Abstract
The use of a single pressurized metered-dose inhaler (pMDI) containing both formoterol (a long-acting β2-selective adrenoreceptor agonist) and budesonide (an inhaled corticosteroid) is an effective, convenient and well- tolerated option for the treatment of adults with symptoms of moderate to severe chronic obstructive pulmonary disease (COPD) and a history of recurrent COPD exacerbations. Two inhalations of formoterol/budesonide pMDI 6/200 µg twice daily provided rapid and durable improvements in lung function, as well as improvements in COPD control, COPD symptoms and health status outcomes, in clinical trials in patients with moderate to very severe COPD.
Similar content being viewed by others
References
Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: updated 2014. http://www.goldcopd.org. Accessed 17 Jun 2014.
Kew KM, Dias S, Cates CJ. Long-acting inhaled therapy (beta-agonists, anticholinergics and steroids) for COPD: a network meta-analysis. Cochrane Database Syst Rev. 2014;3:CD010844.
Ehrick JD, Wylie J, Goodey AP, et al. Orally inhaled fixed-dose combination products for the treatment of asthma and chronic obstructive pulmonary disease: not simple math. Ther Deliv. 2014;5(3):297–317.
Nannini LJ, Poole P, Milan SJ, et al. Combined corticosteroid and long-acting beta2-agonist in one inhaler versus inhaled corticosteroids alone for chronic obstructive pulmonary disease. Cochrane Database Syst Rev. 2013;8:CD006826.
Eklund A, Tronde A, Johannes-Hellberg I, et al. Pharmacokinetics of budesonide and formoterol administered via a series of single-drug and combination inhalers: four open-label, randomized, crossover studies in healthy adults. Biopharm Drug Dispos. 2008;29(7):382–95.
Vannair® 6/100 mcg/inhalation and Vannair® 6/200 mcg/inhalation (formoterol fumarate dihydrate/budenoside): Brazilian prescribing information (in Portuguese). Cotia: Astra-Zeneca, 2014.
Vannair® 100/6 and Vannair® 200/6 metered dose inhaler: New Zealand data sheet. Auckland: AstraZeneca Limited, 2013.
Symbicort® 80/4.5 and 160/4.5 inhalation aerosol: US prescribing information. Wilmington: AstraZeneca LP, 2012.
Tronde A, Gillen M, Borgstrom L, et al. Pharmacokinetics of budesonide and formoterol administered via 1 pressurized metered-dose inhaler in patients with asthma and COPD. J Clin Pharmacol. 2008;48(11):1300–8.
Tashkin DP, et al. Efficacy and safety of budesonide and formoterol in one pressurized metered-dose inhaler in patients with moderate to very severe chronic obstructive pulmonary disease: results of a 6-month randomized clinical trial. Drugs. 2008;68(14):1975–2000.
Rennard SI, et al. Efficacy and tolerability of budesonide/formoterol in one hydrofluoroalkane pressurized metered-dose inhaler in patients with chronic obstructive pulmonary disease: results from a 1-year randomized controlled clinical trial. Drugs. 2009;69(5):549–65.
Lindberg A, Szalai Z, Pullerits T, et al. Fast onset of effect of budesonide/formoterol versus salmeterol/fluticasone and salbutamol in patients with chronic obstructive pulmonary disease and reversible airway obstruction. Respirology. 2007;12(5):732–9.
Chambers F, Ludzik A. In vitro drug delivery performance of a new budesonide/formoterol pressurized metered-dose inhaler. J Aerosol Med Pulm Drug Deliv. 2009;22(2):113–20.
Solkane® 227 pharma and Solkane® 134a pharma: HFA propellants for medical use. Hannover: Solvay Special Chemicals, 2013.
Heyder J, Gebhart J, Rudolf G, et al. Deposition of particles in the human respiratory tract in the size range 0.005–15 µm. J Aerosol Sci. 1986;17:811–25.
Fernández Tena A, Casan Clarà P. Deposition of inhaled particles in the lungs. Arch Bronconeumol. 2012;48(7):240–6.
Yang XL, Liu Y, Luo HY. Respiratory flow in obstructed airways. J Biomech. 2006;39(15):2743–51.
O’Grady K, Doyle DJ, Irish J, et al. Biophysics of airflow within the airway: a review. J Otolaryngol. 1997;26(2):123–8.
Luo HY, Liu Y, Yang XL. Particle deposition in obstructed airways. J Biomech. 2007;40(14):3096–104.
Shah S, White M, Uryniak T, et al. The functionality of a budesonide/formoterol pressurized metered-dose inhaler with an integrated actuation counter. Allergy Asthma Proc. 2010;31(1):40–8.
Partridge MR, Karlsson N, Small IR. Patient insight into the impact of chronic obstructive pulmonary disease in the morning: an internet survey. Curr Med Res Opin. 2009;25(8):2043–8.
Acknowledgments
The manuscript was reviewed by: E. Obarcanin, Sarajevo, Bosnia and Herzegovina.
Disclosure
The preparation of this review was not supported by any external funding. K. A. Lyseng-Williamson is a salaried employee of Adis/Springer. During the peer review process, the manufacturer of the agent under review was offered an opportunity to comment on the article. Changes resulting from comments received were made by the author on the basis of scientific and editorial merit.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lyseng-Williamson, K.A. Formoterol/budesonide pressurized metered-dose inhaler: a guide to its use in chronic obstructive pulmonary disease. Drugs Ther Perspect 30, 269–275 (2014). https://doi.org/10.1007/s40267-014-0142-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40267-014-0142-4