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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2004-01-01
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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 |
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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). |
format | Article |
id | doaj-art-6424f5344c9442afb02149e71bb7ce82 |
institution | Kabale University |
issn | 1198-2241 |
language | English |
publishDate | 2004-01-01 |
publisher | Wiley |
record_format | Article |
series | Canadian Respiratory Journal |
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 |