Review: Pressurized metered-dose inhalers are as effective as other handheld inhalers for corticosteroid use in asthma

Blanchard, Amy R.; Golish, Joseph A.
May 2002
ACP Journal Club;May/Jun2002, Vol. 136 Issue 3, p110
Academic Journal
Comments on a study which presented a systematic review of clinical effectiveness of pressurized metered dose inhalers versus other handheld inhaler devices for delivering corticosteroids in asthma. Factors which influence the success or failure of a particular delivery system; Advantages and disadvantages of the available delivery systems.


Related Articles

  • From inhaler to lung: clinical implications of the formulations of ciclesonide and other inhaled corticosteroids. Nave, Ruediger; Mueller, Helgert // International Journal of General Medicine;2013, Vol. 6, p99 

    Asthma continues to be a global health problem and currently available treatments such as corticosteroids can cause unwanted side effects. Inhaled corticosteroids (ICS) are recommended as first-line therapy for reducing airway inflammation and have a distinct advantage over oral preparations as...

  • Written action plans for asthma: an evidence-based review of the key components.  // Thorax;Feb2004, Vol. 59 Issue 2, p94 

    Background: Written action plans for asthma facilitate the early detection and treatment of an asthma exacerbation. Several versions of action plans have been published but the key components have not been determined. A study was undertaken to determine the impact of individual components of...

  • Meta-analysis of increased dose of inhaled steroid or addition of salmeterol in symptomatic asthma (MIASMA). Shrewsbury, Stephen; Pyke, Stephen; Britton, Mark // BMJ: British Medical Journal (International Edition);05/20/2000, Vol. 320 Issue 7246, p1368 

    Features a study which aimed to examine the benefits of adding salmeterol compared with increasing dose of inhaled corticosteroids in symptomatic asthma. Methodology of the study; Results and discussion; Conclusions.

  • A Review of the Role of Inhaled Corticosteroids in the Treatment of Acute Asthma. Chipps, Bradley E.; Chipps, Donna R. // Clinical Pediatrics;Apr2001, Vol. 40 Issue 4, p185 

    Summary: Systemic corticosteroids (CSs) are generally accepted as treatment for acute exacerbations of asthma. In contrast, inhaled corticosteroids (ICs) have been used for the long-term management of asthma but are not widely accepted for the treatment of asthma exacerbations. The onset of...

  • What is the optimal dose of inhaled corticosteroids in adult asthma? Chapman, Kenneth R. // Patient Care;2/1/1997, Vol. 31 Issue 2, p24 

    Focuses on the use of prescribe inhaled corticosteroids in higher doses to manage adult asthma. What is the optimal dose of inhaled corticosteroids in asthma; Explanations to be considered if patients with asthma do not respond well to dosages of inhaled corticosteroid under 1,000 a day; Why...

  • Review: Adding antileukotrienes to inhaled corticosteroids reduces exacerbations in symptomatic chronic asthma. Rees, P. John // ACP Journal Club;May/Jun2002, Vol. 136 Issue 3, p99 

    Comments on a study which investigated the addition of anti-leukotriene agents to inhaled corticosteroids for chronic asthma. Results; Treatment which reduces the rate of exacerbations that require systemic corticosteroids; Effects of inhaled corticosteroids on asthma.

  • High-dose corticosteroids in severe acute asthma. Britton, M.G.; Collins, J.V.; Brown, D.; Fairhurst, N.P.A.; Lambert, R.G. // British Medical Journal;7/10/1976, Vol. 2 Issue 6027, p73 

    Examines the effectiveness of corticosteroid treatment in patients with severe exacerbations of asthma unresponsive to bronchodilators. Assessment of the rates of recovery; Measurement of the peak expiratory flow rate; Use of methylprednisolone in preparing large doses of corticosteroid.

  • What are the Alternatives to Increasing Inhaled Corticosteroids for the Long Term Control of Asthma? Flood-Page, P.; Barnes, N.C. // BioDrugs;2001, Vol. 15 Issue 3, p185 

    The Global Initiative for Asthma (GINA) guidelines stated the therapeutic goals for the management of asthma and, through a stepwise approach to treatment, defined the various grades of asthma severity and the therapeutic options available to the clinician at each step. This article considers...

  • Inhaled vs. Systemic Corticosteroids in Asthma. Miller, Karl E. // American Family Physician;3/1/2003, Vol. 67 Issue 5, p1107 

    Presents a study that hypothesized that the use of high-dosage, inhaled corticosteroids in hospitalized asthma patients could be as well tolerated and effective as oral corticosteroids. Use of systemic corticosteroids in the treatment of hospitalized asthma patients; Advantages of using inhaled...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics