Bronchodilators:
- Anticholinergic: ipatropium(atrovent), itotropium(spiriva)
- first line unless contraindicated, dry mouth is the side effect
- Beta-2 agonist: albuterol, levalbuterol
- work faster than anticholinergic, best for emergencies, stimulate CNS is the side effects
- Methylxantines: Theodur, it also increases mucociliary action
- side effects: toxicity possible, n/v, seizures, insomnia
Corticosteroids: decrease inflammation, increase sensitivity to cathecolamines
- Systemic: Prednisone, Hydrocortisone, Methylprednisolone
- Many side effects such as hyperglcemia,infection, tachycardia, easy bruising, weight gain
- Inhaled: fluticasone, beclamethasone
- for COPD maintenance, less side effects than systemic; rinse mouth after each use to prevent oral thrush
AntiHistamines:
- 1st generation: Benadryl; sedating, drowsiness, dry mouth
- 2nd generation: Claritin, Allegra; less sedating than 1st gen
Mucolytics: decrease thickness of mucous i.e Mucinex
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