COPD Flashcards
General Information

COPD Key Features
Age of onset > 40yo
Smoking hx > 10 years
Sputum production
Persistent symptoms
Disease progressive
Exacerbations
COPD Diagnosis
Spirometry Post-bronchodilator FEV1/FVC < 0.70
COPD Assessment
- Degree of Airflow Limitation

COPD Assessment
- Symptoms

COPD Assessment
Comorbidities
CV diseases,
Osteoporosis,
Skeletal muscle dysfunction,
DM,
Depression/Anxiety,
Lung cancer
COPD Assessment
- Risk of Exacerbations

COPD Treatment Overview

Combined Assessment of COPD

Treatment Escalation - Dyspnea

Treatment Escalation - Exacerbations

Cause of COPD Exacerbations

SAMA + SABA
Combivent Respimat
DuoNeb
Combivent Respimat
Ipratropium + Albuterol
Combivent Respimat - key features
MDI: 1 inhalation QID SABA + SAMA combo improves FEV1 and symptoms
Atrovent HFA
Ipratropium Bromide
Atrovent HFA - key features
MDI: 2 inhalations QID
SAMA agents
Ipratropium
SAMA, LAMA key features

Turdoza Pressair
Aclidinium
LAMA
Turdoza Pressair key features
DPI: 1 inhalation BID Indicator window: Green → Red
Seebri Neohaler
Glycopyrrolate
LAMA
Lonhala Magnair
Glycopyrrolate
LAMA
Seebri Neohaler Key features
Neohaler DPI: 1 cap BID
Lonhala Magnair key features
Nebulizer
Yupelri
Revefenacin
Yupelri key features
Nebulizer solution
Respimat
Tiotropium
Spiriva HandiHaler
Tiotropium
Spiriva Handihaler key features
HandiHaler DPI: 1 cap Qday (2 puffs)
Respimat key features
Respimat MDI: 2 inh Qday
Incruse Ellipta
Umeclidinium
Incruse Ellipta key features
DPI: 1 inh daily
Serverent Diskus
Salmeterol
Perforomist
Formoterol
Brovana
Arfomoterol
Arcapta Neohaler
Indacaterol
Neohaler DPI: 1 cap Qday
Striverdi Respimat
Olodaterol
MDI: 2 inhalations Qday
LABA - Key features

LAMA + LABA
Duakir Pressair
Bevespi Aerosphere
Utibron Neohaler
Stiolto Respimat
Anoro Ellipta
Duakir Pressair
Aclidinium + Formoterol
DPI: 1 inhalation BID
Bevespi Aerosphere
Glycopyrrolate + formoterol
Utibron Neohalter
Glycopyrrolate + Indacaterol
Neohaler DPI: 1 cap BID
Stiolto Respimat
Tiotropium + olodaterol
Respimat MDI: 2 inhalations Qday
Anoro Ellipta
Umeclidinium + Vilanterol
DPI: 1 inhalation daily
LABA + ICS
LABA + LAMA + ICS
key features
Rinse mouth after use
Symbicort
Formoterol + budesonide
Advair Diskus
Salmeterol + fluticasone
Wixela Inhub
Salmeterol + Fluticasone
Breo Ellipta
Vilanterol + fluticasone
Trelegy Ellipta
Umeclidinium + Vilanterol + Fluticasone
Rinse mouth after use
PDE-4 i
Roflumilast
Daliresp
Roflumilast
Roflumilast key features
MOA: PDE-4 inhibitor → ↑cAMP → ↓lung inflammation
Must use with ≥ 1 long-acting bronchodilator
C/I: Mod to severe liver impairment | ADR: Diarrhea, weight loss
Metered Dose Inhalers - HFA

Metered Dose Inhalers - Respimat

Dry Powder Inhalers - Ellipta

Dry Powder Inhaler - Pressair

Dry Powder Inhaler - Handihaler

Dry Powder Inhaler - Neohaler
