Asthma/COPD

Question 1

Steroid Inhalers

Answer 1

Thrush* and dosed BID

Pulmicort (budesonide)

Flovent (fluticasone)

Qvar (beclomethasone)

Asmanex (mometasone)

Alvesco (ciclesonide)

Question 2

Montelukast age restriction

Answer 2

Singulair can be started 4 mg daily in infants.

Leukotriene Modifier (anti-inflamm). Hepatotoxic, Monitor LFTs*

Question 3

Corn Allergy - Meds to avoid

Answer 3

theophylline

vancomycin

Question 4

Theophylline Uses

Answer 4

bronchodilation

lithium toxicity (CYP1A2 metab)

Question 5

Xolair generic

Answer 5

omalizumab

*watch for anaphylaxis

Question 6

Muscarinic antagonists for COPD

Answer 6

combivent (Ipratropium/albuterol)

Atrovent HFA

Spiriva (tiotropium)

Tudorza (aclidinium)

Incruse (umeclidium)

*bronchodilators by blocking acetylcholine, decreasing cGMP

Question 7

Which inhalers come with a capsule (do not swallow)?

Answer 7

Spiriva

Utibron neohaler

Arcapta neohaler

Foradil (formoterol)

*spiriva respimat does not have capsule

Question 8

Breo ellipta (generic)

Answer 8

fluticasone/vilanterol

Question 9

Tudorza pressair (generic)

Answer 9

Aclidinium bromide

Question 10

Tiotropium SE

Answer 10

Dry mouth

spiriva or atrovent HFA(ipatropium

Question 11

Daliresp generic and contraindications

Answer 11

Roflumilast

CYP3A4 - avoid carbamazepine, St Johns, phenytoin, phenobarb, rifampin

Question 12

Symbicort generic

Answer 12

formoterol + budesonide