Efficacy of combined therapy with fluticasone propionate and salmeterol in asthmatic patients
Abstract
Current study present results of comnblned treatment with fluticasone propionate and salmeterol in 52 patients with moderate persistent asthma (11 male, 41 female), who received inhaled steroids for more than 3 month before study and/or in combination with different brochodilators.
Efficacy of the treatment (fluticasone — 250 meg, salmeterol — 50 meg) during 9 weeks was evaluated by clinical observation, peak flow and flow-volume measurement with reversibility response to pronchodilators and daily needs to short acting β2-agonists.
Obtained results demonstrated that administration of ccombined therapy with fluticasone and salmeterol the optimal way of treatment of patients according to efficacy and security. This treatment provide stabile and long-term effect on bronchial contuctance and daily variability and support its efficacy during whole treatment period. Combined administration of fluticasone and salmeterol doesn’t have serious systemic and cardiotoxic side effects.
About the Authors
Z. AisanovRussian Federation
O. Stulova
Russian Federation
E. Kalmanova
Russian Federation
M. Beda
Russian Federation
O. Mednikova
Russian Federation
A. Pereseckiy
Russian Federation
A. Chuchalin
Russian Federation
References
1. Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. N H LB/W H O Workshop Report. 1993 (N IH Publ. ( № 95-3659, January 1995) — Bethesda, 1995.— P.l—176.
2. Greening A.P., Ind P.W., Northfield М., Shaw G. Added salmeterol versus higher-dose corticosteroid in asthma patients with symptoms on existing inhaled corticosteroid / / Lancet.— 1994.— Vol.344.— P.219—244.
3. Pawels R.A., Yernault J.-C., Demedts M.G., Geusens P. Safety and efficacy of fluticasone and beclomethasone in moderate to severe asthma / / Am. J. Respir. Crit. Care Med.— 1998.— Vol. 157, № 3.— P.827—832.
4. Standardization of lung function tests. Report Working Party. European Community for Steel and Coal. Official Statement of the European Respiratory Society / / Eur. Respir. J.— 1993.— Vol.6, Suppl.16.— P.l — 121.
5. Verberne A., Frost C., Duiverman E. et al. Addition of salmeterol versus doubling the dose of beclomethasone in childern with asthma / / Am. J. Respir. Crit. Care Med.— 1998.— Vol. 158.— P.213—219.
6. Weersink E.J., Douma R.R., Postma D.S., Koeter G.H. Fluticasone propionate, salmeterol xinafoate, and their combination in the treatment of nocturnal asthma / / Ibid.— 1997.— Vol. 155, № 4.— P.l241—1246.
7. Woolcock A., Lundback B., Ringdal N., Jacques L.A. Comparison of addition of salmeterol to inhaled steroids with doubling of the dose of inhaled steroids / / Ibid.— 1996.— Vol.153.— P .1481 — 1488.
Review
For citations:
Aisanov Z., Stulova O., Kalmanova E., Beda M., Mednikova O., Pereseckiy A., Chuchalin A. Efficacy of combined therapy with fluticasone propionate and salmeterol in asthmatic patients. PULMONOLOGIYA. 1998;(3):14-18. (In Russ.)