Asthma/COPD Flashcards
Ventolin HFA, proventil HFA, Proair HFA, ProAir Respiclick, VoSpire ER
ALBUTEROL
MDI, DPI, Tablet, Syrup, solution (NEB)
Respiclick > 12 yo
0.5% soln > 2 yo
VoSpire ER
Albuterol XL tablets
XOPENEX
Levalbuterol
OPEN FOIL - 2 weeks exp
DRUG OUT OF FOIL - 1 week exp
HFA : 4+ YO
NEB: 6+ YO
QVAR HFA
Beclomethasone (corticosteroid)
MDI : 5+ YO
NASAL SPRAY: ?
DONT NEED SPACER; smaller particle size
DONT NEED TO SHAKE; soln
VANCENASE
BECONASE
QNASL
Beclomethasone (corticosteroid)
Nasal spray (RX)
PULMICORT
BUDESONIDE (corticosteroids)
Pulmicort Flexhaler (DPI): 6+ YO
Pulmicort Respules (NEB): 12+ MONTHS
DOC in PREGNANCY
AEROSPAN
Flunisolide (corticosteroid)
MDI
Comes with built-in SPACER
6+ YO
Asmanex Twisthaler
Mometasone (corticosteroid)
1-2QPM (only ONCE A DAY, ICS)
DPI/MDI
5+ YO
Flovent HFA
Fluticasone
MDI/DPI/ NASAL
Arnuity ELLIPTA
ARMONAIR
Fluticasone DPI
12+ YO
FLONASE / VERAMYST
Fluticasone : (NASAL)
ALVESCO
Ciclesonide (corticosteroid)
MDI/ NASAL
1-2 puff BID
12+ YO
Omnaris / Zetonna
Ciclesonide (corticosteroid)
NASAL
Oral prednisone
DOSE & DURATION
40-60mg qd x3-10 days
Medrol DOSE PACK
Methylprednisolone
Taper 24mg to 0mg PO for 6 days
Corticosteroids
General INFO
SE: oral candidiasis
Dysphonia (difficulty speaking)
Cough
Notes: RINSE MOUTH & use a SPACER
to prevent oral candidiasis
FIRST-LINE against PERSISTENT asthma
SERVENT
Salmeterol (LABA)
4+ YO
Good for 6 WEEKS after opening
COMBO: ADVAIR (salmeterol + fluticasone) is good for ONLY 30 DAYS
FORADIL
Formoterol (LABA)
5+ YO
REFRIGERATE CAPSULE
DPI: Good for 4 MONTHS
Combos: (ICS + LABA)
Symbicort: (formoterol + budesonide)
DULERA: (formoterol + mometasone)
Methylxanthines
THEOPHYLLINE
300-400mg/day (MAX 900mg)
used in INFANTS up to 6 WEEKS old
LEVEL: 5-15mcg
> 15 : toxicity
30 : SVT
50 : SEIZURE
AccoLATE
ZafirluKAST (Anti-leukotrienes)
20mg BID
5+ YO: 10mg BID
EMPTY STOMACH
SINGuLAR
MonteluKAST (Anti-leukotriene)
4,5,10mg DAILY
CHILDREN 1+ YO (4-5mg QD)
SE: * Flu-like symptoms**
* Restlessness** * watch for mood/behavioral changes
Do not mix with any LIQUIDS other than FORMULA & Breast-MILK
ZyFLO CR
Zileuton
600mg BID
- 12+ YO*
- ELEVATED ALT* monitor before treatment
XOLAIR
Omalizumab (IgG1k monoclonal AB)
SQ every 2-4 WEEKS BASED ON
1) BODY WEIGHT
2) serum IgE level
SE: MALIGNANCIES
Increase risk of CVD & Cerebrovascular & viral upper resp infection
BBW: * ANAPHYLAXIS*
6+ asthma/ 12+ chronic hives
FOR USE WHEN SYMPTOMS NOT CONTROLLED WITH ICS
Helps with ALLERGY RELATed Asthma
CinQAIR
ReslizUMAB
Add on for severe asthma w/ eosinophillic phenotype
IL-5 Receptor antagonist
3mg Q4WEEKS
Compatible: NS
BBW: anaphylaxis
Risk factors for COPD
Smoking Age Existing impaired lung fx Occupation Alpha1-anti trypsin deficiency
AnticholinERGIC
GENERAL info
SE: HA, dizziness, DRY MOUTH, URINARY RETENTION, BLURRY vision
Caution:
- glaucoma (worsening of narrow angle glaucoma)
- BPH
AtroVENT
Ipratropium (anticholinERGIC)
HFA
2-3 puff QID
Contraindication: * PeaNUT allergy *
CombiVENT
Albuterol + Ipratropium RESPIMAT
1 spray QID
Exp: 3 MONTHS
NOT contraindicated in PEANUT AND SOYBEAN allergy
SHAKING not REQ
DuoNEB
Albuterol + IpratroPIUM (NEBULIZER)
Same as combivent except for nebulizer
1 unit dose nebuliZed QID prn, max 6 doses/day
SpiRIVA
Tiotropium (anticholinergic)
Handihaler (DPI) QD - Cap
Respimat (SMI) Asthma/Copd 12+ yrs
TuDORZA Pressair
Aclidinium (anticholinergic)
1 DPI BID
InCRUSE Ellipta
Umeclidinium (anticholinergic)
Once DAILY
StriVERDI Respimat
OlodaTEROL (LABA)
Once DAILY
ArCAPTA
IndaCATEROL (LABA)
75mcg Capsule DAILY
PerFOROmist
FORmoterol (LABA: NEBulized soln)
Exp: 6 weeks at ROOM TEmp
REFRIGERATE
1 vial BID
BroVANA
ArFORmoterol (LABA: NEBulized)
1 vial BID
ROOM TEMP: up to 6 WEEKS
Refrigerate
SymBICORT
FORmoterol + BUDesonide (ICS+ LABA)
TWICE DAILY (BID)
Exp : 90 DAYS
AdVAIR
SALmeterol + FLUticasone (ICS+LABA)
Advair Diskus: 4+ yrs
Advair HFA: 12+ yrs
AirDUO respiclick : 12+ yrs
Exp: 30 days
BREO ELLipta
VILANterol + Fluticasone (ICS+LABA)
QD: Once DAILY
Exp: 6 WEEKS
ANORO ELLipta
Umeclinidium + VilANTerol
(Anticholinergic + LABA)
1 inh DPI QD: Once daily
Exp: 6 WEEKS
Stiolto Respimat
OloDATEROL + Tiotropium
(anticholinergic/ LABA)
2 puff QD: DAILY
DALiresp
Roflumilast (PDE-4 inhibitor)
500mcg PO DAILY
SE: *Psychiatric events (SUICIDAL)
* WEIGHT loss
CONTRAINDICATED IN LIVER IMPAIRMENT
CYP4A4 & CYP1A2 substrate hence avoid with strong INDUCERS will decrease levels
