A New Approach to Management of Bronchial Asthma of Any Severity Level

Bibliography link: Vizel A.A., Vizel I.Yu., Belevskiy A.S. A New Approach to Management of Bronchial Asthma of Any Severity Level. Doctor.Ru. 2020; 19(5): 74–78. (in Russian) DOI: 10.31550/1727-2378-2020-19-5-74-78
22 July 20:01

Objective of the Review: to review references in the use of budesonide-formoterol in bronchial asthma (BA).

Key Points. Description the of BA management concepts evolution; description of major clinical trials for budesonide/ formoterol, underlying the new concept of using this new fixed combination as an anti-inflammatory bronchial spasmolytic. Literature analysis demonstrated that the use of budesonide/ formoterol has been verified only when delivered via Turbohaler (a multidose powder inhaler).

Conclusion. Budesonide/ formoterol for “as needed” use as an anti-inflammatory bronchial spasmolytic with or without supportive therapy is a contemporary approach to management of any BA in patients aged 12 years and over; the product simplifies the therapy, ensures optimal long-term effect, reduces the number of complications, and allows reducing the inhaled glucocorticosteroid dose for the patient. Therefore, it is obvious that this approach has been included both into the latest Global Initiative for Asthma, and clinical guidelines of the Russian Respiratory Society.

Contributions: Vizel, A.A. — core text of the article. Belevskiy, A.S. — review of critically important material, scientific review. Vizel, I.Yu. — sources translation and preparation, spelling check, technical processing.

Conflict of interest: The authors declare that they do not have any conflict of interests.

A.A. Vizel (Corresponding author) — Kazan State Medical University of the Ministry of Health of the Russian Federation; 49 Butlerov Str., Kazan, Russian Federation 420012. eLIBRARY.RU SPIN: 5918-5465. ORCID: E-mail:

I.Yu. Vizel — Kazan State Medical University of the Ministry of Health of the Russian Federation; 49 Butlerov Str., Kazan, Russian Federation 420012. Central Scientific and Research Institute of Tuberculosis; 2 Yauzskaya Alley, Moscow, Russian Federation 107564. E-mail:

A.S. Belevskiy — N.I. Pirogov Russian National Research Medical University of the Ministry of Public Health of the Russian Federation; 3 Rakhmanovskiy per., Moscow, Russian Federation 127994. E-mail:


Received: 24.04.2020
Accepted: 03.07.2020

22 July 20:01
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