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Table 14 Bronchodilators for the treatment of COPD

From: The AIMAR recommendations for early diagnosis of chronic obstructive respiratory disease based on the WHO/GARD model*

Class

Drug

Characteristics

Long-acting anticholinergics (LAMAs)

Tiotropium

Length of action 24 hours

Glycopyrronium

Length of action 24 hours

Aclidinium

Length of action 12 hours

Long-acting beta-2-agonists (LABAs)

Formoterol

Length of action 12 hours

Salmeterol

Length of action 12 hours

Indacaterol

Length of action 24 hours

Fixed inhaled corticosteroid (ICS)/ LABA combinations

Salmeterol + fluticasone

Length of action 12 hours

Formoterol + budesonide

Length of action 12 hours

Formoterol + fluticasone

Length of action 12 hours

Phosphodiesterase-4 inhibitors

Roflumilast

Oral - Length of action 24 hours

Other bronchodilator drugs

Short-acting beta-2-agonists (SABAs)

Salbutamol, terbutaline, fenoterol

Rapid onsetof action. Length of action 4-6 hours

Short-acting anticholinergics(SABAs)

Ipratropium and oxitropium bromide

Rapid onset but slower than SABAs.

 

Length of action 6-8 hours

Methylxanthines

Slow-release oral theophylline