Bronchodilators · Pharmacology

Theophylline achieves bronchodilation primarily through which of the following mechanisms?

  1. Selective Beta-2 agonism
  2. Non-selective phosphodiesterase inhibition
  3. Activation of the vagus nerve
  4. Inhibition of the H1 histamine receptor pathway
Show answer and explanation

Correct answer: Non-selective phosphodiesterase inhibition

Theophylline inhibits PDE3 and PDE4, which prevents the breakdown of cAMP and cGMP. It also acts as an adenosine receptor antagonist, further contributing to airway smooth muscle relaxation.

Difficulty: Medium Question 3 of 20

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