Asthma control: actual problems and solutions in real clinical practice
https://doi.org/10.18093/0869-0189-2019-29-3-346-352
Abstract
Asthma control is still difficult to achieve. One of main tools for evaluating asthma control is a well-known Asthma Control Test (ACT). Common causes of insufficient asthma control include poor adherence to treatment and non-compliance of the patient with the dosing regimen. Correct inhalation technique significantly contributes to better adherence to treatment. Elliptа is a multi-dose powder inhaler with dose counter and indication of remaining dose number. Actuation of Ellipta inhaler requires only one movement. Inhaled glucocorticosteroids (ICS) and long-acting β2-agonists (LABA) are the key agents in the maintenance pharmacological therapy of asthma. A novel vilanterol/fluticasone furoate (VI/FF) combination is a highly effective combination for maintenance treatment of moderate to severe asthma with 24-hour effect providing once-daily dosing. The Salford study demonstrated advantages of VI/FF combination over ICS monotherapy and other combination of ICS/LABA in real clinical practice in patients with asthma out of dependence of asthma severity or comorbidities.
Keywords
bronchial asthma,
asthma control,
inhaled corticosteroids,
long-acting β2-agonists,
vilanterol,
fluticasone furoate,
Ellipta
Supporting agencies: This publication is supported by ZAO “GlaxoSmithKline Traiding”, Russia, according to the current legislation of Russian Federation and Good Publication Practice standards.
About the Author
I. V. Leshchenko
Ural Federal State Medical University, Healthcare Ministry of Russia;
Ural Federal Research Institute of Phthisiology and Pulmonology – A Branch of National Medical Research Center for Phthisiology, Pulmonology and Infectious Diseases, Healthcare Ministry of Russia;
“Novaya bol’nitsa” Clinical Association LLC
Russian Federation
Russian Federation
Doctor of Medicine, Professor, Department of Phthisiology, Pulmonology and Thoracic Surgery, ul. Repina 3, Ekaterinburg, 620028;
Chief Researcher, ul. 22-go Parts’ezda 50, Ekaterinburg, 620039;
Academic Advisor, ul. Zavodskaya 29, Ekaterinburg, 620109
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For citations:
Leshchenko I.V. Asthma control: actual problems and solutions in real clinical practice. PULMONOLOGIYA. 2019;29(3):346-352. (In Russ.) https://doi.org/10.18093/0869-0189-2019-29-3-346-352
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