Utilizaci贸n excesiva de corticoides inhalados en la enfermedad pulmonar obstructiva cr贸nica
- 作者：José ; Luis Izquierdo Alonsoa ; jlizquierdo@sescam.org ; José ; Miguel Rodrí ; guez Glez-Morob
- 关键词：Enfermedad pulmonar obstructiva cró ; nica (EPOC) ; Corticoides inhalados ; Eficacia ; Seguridad
- 刊名：Archivos de Bronconeumolog铆a
- 出版年：2012
- 期刊代码：pca65_03002896
- 类别：med
- 出版时间：June, 2012
- 卷：48
- 期：6
- 页码：207-212
- 文件大小：320 K
摘要
Despite the fact that the recommendations of the main clinical guidelines have restricted the indications for inhaled corticosteroids in chronic obstructive pulmonary disease (COPD), currently more than 80%of patients are receiving this treatment in Spain, mostly with high doses. A detailed review of the literature does not justify the use of these high doses, a position that agrees with the recommendations of the FDA. A re-evaluation of their safety, the consistency of the data on their efficacy showing similar results with moderate doses and a better patient selection require the use of this treatment in COPD patients to be reconsidered.