Tiotropium Bromide in Chronic Obstructive Pulmonary Disease and Bronchial Asthma.
Inhaled bronchodilators are the mainstay of pharmacological treatment for stable chronic obstructive pulmonary disease (COPD), including β2-agonists and muscarinic antagonists. Tiotropium bromide, a long-acting antimuscarinic bronchodilator (LAMA), is a treatment choice for moderate-to-severe COPD; its efficacy and safety have been demonstrated in recent trials. Studies also point to a beneficial role of tiotropium in the treatment of difficult-to-control asthma and a potential function in the asthma-COPD overlap syndrome (ACOS). Combination of different bronchodilator molecules and addition of inhaled corticosteroids are viable therapeutic alternatives. A condensation of the latest trials and the rationale behind these therapies will be presented in this article.
Internal Medicine and Neumology, Clinica de Diagnostico Medico, San Jose, Costa Rica.
Alcibey
A
Alvarado-Gonzalez
Medicine and General Surgery, Clinica de Diagnostico Medico, San Jose, Costa Rica.
Isabel
I
Arce
Bronchial asthma; Chronic obstructive pulmonary disease; Tiotropium bromide