Bronchodilators · Pharmacology

Why is Tachyphylaxis a concern with frequent, excessive use of SABAs?

  1. The drug is metabolized more quickly by the liver
  2. Downregulation and desensitization of Beta-2 receptors
  3. Increased mucus production blocking the airway
  4. Upregulation of phosphodiesterase enzymes
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Correct answer: Downregulation and desensitization of Beta-2 receptors

Overuse of Beta-2 agonists can lead to receptor desensitization and a decrease in the number of surface receptors (downregulation). This results in a reduced clinical response to the medication over time.

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