Medications - Asthma and COPD Flashcards by Michelle Waters

Short-acting bronchodilators, examples, brand and generic names

ProAir = albuterol sulfate
Proventil HFA = albuterol sulfate
Ventolin HFA = albuterol sulfate
Xopenex HFA = levalbuterol tartrate

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Long-acting bronchodilators, examples, brand and generic names

Foradil Aerolizer = formoterol fumarate
Arcapta Neohaler = indacaterol
Serevent Diskus = salmeterol xinafoate

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Anticholinergics, examples, brand and generic names

Anoro Ellipta = umeclidinium and vilanterol
Atrovent = ipratropium bromide
Combivent Respimat = ipratropium bromide and albuterol
Spiriva HandiHaler = tiotropium bromide
Tudorza Pressair = aclidinium bromide

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Inhaled Corticosteroids, examples, brand and generic names

Aerospan = flunisolide
Alvesco = ciclesonide
Asmanex Twisthaler = mometasone furoate
Flovent Diskus = fluticasone propionate
Flovent HFA = fluticasone propionate
Pulmicort Flexhaler = budesonide
QVAR = beclomethasone dipropionate

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Combination medications, examples, brand and generic names

Advair Diskus = fluticasone propionate and salmeterol
Advair HFA = fluticasone propionate and salmeterol xinafoate
Breo Ellipta = fluticasone furoate and vilanterol
Dulera = mometasone furoate and formoterol fumarate dihydrate
Symbicort = budesonide and formoterol fumarate dihydrate

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Short-acting bronchodilators do …?

Relax tight muscles in airways and offer quick relief of symptoms such as coughing, wheezing and SOB for 3 - 6 hours.

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Long-Acting bronchodilators do …?

Relax tight muscles in airways an d offer lasting relief of symptoms such as coughing, wheezing, and SOB for at least 12 hours.

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Anticholinergics do …?

Relieve cough, sputum production, wheeze, and chest tightness associated with chronic lung diseases.

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Inhaled corticosteroids do …?

Reduce and prevent swelling or airway tissue; they do no relieve sudden symptoms of coughing, wheezing or SOB.

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Combination medications do …?

Contain both long-acting bronchodilator and inhaled corticosteroid.

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ProAir:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Short-acting bronchodilator
Albuterol Sulfate
1 - 2 puffs, Q 4 - 6 hours or 15 - 30 minutes before exercise.
Use at first sign of symptoms or prior to exercise.
Asthma

Shake and spray 4 times before first use, after dropping, or after 2 weeks of non-use.

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Aerospan:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Inhaled corticosteroid
Flunisolide
1 - 2 puffs BID
Maintenance medication
Asthma

Other: has built in spacer
Shake and spray 2 times before first use or after 2 weeks of non-use.

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Anoro Ellipta:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Anticholinergic (& long-acting bronchodilator combo)
Umeclidinium and vilanterol
(ue me’’ kli din’ ee um vye lan’ ter ol)
1 inhalation, Q day
Maintenance medication
COPD

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Advair Diskus:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Combination, long-acting bronchodilator and ICS
Fluticasone propionate and salmeterol
1 inhalation, BID
Maintenance medication
Asthma

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Proventil HFA:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Short-acting bronchodilator
Albuterol sulfate
1 - 2 puffs, Q 4 - 6 hours or 15 - 30 minutes prior to exercise.
Use at first sign of symptoms or prior to exercise
Asthma

Shake and spray 4 times before first use, after dropping, or after 2 weeks of non-use.

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Alvesco:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Inhaled corticosteroid
Ciclesonide (sye kles' oh nide)
1 - 2 puffs BID
Maintenance medication
Asthma

Spray 3 times before first use or after 10 days of non-use.

Foradil Aerolizer:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Long-acting bronchodilator
Formoterol fumarate
1 dose BID or 15 minutes prior to exercise.
Maintenance medication
Asthma

Atrovent HFA:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Anticholinergic
Ipratropium
2 inhalations, 4 times/day
Maintenance medication
COPD

Shaking not necessary; spray 2 sprays prior to first use or after 3 days of non-use.

Advair HFA:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Combination, long-acting bronchodilator and ICS
Fluticasone propionate and salmeterol xinafoate
2 inhalations, BID
Maintenance medication
Asthma

Shake for 5 seconds and spray 4 times prior to first use. Spray twice after dropping or after 4 weeks of non-use.
Store with mouthpiece down.

Arcapta Neohaler:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Long-acting bronchodilator
Indacaterol (in'' da ka' ter ol)
1 dose, Q day
Maintenance medication
COPD

Asmanex Twisthaler:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Inhaled corticosteroid
Mometasone furoate
1 - 2 puffs once or twice daily
Maintenance medication
Asthma

Combivent Respimat:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Anticholinergic (&amp; short-acting bronchodilator combo)
Ipratropium bromide and albuterol
1 inhalation, 4 times daily
Maintenance medication
COPD

Spray until aerosol cloud is visible, then repeat 3 times prior to first use or after 21 days non-use. Spray once after 3 days non-use.

