• Cochrane Db Syst Rev · Jan 2001

    Review

    Troleandomycin as an oral corticosteroid steroid sparing agent in stable asthma.

    • D J Evans, P Cullinan, and D M Geddes.
    • Respiratory Centre, St Mary's Hospital, Milton Road, Portsmouth, UK, PO3 6AD. david.evans@smail01.porthosp.swest.nhs.uk
    • Cochrane Db Syst Rev. 2001 Jan 1 (2): CD002987.

    BackgroundPatients with chronic severe asthma are often dependent on the long term prescription of oral corticosteroids. The use of steroids is associated with serious side effects. Physicians treating such patients continue to search for alternative therapies that reduce the need for chronic dosing with oral steroids. troleandomycin is a compound that is established as an effective antibiotic but may also have non antibacterial actions that may be useful in the treatment of asthma.ObjectivesThe objective of this review was to assess the effects of adding troleandomycin to oral steroids in the treatment of chronic steroid dependent asthmatics.Search StrategyThe Cochrane Airways Group trials register and reference lists of identified articles were searched.Selection CriteriaRandomised trials looking at the addition of troleandomycin compared to placebo in adult steroid dependent asthmatics.Data Collection And AnalysisTrial quality was assessed and data extraction was carried out by two reviewers independently. Study authors were contacted for missing information.Main ResultsThree trials fulfilled the criteria for inclusion in the review and a total of 112 patients were recruited into these studies. Data from 90 patients were analysed. There was no treatment effect for troleandomycin in terms of steroid dose reduction (SMD -0.29, 95% CI -0.75, 0.17). For measures of lung function a meta-analysis of data derived from two of the included studies showed no benefits for added troleandomycin (SMD 0.06 95% CI -0.8, 0.9).Reviewer's ConclusionsThere is insufficient evidence to support the use of troleandomycin in the treatment of steroid dependent asthma.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…

What will the 'Medical Journal of You' look like?

Start your free 21 day trial now.

We guarantee your privacy. Your email address will not be shared.