Ricciardolo Fabio L M, Blasi Francesco, Centanni Stefano, Rogliani Paola
Department of Clinical and Biological Sciences, University of Torino, Torino, Italy.
Department of Pathophysiology and Transplantation, University of Milano, IRCCS Fondazione Cà Granda, Milano, Italy.
Pulm Pharmacol Ther. 2015 Aug;33:1-10. doi: 10.1016/j.pupt.2015.05.006. Epub 2015 May 23.
Orally inhaled agents are a key therapeutic class for treatment of asthma. Inhaled corticosteroids (ICS) are the most effective anti-inflammatory treatment for asthma thus representing the first-line therapy and bronchodilators complement the effects of ICSs. A significant body of evidence indicates that addition of a β2-agonist to ICS therapy is more effective than increasing the dose of ICS monotherapy. In this paper, pharmacological features of available ICSs and bronchodilators will be reviewed with a focus on fluticasone propionate/formoterol fumarate combination which represents the one of the most powerful ICS acting together with the most rapid active LABA.
口服吸入剂是治疗哮喘的关键治疗类别。吸入性糖皮质激素(ICS)是治疗哮喘最有效的抗炎药物,因此是一线治疗药物,支气管扩张剂则补充ICS的作用。大量证据表明,在ICS治疗中添加β2激动剂比增加ICS单药剂量更有效。本文将综述现有ICS和支气管扩张剂的药理学特性,重点关注丙酸氟替卡松/富马酸福莫特罗组合,它是最强效的ICS之一,与起效最快的长效β2激动剂(LABA)联合使用。