Hi. I came across this press release tinyurl.com/283hllp from the FDA in the states about Long Acting BD's. Basically they recommend that:
- The use of LABAs is contraindicated without the use of an asthma controller medication such as inhaled corticosteroid. Single-agent LABAs should only be used in combination with an asthma controller medication; they should not be used alone;
- LABAs should only be used long-term in patients whose asthma cannot be adequately controlled on asthma controller medications;
- LABAs should be used for the shortest duration of time required to achieve control of asthma symptoms and discontinued, if possible, once asthma control is achieved. Patients should then be maintained on an asthma controller medication.
- Pediatric and adolescent patients who require a LABA in addition to an inhaled corticosteroid should use a combination product containing both an inhaled corticosteroid and a LABA to ensure compliance with both medications.
It struck me from my own experience and reading some of the posts on here that GPs are rather quick to prescribe serevent/symbicort and the like and keep you on them. I've gone back to my steroid inhaler at a higher dose without an LABD (after a nasty time with symbicort) and feel ok with it.
What do other folks feel?