Chronic obstructive pulmonary disease - control drugsAlternative names:
COPD - control drugs
Control medicines for chronic obstructive pulmonary disease (COPD) are drugs you take to control or prevent symptoms of COPD. You must use them every day for them to work well.
These medicines are not used to treat flare-ups . Flare-ups are treated with quick-relief (rescue) drugs .
Depending on the medicine, control drugs help you breathe easier by:
- Relaxing the muscles in your airways
- Reducing any swelling in your airways
- Helping the lungs work better
You and your doctor can make a plan for the control drugs that you should use. This plan will include when you should take them and how much you should take.
You may need to take these drugs for at least a month before you start to feel better. Take them even when you feel OK.
Ask your doctor about the side effects of any medicines you are prescribed. Be sure you know which side effects are serious enough that you need to call your doctor right away.
Make sure you get your medicine refilled before you run out.
Anticholinergic inhalers :
Anticholinergic inhalers include:
- Aclidinium (Tudorza Pressair)
- Ipratropium (Atrovent)
- Tiotropium (Spiriva)
Use your anticholinergic inhalers every day, even if you do not have symptoms.
Beta-agonist inhalers :
Beta-agonist inhalers include:
- Arformoterol (Brovana)
- Formoterol (Foradil)
- Salmeterol (Serevent)
Do not use a spacer with beta-agonist inhalers.
Inhaled corticosteroids include:
- Beclomethasone (Qvar)
- Fluitcasone (Flovent)
- Ciclesonide (Alvesco)
- Mometasone (Asmanex)
- Budesonide (Pulmincort)
After you use these drugs, rinse your mouth with water, gargle, and spit.
Combination inhaled medicines:
Combination medicines combine two drugs and are inhaled. They include:
- Budesonide and formoterol (Symbicort)
- Fluticasone and salmeterol (Advair)
- Fluticasone and vilanterol (Breo Ellipta)
- Ipratropium and albuterol (Combivent Respimat)
Roflumilast (Daliresp) is a tablet that is swallowed.
Anderson B, Conner Anderson B, Conner K, Dunn C, et al. Institute for Clinical Systems Improvement. Diagnosis and Management of Chronic Obstructive Pulmonary Disease (COPD). https://www.icsi.org/_asset/yw83gh/COPD.pdf. Accessed May 5, 2014.
Balkissoon R, Lommatzsch S, Carolan B, Make B. Chronic obstructive pulmonary disease: a concise review. Med Clin N Am. 2011;95:1125-1141.