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, Vanc,

Question 4

Theophylline Uses

Answer 4

Bronchodilation or 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