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Updated: Jun 4, 2025

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
Triple inhaler therapy in adolescents and adults with moderate or severe persistent asthma
Mark L'Eplattenier1, Gina Pontrelli, Carina Loscalzo
1Mark L'Eplattenier, Gina Pontrelli, and Carina Loscalzo are assistant professors in the PA program at Hofstra University in Hempstead, N.Y. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Expert guidelines, meta-analyses, and multiple randomized controlled trials have demonstrated the effectiveness of long-acting inhaled antimuscarinic agents (LAMAs) as an additive medication for patients with poorly controlled moderate or severe persistent asthma. LAMAs play an essential role in blocking acetylcholine binding to muscarinic receptors and reducing bronchoconstriction and mucus production. By adding this medication to other combination inhalers, patients can use a triple inhaler to improve FEV1 values and reduce exacerbations.
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