Long term treatment with formoterol

  • Michael Rudolf
Conference paper


The important beneficial characteristics of formoterol can be summarised as follows:
  • 12 μg dose has speed of onset within 1–3 minutes and provides bronchodilatation for up to 12 hours

  • effective in nocturnal and exercise-induced asthma

  • 12 μg twice daily is effective and safe in treatment of patients with reversible airways obstruction

  • remains equally effective and safe after one year of continuous treatment

  • tolerability profile similar to short-acting beta2-agonists

  • no rebound increase in bronchial responsiveness after withdrawal of treatment

Regular treatment with formoterol 12 µg b.i.d. is therefore clearly indicated in moderate-to-severe asthma where patients are not well controlled on regular inhaled steroids and as-needed short-acting inhaled beta2-agonists. Whether or not formoterol should be used in patients with milder disease instead of increasing a low dose of inhaled steroid (as has been suggested by two recent studies with salmeterol [20, 21] remains debatable. However, for those patients who are having problems with inhaled steroids, or for whom nocturnal or exercise-induced symptoms persist despite otherwise good control, formoterol is certainly a reasonable alternative. These recommandations for the use of formoterol are fully in keeping with the indications for long-acting inhaled beta2-agonists suggested by the latest British guidelines on asthma management [22].


Rescue Medication Asthma Management Bronchial Responsiveness Clinical Trial Report Reversible Airway Obstruction 


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Copyright information

© Springer-Verlag/Wien 1998

Authors and Affiliations

  • Michael Rudolf
    • 1
  1. 1.University LondonUK

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