Asthma: Use of Oral Bronchodilators
THOMAS F. SMITH MD1
M. BARTON 2
1 Division of Allergy/Immunology, Department of Pediatrics, Emory University, School of Medicine, Atlanta
2 New Jersey Medical School
I have enjoyed Pediatrics in Review since its inception and my letter is prompted by the Comment on the abstract of the article by Lee (Comparison of oral and aerosol adrenergic bronchodilators in asthma [J Pediatr 99:805, 1981]) which appears in the July issue (PIR 5:18, 1983). It is my conclusion from data in the original article that aerosol bronchodilator therapy in children with asthma is both efficacious and reasonable. I do not believe the data warrant abandoning oral adrenergic agonists in the treatment of patients with asthma. Lee suggests that, in some patients, combining both the aerosol and the oral routes was frequently accompanied by "unpleasant side effects."