Effectiveness of nebulized furosemide added to nebulized salbutamol in children with acute asthma

Nuhoǧlu Ç., Kiliç M. Y., Ceran Ö.

Allergologia et Immunopathologia, vol.34, no.2, pp.54-58, 2006 (Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 34 Issue: 2
  • Publication Date: 2006
  • Doi Number: 10.1157/13086747
  • Journal Name: Allergologia et Immunopathologia
  • Journal Indexes: Scopus
  • Page Numbers: pp.54-58
  • Keywords: Acute, Asthma, Children, Furosemide
  • Istanbul Medipol University Affiliated: Yes


Background: Nebulized furosemide has been shown to be protective against bronchoconstricting stimuli. Methods: To investigate whether inhaled furosemide would exhibit an additional therapeutic effect in children with acute asthma we performed a double-blind, placebo-controlled study in which patients with acute asthma attack were randomized to receive either nebulized salbutamol (0.15 mg/kg) plus nebulized furosemide (10 mg/m2) or nebulized salbutamol (0.15 mg/kg) plus nebulized saline as placebo. In all patients, clinical asthma scores (CAS) were determined before and after drug administration. Peak expiratory flow rates (PEFR) were measured by a peak flow meter. Results: CAS and PEFR improved in both groups with nebulized salbutamol treatment. The CAS changed from 3.56 ± 2.13 to 2.06 ± 1.84 (p = 0.0001) in the study group and from 4.44 ± 2.63 to 2.56 ± 1.86 (p = 0.0003) in the control group. PEFR increased from 177.50 ± 65.88 to 221.88 ± 66.05 L/min in the first group (p = 0.0001) and from 183.13 ± 51.73 to 218.13 ± 60.25 in the second group (p = 0.0001). Conclusion: Adding nebulized furosemide to nebulized salbutamol in pediatric patients experiencing an acute asthma attack did not produce greater improvement in clinical (p = 0.3829) or spirometric (p = 0.3839) parameters than nebulized salbutamol alone.