Beta-2 Agonists · Pharmacology

What is the primary reason why Salmeterol should not be used as monotherapy for the treatment of asthma?

  1. It causes severe hepatotoxicity
  2. It has a very slow onset of action and increases the risk of asthma-related death
  3. It is rapidly degraded by stomach acid
  4. It only works on alpha-receptors
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Correct answer: It has a very slow onset of action and increases the risk of asthma-related death

Long-Acting Beta-2 Agonists (LABAs) like Salmeterol do not treat underlying inflammation. When used alone in asthma, they can mask worsening inflammation, leading to a higher risk of fatal asthma attacks; they must always be paired with an inhaled corticosteroid.

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