Two hundred fourteen children with mild to moderate asthma were studied to determine bronchodilator effects 5 min after administration of five different metered dose inhaler (MDI) aerosol formulations available in our country, and results were compared to placebo. Methacholine bronchial challenge was performed by the tidal breathing method, using increasing concentrations until a fall in forced expired volume in 1 s (FEV1) ≥20% was achieved (PC20). Immediately after FEV1 had fallen 20% or more, children were randomly allocated into 1 of 6 groups to receive: salbutamol 200 μg (S), fenoterol 200 μg (F), salbutamol 200 μg + beclomethasone 100 μg (S + B) , fenoterol 200 μg + ipratropium bromide 80 μg (F + IB), salmeterol 50 μg (SM), and placebo (P). The bronchodilator effect was determined by measuring FEV1 5 min after inhalation of medications. Nonparametric tests were used for statistical analysis.
The six groups were similar in anthropometric and in respiratory characteristics. All five inhaled aerosols containing beta‐agonists caused a significant bronchodilator effect as compared to placebo. However, the effect was significantly greater in the groups treated with F or F + IB (P < 0.05) compared to other formulations.
We conclude that the five types of aerosols used in this study are able to reverse methacholine‐induced bronchoconstriction 5 min after inhalation of a bronchodilator. Pediatr Pulmonol. 1999; 28:125–129. © 1999 Wiley‐Liss, Inc.