Evidence based answers - Is salmeterol safe in asthma?Australian Family Physician (2006)
AbstractCase history SW, 21 years of age, presented for a prescription for her salbutamol puffer. She had a long history of chronic persistent asthma usually exacerbated by upper respiratory tract infections (URTIs). These exacerbations had occasionally landed her in hospital but never in intensive care. After a friend died of an asthma attack, SW adhered rigorously to her asthma plan and always used a spacer for her preventer, fluticasone. It therefore surprised me when I noticed that she had had no URTIs yet had been prescribed salbutamol by another general practitioner in the practice only 2 weeks previously. In response to my concern, she admitted that despite using the correct puffer technique, the salbutamol was only lasting a few hours before she became breathless. She found she needed the salbutamol a number of times a day. We decided to add a long acting beta agonist (LABA), salmeterol, to her regimen to help control her symptoms. SW agreed but asked: ‘It will help won’t it, I don’t want to end up like my friend.’ Obviously SW was worried with her recent increase in symptoms. I assured her that with her current regimen and a good action plan, there should be no cause for concern. She left with her salmeterol prescription feeling reassured. However, a thought nagged me for the rest of the session. Wasn’t fenoterol, a LABA, found to cause asthma deaths?
- asthma treatment,
- long acting beta agonist
Publication DateJanuary 1, 2006
Citation InformationGeoffrey Spurling and Jenny Doust. "Evidence based answers - Is salmeterol safe in asthma?" Australian Family Physician Vol. 35 Iss. 8 (2006)
Available at: http://works.bepress.com/jenny_doust/21/