Respiratory and Allergy
Simplify Recommendations for Managing COPD
As a clinical pharmacist, implementing updated guidance will prompt inquiries into the optimal treatment approaches for COPD. There aren’t big changes, but it can be tough to assess if patients are on optimized therapy. Consider these rules of thumb... ✅ Ensure that all patients with COPD have a short-acting bronchodilator (alb…
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Respiratory and Allergy
Which LONG-acting bronchodilator to use first-line for COPD
As a clinical pharmacist, you will hear debate over which long-acting bronchodilator to use first-line for COPD. Guidelines suggest either tiotropium ( Spiriva ) or a long-acting beta-agonist (salmeterol, formoterol) for persistent symptoms. Both types of bronchodilators improve COPD symptoms, but tiotropium seems to work better to prevent exacerbations. …
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Respiratory and Allergy
Chronic azithromycin to PREVENT COPD exacerbations
As a hospital pharmacist, you will see some patients taking chronic azithromycin to PREVENT recurrent COPD exacerbations. Preventing acute COPD exacerbations is a BIG deal. Each exacerbation worsens lung function and quality of life, plus the 30-day mortality rate is higher after a severe COPD exacerbation than a heart attack. …
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