Inhalers Flashcards
quick-acting sympathomimetic bronchodilators (5)
-rescue inhalers - onset in 5 mins.
-all are MDIs
Proventil HFA
Ventolin HFA
ProAir HFA
Xopenex HFA
Maxair Autohaler
asthma
inflammatory condition of the lungs caused by inflammatory mediators
Proventil HFA, Ventolin HFA, ProAir HFA
albuterol
- quick-acting sympathomimetic bronchodilator
- QID
- racemic
Xopenex HFA
levalbuterol
- quick-acting sympathomimetic bronchodilator
- QID
- R-isomer of albuterol
Maxair Autohaler
pirbuterol
- quick-acting sympathomimetic bronchodilator
- QID
- Autohaler=breath-activated MDI
long-acting sympathomimetic bronchodilators (3)
-only ind. for asthma prophylaxis
-all are DPIs
Serevent Diskus
Foradil Aerolizer
Arcapta NeoHaler
Serevent Diskus
salmeterol
- long-acting sympathomimetic bronchodilator
- BID
- number on top = # of doses left
Foradil Aerolizer
formoterol
- long-acting sympathomimetic bronchodilator
- BID
- refrigerate in pharmacy, pt. can keep at RT for 4 months
Arcapta NeoHaler
indacaterol
- long-acting sympathomimetic bronchodilator
- qday
BBW for long-acting sympathomimetic bronchodilators
increase the risk of asthma-related death
-applies to pts. who use these alone instead of in combination with a steroid
anticholinergic bronchodilators (2)
-block cholinergic receptors in the lungs which leads to bronchodilation
-ind. for asthma prophylaxis
-most common SE: xerostomia
Atrovent HFA
Spriva HandiHaler
Atrovent HFA
ipratropium MDI
- anticholinergic bronchodilator
- QID
Spiriva HandiHaler
tiotropium DPI
- anticholinergic bronchodilator
- qday - long-acting
Tudorza Pressair
aclidinium DPI
-long-acting bronchodilator
Combivent Respimat
albuterol, ipratropium MDI (rescue inhaler)
- quick-acting sympathomimetic bronchodilator, anticholinergic bronchodilator
- QID
- contraindicated in pts. allergic to soy or peanuts - contains soya lecithin
bronchodilator solutions for nebulization
-used in an updraft machine, nebulizes liquid into a mist and pt. breathes in with a mask for about 15 min.
-drugs are diluted with normal saline
AccuNeb
Xopenex Solution for Inhalation
ipratropium
Brovana
DuoNeb
AccuNeb
albuterol
- bronchodilator solution for nebulization
- QID
Xopenex Solution for Inhalation
levalbuterol
- bronchodilator solution for nebulization
- QID
ipratropium
- bronchodilator solution for nebulization
- QID
Brovana
arformoterol
- bronchodilator solution for nebulization- long-acting
- BID
- only avail. as a solution for inhalation
- R-isomer of formoterol
- refrigerate in the pharmacy
DuoNeb
albuterol, ipratropium
- bronchodilator solution for nebulization
- QID
inhaled corticosteroids (6)
-Tx the underlying cause of asthma by decreasing inflammation in the airways
-ind. for asthma prophylaxis
-maintenance drugs
QVAR
Flovent HFA
Pulmicort Flexhaler
Pulmicort Respules
Asmanex Twisthaler
Alvesco
QVAR
beclomethasone MDI
- inhaled corticosteroid
- BID
pt. counseling for inhaled corticosteroids
rinse mouth out with water 15 min. after using inhaler
Flovent HFA
fluticasone MDI
- inhaled corticosteroid
- BID
Pulmicort Flexhaler
budesonide DPI
- inhaled corticosteroid
- BID
Pulmicort Respules
budesonide suspension for nebulization
- inhaled corticosteroid
- BID
Asmanex Twisthaler
mometasone DPI
- inhaled corticosteroid
- age 4-11 = 110mcg
- age 12+ = 220mcg
Alvesco
ciclesonide MDI
- inhaled corticosteroid
- BID
main adverse side effect of inhaled corticosteroids
thrush
gentian violet
- topical antiseptic
- Tx for thrush
- OTC
nystatin
- antifungal
- ind. for thrush
- Rx only
clotrimazole troches
- imidazole antifungals
- ind. for thrush
- Rx only
- dissolve 1 troche in the mouth 5 times a day X 14 days
Symbicort
budesonide, formoterol MDI
- bronchodilator/corticosteroid combination
- ind. for asthma prophylaxis
- BID
Dulera
mometasone, formoterol MDI
- bronchodilator/corticosteroid combination
- ind. for asthma prophylaxis
- BID
Advair HFA
fluticasone, salmeterol MDI
- bronchodilator/corticosteroid combination
- ind. for asthma prophylaxis
- BID
Advair Diskus
fluticasone salmeterol DPI
- bronchodilator/corticosteroid combination
- ind. for asthma prophylaxis
- BID
Relenza Diskhaler
zanamivir DPI
- neuraminidase inhibitor
- ind. for Tx and prevention of flu
- powder is in blisters (5mg/blister)
Relenza Diskhaler dosing
- Tx of flu: 10mg (2 puffs) BID X 5 days
- prevention (household): 10mg qday X 10 days
- prevention (community): 10mg qday X 28 days
Tamiflu
oseltamivir
- neuraminidase inhibitor
- oral tablet so it is much easier than Relenza Diskhaler
intranasal corticosteroids (8)
Beconase AQ Nasacort AQ Rhinocort Aqua flunisolide Flonase Veramyst Nasonex Omnaris
Beconase AQ
beclomethasone
-intranasal corticosteroid
Nasacort AQ
triamcinolone
-intranasal corticosteroid
Rhinocort Aqua
budesonide
-intranasal corticosteroid
flunisolide
-intranasal corticosteroid
Flonase
fluticasone propionate
-intranasal corticosteroid
Veramyst
fluticasone furoate
-intranasal corticosteroid
Nasonex
mometasone
-intranasal corticosteroid
Omnaris
ciclesonide
-intranasal corticosteroid
Nasalcrom
cromolyn sodium
-intranasal mast cell stabilizer
DDAVP, Stimate
desmopressin acetate
intranasal pituitary hormone
Atrovent Nasal Spray
ipratropium bromide
-intranasal anticholinergic
Astelin, Astepro
azelastine
-intranasal antihistamine
Miacalcin, Fortical
calcitonin
-intranasal medication for osteoporosis