Overview

Differential Adrenoreceptor Mediated Tachyphylaxis and Upregulation

Status:
Completed
Trial end date:
2009-05-01
Target enrollment:
Participant gender:
Summary
The investigators wish to evaluate the onset of tolerance to nasal decongestants like oxymetazoline (available over the counter) and the mechanism of tolerance particularly with differential effects on alpha 1 and alpha 2 adrenoreceptors on the nose. The investigators will 'tease' out by using an alpha 1 blocker called Prazosin. The investigators hypothesize that alpha 1 receptors mediate arterial constriction and this will be captured by measuring nasal blood flow. The investigators also hypothesize that alpha 2 receptors mediate venous sinusoid constriction and this the investigators will capture by airflow parameters like Peak Nasal Inspiratory Flow, Rhinomanometry, Oscillometric indices etc.
Phase:
Phase 4
Details
Lead Sponsor:
Brian J Lipworth
Treatments:
Fluticasone
Oxymetazoline
Phenylephrine
Prazosin
Xhance