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Update on Long-Acting Anticholinergics in Children and Adolescents With Difficult and Severe Asthma
Tiotropium bromide is the only long-acting muscarinic antagonist (LAMA) approved for treatment of patients aged ≥6 years old who have symptoms of uncontrolled asthma. Results from several clinical trials have found that once-daily inhaled tiotropium bromide is safe and efficacious in 6- to 17-year-o...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9343620/ https://www.ncbi.nlm.nih.gov/pubmed/35928684 http://dx.doi.org/10.3389/fped.2022.896865 |
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author | Santamaria, Francesca Ziello, Carla Lorello, Paola Bouchè, Cristina Borrelli, Melissa |
author_facet | Santamaria, Francesca Ziello, Carla Lorello, Paola Bouchè, Cristina Borrelli, Melissa |
author_sort | Santamaria, Francesca |
collection | PubMed |
description | Tiotropium bromide is the only long-acting muscarinic antagonist (LAMA) approved for treatment of patients aged ≥6 years old who have symptoms of uncontrolled asthma. Results from several clinical trials have found that once-daily inhaled tiotropium bromide is safe and efficacious in 6- to 17-year-olds with symptomatic asthma despite treatment with inhaled corticosteroids, with or without other medications. There are still few available studies investigating the impact of tiotropium bromide treatment in preschool children with suboptimal control. In this narrative review, we summarize the pharmacological effects of the LAMA tiotropium bromide, provide an overview about current asthma studies at different pediatric ages, and describe future research needs. |
format | Online Article Text |
id | pubmed-9343620 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-93436202022-08-03 Update on Long-Acting Anticholinergics in Children and Adolescents With Difficult and Severe Asthma Santamaria, Francesca Ziello, Carla Lorello, Paola Bouchè, Cristina Borrelli, Melissa Front Pediatr Pediatrics Tiotropium bromide is the only long-acting muscarinic antagonist (LAMA) approved for treatment of patients aged ≥6 years old who have symptoms of uncontrolled asthma. Results from several clinical trials have found that once-daily inhaled tiotropium bromide is safe and efficacious in 6- to 17-year-olds with symptomatic asthma despite treatment with inhaled corticosteroids, with or without other medications. There are still few available studies investigating the impact of tiotropium bromide treatment in preschool children with suboptimal control. In this narrative review, we summarize the pharmacological effects of the LAMA tiotropium bromide, provide an overview about current asthma studies at different pediatric ages, and describe future research needs. Frontiers Media S.A. 2022-07-19 /pmc/articles/PMC9343620/ /pubmed/35928684 http://dx.doi.org/10.3389/fped.2022.896865 Text en Copyright © 2022 Santamaria, Ziello, Lorello, Bouchè and Borrelli. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Santamaria, Francesca Ziello, Carla Lorello, Paola Bouchè, Cristina Borrelli, Melissa Update on Long-Acting Anticholinergics in Children and Adolescents With Difficult and Severe Asthma |
title | Update on Long-Acting Anticholinergics in Children and Adolescents With Difficult and Severe Asthma |
title_full | Update on Long-Acting Anticholinergics in Children and Adolescents With Difficult and Severe Asthma |
title_fullStr | Update on Long-Acting Anticholinergics in Children and Adolescents With Difficult and Severe Asthma |
title_full_unstemmed | Update on Long-Acting Anticholinergics in Children and Adolescents With Difficult and Severe Asthma |
title_short | Update on Long-Acting Anticholinergics in Children and Adolescents With Difficult and Severe Asthma |
title_sort | update on long-acting anticholinergics in children and adolescents with difficult and severe asthma |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9343620/ https://www.ncbi.nlm.nih.gov/pubmed/35928684 http://dx.doi.org/10.3389/fped.2022.896865 |
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