Safety and Efficacy of Fluticasone + Salmeterol in Patients with Asthma
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18 Mar, 14

Fluticasone + Salmeterol: Role in Treatment of Bronchial Asthma

Objective

  • Clinical evaluation of safety and efficacy of Fluticasone + Salmeterol (Seroflo Rotacaps; Cipla Ltd; India) given through dry powder inhaler (Rotahaler; Cipla Ltd; India) in the treatment of bronchial asthma.

Patients and Methods

  • Open, multicenter, non-comparative study in clinical practice situation.
  • 80 patients were enrolled by 28 investigators from 15 cities in India.
  • Patients aged 12- 65 years with a diagnosis of mild to moderate asthma.
  • Fluticasone + Salmeterol (100/50) Rotacaps twice daily for 4 weeks.

Results

1. Clinical Efficacy

  • There was significant increase (by 29.13%) in mean FEV1 from baseline after 4 weeks.

  • There was significant increase (by 31.82%) in mean PEFR from baseline after 4 weeks.

  • There was significant reduction in mean daytime symptom score and mean number of nocturnal awakenings from baseline at the end of 4 weeks.

2. Safety & Tolerability

  • In the present study, the fluticasone + salmeterol combination was well tolerated with the type of adverse effects reported similar to those with the two drugs.
  • No patient had to discontinue therapy due to any adverse event.
  • There was no increase in the incidence of adverse events. 

Conclusion

  • Fluticasone + Salmeterol Rotacaps given through Cipla's dry powder inhaler is an effective and well tolerated therapy in the treatment of bronchial asthma.
  • It has the potential to improve patient compliance and consequently improve asthma control.

Indian Practitioner 2001; 54: 551-557.