COPD Inhalers

Medicines are
SABA – short acting beta agonists – which make muscles work that open up the airway
SAMA – short acting muscarinic antagonists – which make other muscles that normally close the airway relax

LABA – long acting beta agonists – which make muscles work that open up the airway
LAMA – long acting muscarinic antagonists – which make other muscles that normally close the airway relax

Steroids which reduce soreness and sensitivity of the airways. These can be in inhaler form or are sometimes used during worsened control in tablet form.
Combinations of the above.

 

Types of active ingredients in inhalers ( These last three are often now days mixed in different combinations)

Short acting beta-agonists that open up the wind-pipe. They are for short term relief. If they are frequently needed or there are symptoms they are not sufficient or the technique is poor.e.g. ventolin

Steroid inhalers component to damp down the soreness and regular usage reduces the soreness and irritability of the airways reducing the  triggering of asthma. e.g. clenil

Long acting beta-agonists that open up the airways for longer ( when steroid inhalers do not control asthma) e.g. salmeterol, ingredient in fostair,seretide. These rely on regular use

Antimuscarinic drugs (generally used for COPD) such as tioptopium which relax the muscles in the airways which would normally close it up. e.g. tiotropium, braltus. These rely on daily use

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