Bronchodilator Responses to Salbutamol Using Diskhaler Versus Metered-Dose Inhaler

Autor: M, Kou, M, Phil, C R, Kumana, M S, Ip, I J, Lauder, W K, Lam, J C, Chan
Rok vydání: 1998
Předmět:
Zdroj: Journal of Asthma. 35:505-511
ISSN: 1532-4303
0277-0903
DOI: 10.3109/02770909809071004
Popis: In adults inhaling salbutamol via metered-dose inhalers (MDls) 200 microg doses are recommended, but with diskhalers the manufacturer advocates 400 rather than 200 microg doses. To assess this advice, a partially double-blind, placebo-controlled salbutamol dose response, crossover study (also incorporating MDI doses) was conducted in 12 mild/moderate asthmatics. After active treatment, mean peak expiratory flow rate (PEFR) increments yielded no clinically or statistically significant differences; compared to placebo, respective median differences in PEFR increments (95% Cls) were 10 (-10, 50), 20 (0, 50), and 15 (0, 30) following 400 and 200 microg via diskhalers and 200 microg via MDls. Diskhalers are a suitable alternative for patients with poor MDI technique, but the use of 400 rather than 200 microg salbutamol doses is not supported by evidence.
Databáze: OpenAIRE