Combination of ICSs and LABAs Should Be Used in the Management of Patients with COPD -- The Pro Argument

THE EFFECTS OF INHALED CORTICOSTEROID MONOTHERAPY Airway inflammation is a prominent feature of chronic obstructive pulmonary disease (COPD), even among ex-smokers (1), and its intensity is directly related to the severity of the underlying COPD (2). The inflammatory burden increases during pe...

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Main Author: Don D Sin
Format: Article
Language:English
Published: Wiley 2004-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2004/178072
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author Don D Sin
author_facet Don D Sin
author_sort Don D Sin
collection DOAJ
description THE EFFECTS OF INHALED CORTICOSTEROID MONOTHERAPY Airway inflammation is a prominent feature of chronic obstructive pulmonary disease (COPD), even among ex-smokers (1), and its intensity is directly related to the severity of the underlying COPD (2). The inflammatory burden increases during periods of clinical exacerbation (3-5). Predictably, use of systemic corticosteroids during these episodes accelerates clinical recovery and improves health outcomes over several months of follow-up (6). Unfortunately, long term use of systemic corticosteroids is generally precluded by their toxic side effects. Inhaled corticosteroids, on the other hand, share much of the anti-inflammatory properties of the systemic formulations without the side effects (7). However, their effectiveness has been questioned and is a matter of heated debate among members of the scientific community (8,9).
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spelling doaj-art-6424f5344c9442afb02149e71bb7ce822025-02-03T01:04:26ZengWileyCanadian Respiratory Journal1198-22412004-01-0111322122310.1155/2004/178072Combination of ICSs and LABAs Should Be Used in the Management of Patients with COPD -- The Pro ArgumentDon D Sin0James Hogg iCapture Centre for Cardiovascular and Pulmonary Research, University of British Columbia, Vancouver, British Columbia, CanadaTHE EFFECTS OF INHALED CORTICOSTEROID MONOTHERAPY Airway inflammation is a prominent feature of chronic obstructive pulmonary disease (COPD), even among ex-smokers (1), and its intensity is directly related to the severity of the underlying COPD (2). The inflammatory burden increases during periods of clinical exacerbation (3-5). Predictably, use of systemic corticosteroids during these episodes accelerates clinical recovery and improves health outcomes over several months of follow-up (6). Unfortunately, long term use of systemic corticosteroids is generally precluded by their toxic side effects. Inhaled corticosteroids, on the other hand, share much of the anti-inflammatory properties of the systemic formulations without the side effects (7). However, their effectiveness has been questioned and is a matter of heated debate among members of the scientific community (8,9).http://dx.doi.org/10.1155/2004/178072
spellingShingle Don D Sin
Combination of ICSs and LABAs Should Be Used in the Management of Patients with COPD -- The Pro Argument
Canadian Respiratory Journal
title Combination of ICSs and LABAs Should Be Used in the Management of Patients with COPD -- The Pro Argument
title_full Combination of ICSs and LABAs Should Be Used in the Management of Patients with COPD -- The Pro Argument
title_fullStr Combination of ICSs and LABAs Should Be Used in the Management of Patients with COPD -- The Pro Argument
title_full_unstemmed Combination of ICSs and LABAs Should Be Used in the Management of Patients with COPD -- The Pro Argument
title_short Combination of ICSs and LABAs Should Be Used in the Management of Patients with COPD -- The Pro Argument
title_sort combination of icss and labas should be used in the management of patients with copd the pro argument
url http://dx.doi.org/10.1155/2004/178072
work_keys_str_mv AT dondsin combinationoficssandlabasshouldbeusedinthemanagementofpatientswithcopdtheproargument