LABA/LAMA/ICS combination products, Mast Cell Stabilizer, Leukotriene Modifiers Flashcards
Brand: Trelegy Ellipta
Generic: Fluticasone/Umeclidinium/Vilanterol
Fluticasone/Umedclidinium/Vilanterol (Brand: Trelegy Ellipta) dosage form
Ellipta
Brand: Breztri Aerosphere
Generic: Budesonide/Glycopyrrolate/Formoterol Fumarate
Budesonide/Glycopyrrolate/Formoterol Fumarate (Brand: Breztri Aerosphere) dosage form
Aerosphere
What are the indications for the LABA/LAMA/ICS combination products?
-Fluticasone/Umeclidinium/Vilanterol (Brand: Trelegy Ellipta) is Asthma and COPD (adult dosing for both)
-Budesonide/Glycopyrrolate/Formoterol Fumarate (Brand: Breztri Aerosphere) is COPD only (adult dosing)
What is the Mast cell stabilizer medication?
Brand: Intal
Generic: Cromolyn
Cromolyn (Brand: Intal) dosage form and age groups
Nebulizer Solution
dosing age: 0-adults
What is the Mast cell stabilizer side effects?
-high incidence of unpleasant taste in mouth, rare cardiac arrhythmias, coughing, dyspnea, sore throat, Nausea, Vomiting, Diarrhea if absorbed systemically
-less effective than low-dose ICS
-prevents increase in bronchial hypersensitivity seen in allergy season
Brand: Singulair
Generic: Montelukast
Montelukast (Brand: Singulair) classification and dosage form and dosing age
Leukotriene modifiers
Tablets (chewable) or Granule Packets
approved for ages 1+
Brand: Accolate
Generic: Zafirlukast
Zafirlukast (Brand: Accolate) classification, dosage form and dosing age
Leukotriene Modifiers
Tablets
approved for ages 5+
Brand: Zyflo CR
Generic: Zileuton
Zileuton (Brand Zyflo CR) classification, dosage form and dosing
Leukotriene Modifiers
IR Tablets, ER Tablets
Adult only dosing
Side effects for Leukotriene modifiers
neurophysciatric events (agitation, anxiety, abnormal dreams, hallucinations, depression, suicidal thinking), Chrug-Strauss syndrome (rare), increased hepatic transaminases (zafirlukast and zileuton)
-less effect than low dose ICS and ICS/LABA in asthma