• Fundam Clin Pharmacol · Feb 2016

    Randomized Controlled Trial

    Efficacy of nebulized L-epinephrine for treatment of croup: a randomized, double-blind study.

    • Aziz Eghbali, Ali Sabbagh, Bahador Bagheri, Hassan Taherahmadi, and Manijeh Kahbazi.
    • Department of Pediatrics, Amirkabir Hospital, Rah Ahan Square, Shiroodi Blvd, Arak, Iran.
    • Fundam Clin Pharmacol. 2016 Feb 1; 30 (1): 70-5.

    AbstractThe objective of this study was to compare the effect of L-epinephrine plus dexamethasone vs. dexamethasone for treatment of croup in children. A randomized, double-blind clinical trial was implemented on 174 patients with croup, aged from 6 months to 6 years, and admitted to the Amir Kabir Pediatric Hospital (Arak, Iran). After randomized allocation, patients were administered dexamethasone, and then, they received either saline or L-epinephrine. Westley croup scores, heart rate, respiratory rate, and blood pressure were recorded every half an hour for a total of 120 min. There was a significant difference in mean of croup scores between two groups (P < 0.009). In addition, a significant difference was seen on mean of heart rate between two groups (P < 0.026). Our results showed a considerable difference in reduction of velocity of croup scores in patients who received nebulized L-epinephrine compared to patients who received placebo. © 2015 Société Française de Pharmacologie et de Thérapeutique.

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