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Related Experiment Videos

Fixed and adjustable dose asthma action plans based on combination therapy: a pilot study.

Shaun Holt1, Simon Ryder-Lewis, Matthew Masoli

  • 1P3 Research, Bowen Hospital, Wellington, New Zealand. shaun@p3research.co.nz

Respirology (Carlton, Vic.)
|September 2, 2005
PubMed
Summary

This study found that Symbicort Turbuhaler, a combination of budesonide and formoterol, effectively manages asthma when used in either a fixed or adjustable dose within a self-management plan. Both approaches provided comparable asthma control.

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Area of Science:

  • Pulmonology
  • Respiratory Medicine
  • Pharmacology

Background:

  • Asthma management often involves inhaled corticosteroids and long-acting beta-agonists.
  • Self-management plans are crucial for effective asthma control.
  • The efficacy of combination therapy within self-management plans requires investigation.

Purpose of the Study:

  • To investigate the use of combination inhaled corticosteroid/long-acting beta-agonist therapy (Symbicort Turbuhaler) within a self-management plan.
  • To compare fixed versus adjustable dose regimens of Symbicort in adult asthmatic patients.
  • To evaluate asthma control and treatment outcomes.

Main Methods:

  • Randomized open-label study involving 69 adult asthmatic patients.
  • Patients previously on high-dose beclomethasone dipropionate (BDP) were treated with Symbicort Turbuhaler (200 microg budesonide/6 microg formoterol) for 3 months.

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  • Participants were assigned to either a fixed or adjustable dose self-management plan, with episode-free days as the primary outcome.
  • Main Results:

    • Both fixed and adjustable dose regimens of Symbicort demonstrated good asthma control, comparable to previous high-dose inhaled corticosteroid therapy.
    • No significant differences in clinical outcomes were observed between the two self-management regimens.
    • Mean daily Symbicort usage was similar across both fixed (3.8 puffs) and adjustable (3.6 puffs) dose groups.

    Conclusions:

    • Symbicort Turbuhaler is effective when used as part of a self-management plan.
    • Both fixed and adjustable dose regimens are viable options for asthma self-management with Symbicort.
    • Combination therapy with Symbicort offers effective asthma control within a patient-centered approach.