Ventolin HFA:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Short-acting bronchodilator
Albuterol sulfate
1 - 2 puffs, Q 4 - 6 hours or 15 - 30 minutes prior to exercise.
Use at first sign of symptoms or prior to exercise
Asthma

Shake and spray 4 times before first use, after dropping, or after 2 weeks of non-use.

Flovent Diskus:
Class - 
Generic name - 
How much and how often used -
When -  
Approved for -

Inhaled corticosteroid
Fluticasone propionate
1 - 2 puffs BID
Maintenance medication
Asthma

``` Breo Ellipta: Class - Generic name - How much and how often used - When - Approved for - ```

``` Combination, long-acting bronchodilator and ICS Fluticasone propionate and vilanterol 1 inhalation, Q day Maintenance medication COPD ```

``` Pulmicort Flexhaler: Class - Generic name - How much and how often used - When - Approved for - ```

``` Inhaled corticosteroid Budesonide 1 - 2 puffs BID Maintenance medication Asthma ``` Do not shake; twist and click twice prior to first use.

``` Xopenex HFA: Class - Generic name - How much and how often used - When - Approved for - ```

``` Short-acting bronchodilator Levalbuterol tartrate 1 - 2 puffs, Q 4 - 6 hours. Use at first sign of symptoms. Asthma ``` Store with mouthpiece down. Shake and spray 4 times before first use, after dropping, or after 3 days of non-use.

``` Spiriva HandiHaler: Class - Generic name - How much and how often used - When - Approved for - ```

``` Anticholinergic tiotropium 1 dose, Q day Maintenance medication COPD ``` Do not use with ipratropium because of molecule displacement.

``` Flovent HFA: Class - Generic name - How much and how often used - When - Approved for - ```

``` Inhaled corticosteroid Fluticasone propionate 1 - 2 puffs BID Maintenance medication Asthma ``` Store with mouthpiece down. Shake and spray 4 times before first use; shake and spray once after dropping or after 7 days of non-use.

``` Dulera: Class - Generic name - How much and how often used - When - Approved for - ```

Combination, long-acting bronchodilator and ICS Mometasone furoate and formoterol fumarate dihydrate 2 inhalations, BID Maintenance medication Asthma Shake and spray 4 times before first use or after 5 days of non-use. Do not remove canister from actuator.

``` Serevent Diskus: Class - Generic name - How much and how often used - When - Approved for - ```

``` Long-acting bronchodilator Salmeterol xinafoate 1 dose BID or 30 minutes prior to exercise. Maintenance medication Asthma or COPD ```

``` QVAR: Class - Generic name - How much and how often used - When - Approved for - ```

``` Inhaled corticosteroid Beclomethasone dipropionate 1 - 2 puffs BID Maintenance medication Asthma ``` Shaking not necessary. Spray 2 times before first use or after 10 days of non-use. Store on end with canister top down.

``` Tudorza Pressair: Class - Generic name - How much and how often used - When - Approved for - ```

``` Anticholinergic Aclidinium bromide (a'' kli din' ee um) 1 inhalation, BID Maintenance medication COPD ```

``` Symbicort: Class - Generic name - How much and how often used - When - Approved for - ```

Combination, long-acting bronchodilator and ICS Budesonide and formoterol fumarate dihydrate 2 inhalations, BID Maintenance medication Asthma, COPD Shake for 5 seconds and spray 2 times prior to first use, after dropping or after 7 days of non-use. Store with mouthpiece down.

Symbicort Doses: Asthma - COPD -

Asthma - 80/4.5 and 160/4.5 for people 12 and older. Try ICS first unless asthma is severe enough to begin treatment with Symbicort. COPD, including chronic bronchitis and emphysema. 160/4.5 2 inhalations twice a day.

Symbicort, SE

- Pneumonia and lower respiratory tract infections - Serious allergic rxs - rash, hives, swelling of face, etc. - Immune system effect, increased chance of infection - Adrenal insufficiency - if PO corticosteroids are stopped in favor of ICS. - Too much LABA - chest pain, increased BP, fast, irregular HB, HA, tremor, nervousness. - Wheezing - can happen right after use. - Eye problems - glaucoma, cataracts - schedule reg. eye exams. - Lower bone mineral density - esp. in those with a high chance for low bone mineral density (osteoporosis) - Slowed growth in children - monitor. - Swelling of blood vessels - s/sx feeling of pins and needles or numbness of arms or legs, flu like symptoms, rash, pain, swelling of sinuses. Decrease in serum potassium, increase blood glucose