline-concordant care had higher rates of ICU admission and longer hospital lengths of stay. In this cohort, 1 in 4 children did not receive guideline-concordant asthma exacerbation care at general EDs. Pediatric readiness was not associated with receipt of guideline-concordant care highlighting that preparedness to deliver disease-specific management for common pediatric emergencies, such as asthma, may represent an important yet insufficiently captured component of pediatric readiness.

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