Asthma / COPD Medications

Question 1

Medication classes used in asthma

Answer 1

7 medication classes
• Short acting beta2 agonists (SABA)
• Inhaled corticosteroids (ICS)
• Long-acting beta agonists (LABA)
• Long-acting muscarinic antagonist (LAMA) (aka “anticholinergics”)
• Leukotriene modifiers
• Theophylline
• Biologics

Question 2

SABA

Answer 2

Short acting beta2 agonist
Rescue therapy only

MOA - stimulates beta-2 receptors in the lungs causing relaxation of bronchial smooth muscle resulting in bronchodilation
Side effects – tremor, shakiness, lightheadedness, cough, palpitations, hypokalemia, tachycardia, hyperglycemia, tachyphylaxis (diminished effect with increased use)
Inhalation kinetics –
• Onset bronchodilation: 5-15 minutes
• Duration: 2-6 hours

Albuterol
Levalbuterol

Question 3

Albuterol

Answer 3

Proair, Proventil, Ventolin

SABA

Question 4

Levalbuterol

Answer 4

Xopenex

SABA

Question 5

Salmeterol

Answer 5

Serevent
LABA

Question 6

Formoterol

Answer 6

Foradil
LABA

In COPD: Brand Perforomist
Available only as Nebulizer solution

Question 7

Olodaterol

Answer 7

Striverdi
LABA

Question 8

Indacaterol

Answer 8

Arcapta
LABA

Question 9

Arformoterol

Answer 9

Brovana
LABA
Nebulizer solution only

Question 10

Ipratropium

Answer 10

Atrovent
SAMA (only agent!)

Question 11

Tiotropium

Answer 11

Spiriva
LAMA

Question 12

Aclidinium

Answer 12

Tudorza
LAMA

Question 13

Umeclidinium

Answer 13

Incruse
LAMA

Question 14

Glycopyrrolate

Answer 14

Seebri
LAMA

Question 15

Revefenacin

Answer 15

Yupelri
LAMA
Nebulizer solution only

Question 16

Fluticasone Propionate

Answer 16

Flovent
Inhaled Corticosteroid (ICS)

Question 17

Fluticasone Furoate

Answer 17

Arnuity
ICS

Question 18

Ciclesonide

Answer 18

Alvesco
ICS

Question 19

Beclomethasone

Answer 19

Qvar
ICS

Question 20

Mometasone

Answer 20

Asmanex
ICS

Question 21

Budesonide

Answer 21

Pulmicort
ICS

Question 22

Flunisolide

Answer 22

Aerospan
ICS

Question 23

Albuterol / Ipratropium

Answer 23

Combivent, DuoNeb
SABA / SAMA

Question 24

Indacaterol / Glycopyrrolate

Answer 24

Utibron
LABA / LAMA

Question 25

Olodaterol / Tiotropium

Answer 25

Stiolto LABA / LAMA

Question 26

Vilanterol / Umeclidinium

Answer 26

Anoro LABA / LAMA

Question 27

Glycopyrrolate / Formoterol

Answer 27

Bevespi LAMA / LABA

Question 28

Fluticasone furoate / vilanterol

Answer 28

Breo LABA / ICS

Question 29

ICS Therapy - Counseling Point!

Answer 29

Rinse and Spit!

Question 30

Fluticasone propionate / salmeterol

Answer 30

Advair, Wixela, AirDuo ICS / LABA

Question 31

Budesonide / Formoterol

Answer 31

Symbicort ICS / LABA

Question 32

Mometasone / Formoterol

Answer 32

Dulera ICS/ LABA

Question 33

Budesonide/ glycopyrrolate / formoterol

Answer 33

Breztri ICS / LAMA / LABA

Question 34

Fluticasone furoate / Umeclidinium / vilanterol

Answer 34

Trelegy ICS / LAMA / LABA