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Asthma & COPD

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sgthuan's version from 2017-07-10 23:00

Asthma/COPD & cough/cold/allergy

genericbrandclassformula
albuterolVentolin HFA, Proventil HFA, proair HFA or Respiclickbeta-2 agonist SABAMDI, DPI (only Proair Respiclick), sln for nebulizer, s/e nervousness, tremor, tachycardia, palpitations, cough, hyperglycemia
levabulterolXopenex HFAbeta-2 agonist SABAMDI, s/e nervousness, tremor, tachycardia, palpitations, cough, hyperglycemia, contain R-isomer of albuterol
salmeterolSerevent diskusbeta-2 agonist LABADPI - 1 inh BID, NEVER use monotherapy in asthma
formoterolForadil, Perforomistbeta-2 agonist LABAinhaler DPI - 12mcg ***CAPSULE, sln nebulizer (Perforomist), ***keep in the FRIDGE
indacaterolArcapta NeohalerLABADPI - 1 cap qd, *** CAPSULE, more effective than formoterol & salmeterol
arformoterolBrovanaLABAnebulizer 15mcg BID, ***keep in the FRIDGE
olodaterolStriverdi RespimatLABAMDI - 2 inh qd
salmeterol/fluticasoneAdvair Diskus & HFAcorticosteroid/beta 2 agonist LABA/ICSMDI - 2 inh BID, DPI - 1 inh BID, ***HFA is NOT approved for COPD
formoterol/budesonideSymbicort Aerosolbeta-2 agonist/ corticosteroid LABA/ICSMDI - 2 inh BID
formoterol/mometasoneDulera Aerosolbeta-2 agonist/ corticosteroid LABA/ICSMDI - 2 inh BID
formoterol/glycopyrrolateBevespi AerosphereLABA/LAMAMDI - 2 inh BID, Only for COPD
beclomethasoneQVAR HFAICSMDI - 1-2 inh BID, ***do NOT need to shake
budesonideRhinocort, Pulmicort Flexhaler or Respules, Entocort ECICS corticosteroidDPI - 1-2 inh BID, Respules only via jet nebulizer - mostly for children, ***"Preferred in PREGNANCY", "low systemic absorption - USED in the GUT"--> Entocort EC
ciclesonideAlvesco aerosolICSMDI 2 inh BID, *** do NOT need to shake
flunisolideAerospan HFAICSMDI 2 inh BID
fluticasone propionate (FP)Flovent Diskus & HFA, Arnuity Elliptacorticosteroid ICSMDI - 2 inh BID, DPI - 1-2 inh BID (Flovent), 1 inh qd (Arnuity)
fluticasone propionateFlonaseICSnasal spray OTC
mometasoneNasonex, Asmanex HFA & Twisthalercorticosteroid ICSMDI - 1-2 inh BID, DPI - 1-2 inh qd or BID
fluticasone/vilanterolBreo ElliptaLABA/ICSDPI - 1 inh qd, ***discard 6 week after removing from the foil tray
triamcinolone acetonideNasacortICSnasal spray for allergy, OTC
zafirlukastAccolateleukotriene receptor antagonistEmpty Stomach, increased LFT, original container, children > 5 years old, *** warning - neuropsychiatric events aggressive behavior, agitation, depression
montelukastSingulairleukotriene receptor antagonist10mg daily in the EVENING, 6-14 years old - 5mg qPM, 2-6 years old - 4mg qPM, most commonly in children > 1 year old, FDA approved for asthma maintenance, allergic rhinitis, exercise-induced bronchospasm, *** warning - neuropsychiatric events aggressive behavior, agitation, depression
zileutonZyfloleukotriene receptor antagonist*** CI - active LIVER DISEASE, check LFT at baseline --> Hepatotoxicity, children > 12 years old, *** warning - neuropsychiatric events aggressive behavior, agitation, depression
theophyllineElixophyllin, Theo-24, Theochronnon-selective PDE inhibitor***narrow therapeutic range 5-15mcg/ml - use IBW, LD 5mg/kg, aminophylline to theophylline x0.8, measure peak level after 3 days of PO
omalizumabXolairIgG monoclonal antibodySQ q2-4w, ***Anaphylaxis - given in healthcare settings, severe persistent, allergic asthma with age > 12
mepolizumabNucalainterleukin-5 antagonist100mg SQ q4w, age > 12
reslizumabCinqairIL-5 inhibitor3mg/kg by IV route q4w
ipratropiumAtrovent HFAanticholinergic inhaled SAMA***MDI - "2 inh QID", s/e dry mouth, BPH, urinary retention, narrow angle glaucoma
ipratropium/albuterolCombivent Respimat, DounebSABA/SAMAMDI - 1 inh QID (Respimat), 3ml QID (Duoneb nebulizer), s/e dry mouth, BPH, urinary retention, narrow angle glaucoma
aclidiniumTudorza PressairLAMADPI - 1 inh BID, s/e dry mouth, BPH, urinary retention, narrow angle glaucoma
glycopyrrolateSeebri NeohalerLAMADPI - 1 capsule BID, *** CAPSULE, s/e dry mouth, BPH, urinary retention, narrow angle glaucoma
glycopyrrolate/indacaterolUtibron NeohalerLAMA/LABADPI - 1 capsule BID, *** CAPSULE, s/e dry mouth, BPH, urinary retention, narrow angle glaucoma
tiotropiumSpiriva Respimat & HandihalerLAMADPI - 1 cap qd (2 puffs), *** CAPSULE, MDI - 2 inh qd (Respimat), s/e dry mouth, BPH, urinary retention, narrow angle glaucoma
tiotropium/olodaterolStiolto RespimatLAMA/LABAMDI - 2 inh qd, s/e dry mouth, BPH, urinary retention, narrow angle glaucoma
umeclidiniumIncruse ElliptaLAMADPI - 1 inh qd, s/e dry mouth, BPH, urinary retention, narrow angle glaucoma
umeclidinium/vilanterolAnoro ElliptaLAMA/LABADPI - 1 inh qd, s/e dry mouth, BPH, urinary retention, narrow angle glaucoma
roflumilastDalirespPDE-4 inhibitor500 mcg qd, only in severe COPD, *** CI in moderate to severe liver disease, SE diarrhea and weight loss
cetirizineZyrtec2nd gen antihistaminetab, chewable tab, syrup
chlorpheniraminechlor-trimeton1st gen antihistamineIR ER tab, sln
dextromethorphanDelsymantitussivecap, liquid, lozenges, strip
diphenhydramineBenadryl1st gen antihistamineinjection, cap, tab, chewable, liquid, cream
fexofenadineAllegra2nd gen antihistamineER tab, disintegrating tab, suspension
guaifenesinMucinexexpectorantsln, syrup, tab
loratadineClaritin2nd gen antihistamineliquid, gel, cap, disintegrating tab, chewable, syrup
oxymetazolineAfrin, Visine-LRdecongestant/alpha-1 adrenergic agonistnasal spray, ophthalmic sln
pseudoephedrineSudafeddecongestant/alpha adrenergic agonisttab,liquid,syrup
ephedrineSudafed PEN/AN/A
tetrahydrozolinetyzine, opti-clear, visinedecongestant/alpha-1 adrenergic agonistnasal spray, ophthalmic sln
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