BSW COPD Guidance (August 2019)

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BSW COPD Guidance (August 2019)

COPD
Chronic Obstructive Pulmonary Disease
respiratory
spirometry
roflumilast
DPI (breathing technique: hard fast & deep)
Salbutamol EASYHALER 100mcg 2 puffs PRN
Terbutaline (BRICANYL) TURBOHALER 0.5mg 1 puff PRN
Tiotropium (SPIRIVA) HANDIHALER 18mcg od FIRST LINE
Aclidinium bromide▼ (EKLIRA) GENUAIR 322mg 1 puff bd 2nd line
(use if eGFR <30ml/min. Useful for pts with manual dexterity problems)
Glycopyrronium▼(SEEBRI) BREEZHALER 50mcg 1 capsule inhaled OD 2nd line on 3Ts formulary only.
Umeclidinium▼ (INCRUSE) ELLIPTA 55mcg 1 puff od
(Only to be used for triple therapy when used with Relvar.)
Formoterol (OXIS) TURBOHALER 12mcg bd
Formoterol EASYHALER 12mcg bd
Salmeterol (SEREVENT) ACCUHALER 50mcg bd
Umeclidinium/Vilanterol▼ (ANORO) ELLIPTA 55/22 od
Aclidinium/Formoterol▼ (DUAKLIR) GENUAIR 340/12 bd
Glycopyrronium/Indacaterol▼(ULTIBRO) BREEZHALER 50/110
Budesonide/Formoterol (DUORESP) SPIROMAX 320/9 1 puff bd or 160/4.5 2 puffs bd. STEROID CARD RECOMMENDED
Budesonide/Formoterol (SYMBICORT) TURBOHALER 400/12 bd or 200/6 2 puffs bd. STEROID CARD RECOMMENDED
Fluticasone propionate/Salmeterol (AIRFLUSAL) FORSPIRO 50/500 bd
STEROID CARD NEEDED! (Only on ICID formulary currently.)
Fluticasone Furoate/Vilanterol▼ (RELVAR) ELLIPTA 92/22 od
Fluticasone propionate/ Salmeterol (SERETIDE) ACCUHALER 50/500 bd
Salbutamol (VENTOLIN) EVOHALER 100mcg 2 puffs PRN
VIA AEROCHAMBER
Tiotropium (SPIRIVA) RESPIMAT 2.5mcg 2 puffs od FIRST LINE
Olodaterol▼ (STRIVERDI) RESPIMAT 2.5mcg 2 puffs od
Tiotropium/olodaterol (SPIOLTO) RESPIMAT 2.5/2.5
2 puffs od
Beclomethasone/Formoterol (FOSTAIR) MDI 100/6
2 puffs bd VIA AEROCHAMBER
Steroid card not required
Relvar Ellipta▼(Fluticasone fur + vilanterol) Incruse Ellipta▼ (Umeclidinium)
exacerbations
sputum
pulmonary rehabilitation
oxygen
dyspnoea

Attached Files

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1575459167wpdm_COPD primary care guidance August 2019 final.pdfDownload