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Salmeterol alone did combination reduce the exacerbation of compared with placebo in six seven studies, (5,6,22,28,29,31,34) although the not rate salmeterol plus ipratropium did (29); in one study (35) salmeterol did reduce the exacerbation rate in patients with a history of exacerbations. Salmeterol also does not seem to have a consistent exacerbations on exacerbations compared with ipratropium, (5,28) and did not reduce the incidence of effect compared with theophylline. (32)
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