A clinician's guide to single vs multiple inhaler therapy for COPD.

Expert review of respiratory medicine Pub Date : 2024-07-01 Epub Date: 2024-07-27 DOI:10.1080/17476348.2024.2384702
Mario Cazzola, Josuel Ora, Mauro Maniscalco, Paola Rogliani
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Abstract

Introduction: In the management of chronic obstructive pulmonary disease (COPD), inhalation therapy plays a pivotal role. However, clinicians often face the dilemma of choosing between single and multiple inhaler therapies for their patients. This choice is critical because it can affect treatment efficacy, patient adherence, and overall disease management.

Areas covered: This article examines the advantages and factors to be taken into consideration when selecting between single and multiple inhaler therapies for COPD.

Expert opinion: Both single and multiple inhaler therapies must be considered in COPD management. While single inhaler therapy offers simplicity and convenience, multiple inhaler therapy provides greater flexibility and customization. Clinicians must carefully evaluate individual patient needs and preferences to determine the most appropriate inhaler therapy regimen. Through personalized treatment approaches and shared decision-making, clinicians can optimize COPD management and improve patient well-being. Nevertheless, further research is required to compare the effectiveness of single versus multiple inhaler strategies through rigorous clinical trials, free from industry bias, to determine the optimal inhaler strategy. Smart inhaler technology appears to have the potential to enhance adherence and personalized management, but the relative merits of smart inhalers in single inhaler regimens versus multiple inhaler regimens remain to be determined.

慢性阻塞性肺病单吸入器疗法与多吸入器疗法的临床医师指南。
简介在慢性阻塞性肺病(COPD)的治疗中,吸入疗法发挥着关键作用。然而,临床医生常常面临两难选择,即为患者选择单吸入器疗法还是多吸入器疗法。这种选择至关重要,因为它会影响治疗效果、患者依从性和整体疾病管理:本文探讨了慢性阻塞性肺疾病患者在选择单吸入器疗法和多吸入器疗法时应考虑的优势和因素:在慢性阻塞性肺疾病的治疗过程中,必须同时考虑单吸入器疗法和多吸入器疗法。单吸入器疗法简单方便,而多吸入器疗法则更具灵活性和个性化。临床医生必须仔细评估患者的个人需求和偏好,以确定最合适的吸入器治疗方案。通过个性化治疗方法和共同决策,临床医生可以优化慢性阻塞性肺病的治疗,改善患者的健康状况。不过,还需要进一步研究,通过严格的临床试验,比较单一吸入器策略与多重吸入器策略的有效性,避免行业偏见,以确定最佳的吸入器策略。智能吸入器技术似乎具有提高依从性和个性化管理的潜力,但智能吸入器在单吸入器方案与多吸入器方案中的相对优势仍有待确定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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