Is twice daily prophylaxis with salbutamol and beclomethasone dipropionate effective in the management of asthma? 1986

J R Mikhail, and S Daly

An open, crossover study lasting 8 weeks was performed to establish if a twice daily regimen of combined inhalation of salbutamol and beclomethasone dipropionate from a single inhaler was as effective in controlling asthma as the 4-times daily regimen. The results from these two treatment periods were compared with an initial 4-week baseline period when all patients received the same agents from separate inhalers on a 4-times daily dose schedule. Twenty stable asthmatics were entered into the study and 19 completed the three treatment periods. The clinic lung function data, symptomatic inhaler usage, requests for additional therapy and physician's subjective assessment of treatment showed that all three treatment regimens were similarly effective in managing the patients' asthma. There was no significant difference between the mean PEFR measurements taken 4 times each day between the two treatment regimens of the combination inhaler. However, except for PEFR in the afternoon, the mean values for both treatment schedules of the combination inhaler were significantly greater (p less than 0.05) than those during the separate inhaler baseline period. More than half the patients considered that both treatment schedules of the combination inhaler provided better control of their asthma than treatment with the separate inhalers, and the majority preferred the twice daily regimen to the 4-times daily regimen. The results, overall, showed that in stable asthmatics the combined administration of salbutamol and beclomethasone dipropionate from one inhaler provides significantly better therapy than the same agents from separate inhalers and that the twice daily dose schedule of the combination inhaler is equally as effective as a 4-times daily regimen.

UI MeSH Term Description Entries
D008297 Male Males
D008448 Maximal Expiratory Flow Rate The airflow rate measured during the first liter expired after the first 200 ml have been exhausted during a FORCED VITAL CAPACITY determination. Common abbreviations are MEFR, FEF 200-1200, and FEF 0.2-1.2. Forced Expiratory Flow 0.2-1.2,Forced Expiratory Flow 200-1200,Flow Rate, Maximal Expiratory,MEFR,Forced Expiratory Flow 0.2 1.2,Forced Expiratory Flow 200 1200
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D004334 Drug Administration Schedule Time schedule for administration of a drug in order to achieve optimum effectiveness and convenience. Administration Schedule, Drug,Administration Schedules, Drug,Drug Administration Schedules,Schedule, Drug Administration,Schedules, Drug Administration
D004359 Drug Therapy, Combination Therapy with two or more separate preparations given for a combined effect. Combination Chemotherapy,Polychemotherapy,Chemotherapy, Combination,Combination Drug Therapy,Drug Polytherapy,Therapy, Combination Drug,Chemotherapies, Combination,Combination Chemotherapies,Combination Drug Therapies,Drug Polytherapies,Drug Therapies, Combination,Polychemotherapies,Polytherapies, Drug,Polytherapy, Drug,Therapies, Combination Drug
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D000420 Albuterol A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol. Salbutamol,2-t-Butylamino-1-(4-hydroxy-3-hydroxy-3-hydroxymethyl)phenylethanol,Albuterol Sulfate,Proventil,Sultanol,Ventolin

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