The use of roflumilast in COPD: A review

Research output: Contribution to journalReview articlepeer-review


Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality worldwide. Chronic inflammation and exacerbations play a central role in the progression of the disease. Currently, treatment options for COPD have been shown to improve the progressive decline in lung-function and/or decrease mortality rates. Roflumilast, a phosphodiesterase-4 inhibitor, is an anti-inflammatory drug which has been licensed as an add-on therapy for COPD patients with forced expiratory volume in the first second <50% and frequent exacerbations. Clinical trials have demonstrated that roflumilast improves lung function and reduces exacerbation frequency. Roflumilast has a mechanism of action which allows it to obtain a significant additive effect to current therapeutic options for COPD patients. It is generally well tolerated, although the most common adverse effects include diarrhea, nausea, weight loss, and headache. This review article provides an overview of the positive effects of roflumilast on lung function, exacerbation frequency and glucose metabolism, and its interaction with concomitant inhaled treatments.

Original languageEnglish
Pages (from-to)7-18
Number of pages12
JournalMonaldi Archives for Chest Disease - Cardiac Series
Issue number3-4
Publication statusPublished - 2013


  • COPD
  • Daxas
  • Exacerbations
  • Lung function
  • Roflumilast

ASJC Scopus subject areas

  • Medicine(all)


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