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Letters |19 August 2003

Use of β-Blockers in Patients with Reactive Airway Disease

Shelley R. Salpeter, MD; Thomas M. Ormiston, MD

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  • Santa Clara Valley Medical Center; San Jose, CA 95128 (Salpeter, Ormiston)
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IN RESPONSE:
We agree that further study of the long-term effects of β-blockers in patients with reactive airway disease is needed. Our study demonstrated the safety of cardioselective β-blockers in patients with mild to moderate reactive airway disease who were followed for up to 4 weeks. We believe that this study paves the way for larger, long-term trials to be done. In the meta-analysis, patients who received a single dose or continued treatment with a cardioselective β-blocker had an increased FEV1 response to β-agonists compared with placebo. Furthermore, in the continued treatment trials, steroid use, asthma exacerbations, and hospitalizations did not increase.
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Salpeter SR, Ormiston TM. Use of β-Blockers in Patients with Reactive Airway Disease. Ann Intern Med. ;139:304. doi: 10.7326/0003-4819-139-4-200308190-00021

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Published: Ann Intern Med. 2003;139(4):304.

DOI: 10.7326/0003-4819-139-4-200308190-00021

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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