Review: Evaluating combination therapies for asthma: pros, cons, and comparative benefits

Combination therapies with inhaled corticosteroids (ICS) and either long-acting β2 agonists (LABA) or leukotriene receptor antagonists (LTRA) are commonly used to help patients maintain control of their asthma. LABA and LTRA have different mechanisms of action and both provide complementary benefits...

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Main Author: Leif Bjermer
Format: Article
Language:English
Published: SAGE Publishing 2008-06-01
Series:Therapeutic Advances in Respiratory Disease
Online Access:https://doi.org/10.1177/1753465808092280
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author Leif Bjermer
author_facet Leif Bjermer
author_sort Leif Bjermer
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description Combination therapies with inhaled corticosteroids (ICS) and either long-acting β2 agonists (LABA) or leukotriene receptor antagonists (LTRA) are commonly used to help patients maintain control of their asthma. LABA and LTRA have different mechanisms of action and both provide complementary benefits when combined with ICS. This paper compares the two regimens based on recent clinical trial data, evaluates their efficacy on various clinical and quality of life outcomes, and discusses the importance of therapy choice in people with specific asthma phenotypes. The potential of new dosing strategies, including adjustable maintenance therapy and single-inhaler maintenance and reliever therapy is also reviewed. Given the variety of outcomes, phenotypes, and treatment strategies that must be considered, the importance of individualized management is emphasized.
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spelling doaj.art-dd730f714d14416c99ff56efe49f4f892022-12-22T01:17:05ZengSAGE PublishingTherapeutic Advances in Respiratory Disease1753-46582008-06-01210.1177/1753465808092280Review: Evaluating combination therapies for asthma: pros, cons, and comparative benefitsLeif BjermerCombination therapies with inhaled corticosteroids (ICS) and either long-acting β2 agonists (LABA) or leukotriene receptor antagonists (LTRA) are commonly used to help patients maintain control of their asthma. LABA and LTRA have different mechanisms of action and both provide complementary benefits when combined with ICS. This paper compares the two regimens based on recent clinical trial data, evaluates their efficacy on various clinical and quality of life outcomes, and discusses the importance of therapy choice in people with specific asthma phenotypes. The potential of new dosing strategies, including adjustable maintenance therapy and single-inhaler maintenance and reliever therapy is also reviewed. Given the variety of outcomes, phenotypes, and treatment strategies that must be considered, the importance of individualized management is emphasized.https://doi.org/10.1177/1753465808092280
spellingShingle Leif Bjermer
Review: Evaluating combination therapies for asthma: pros, cons, and comparative benefits
Therapeutic Advances in Respiratory Disease
title Review: Evaluating combination therapies for asthma: pros, cons, and comparative benefits
title_full Review: Evaluating combination therapies for asthma: pros, cons, and comparative benefits
title_fullStr Review: Evaluating combination therapies for asthma: pros, cons, and comparative benefits
title_full_unstemmed Review: Evaluating combination therapies for asthma: pros, cons, and comparative benefits
title_short Review: Evaluating combination therapies for asthma: pros, cons, and comparative benefits
title_sort review evaluating combination therapies for asthma pros cons and comparative benefits
url https://doi.org/10.1177/1753465808092280
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