respiratory

albuterol, levalbuterol

Asthma, COPD, bronchopasm

1-2 puffs q4-6h prn

tremor, neverousness, nausea, throat irritation, tachycardia

proper inhaler technique
prime inhaler
wash mouthpiece and air dry
only used as prescribed
>2 times per week, notify provider

ProAir, Ventolin, Proventil

Xopenex

Asthma, bronchospasm

vomiting, headache

2 puffs q4-6h prn

proper inhalation technique
wash mouthpiece and air dry, weekly
store at room temp., away from direct sunlight
notify provider if usage increases

salmeterol

Servent

asthma, exercised-induced bronchospam, COPD

1 puff bid 30min before exercise

headache

proper inhalation technique
DO NOT use more than prescibed
not for acute symptoms
continue alongside other treatments
notify provider is pregnant or considering pregnancy

fluticasone, budesonide

Flovent

Asthma, COPD

1-2 puffs prn bid

pharyngeal candidiasis, thrush, mouth and throat irritation, headache

proper inhalation technique
rinse mouth after each use
monitor for signs of toxicity(adrenal insufficiency, oral candidiasis, worsening pulonary function)
proper storage

Pulmicort

asthma, COPD

2-4 puffs bid

upper respiratory tract infections, otitis media

proper inhalation technique
swirl nebulizer suspension before usage
use entire vial, over 5-15min
rinse mouth with water
good for 2 wks after foil pouch is opened

fluticasone/salmeterol, budesonide/formoterol, flucasone/vilanterol

Advair, AirDuo

asthma, COPD

1 disk or 2 MDI puffs q12h

headache, pharyngitis, upper respiratory infection, difficulty speaking

proper inhalation technique
rinse mouth after use
monitor for signs of toxicity(adrenal insufficiency, oral candidiasis, worsing pulmonary function)

Symbicort

asthma, COPD

2 puffs bid

upper respiratory tract infections

proper inhalation technique
>1 inhalation, wait 1min and shake before next inhalation
rinse mouth and face
wash mouthpiece and air dry once a week

Breo Ellipta

asthma, COPD

1 inhalation qd

headache, flu like symptoms, body aches, nervousness

proper inhalation technique
rinse mouth after use
not used for acute symptoms
avoid smoking, allergens, and other respiratory irritants

tiotropium, ipratropium/albuterol, umeclidinium/vilanterol

Spiriva

COPD, asthma

1 capsule or 2 actuations qd

xerostomia, upper respiratory infection

not for acute bronchospasm(rescue therapy)
may cause increased HR, constipation, uniary difficulty and rention, sinusitis
capsules are for inhalation only
proper use of device and 2 inhalations
max benefits not seen for 1-2mo.

Combivent

COPD

1 inhalation qid or nebulizer q6h

bronchitis, upper respiratory tract infections

proper inhaler technique
wash mouthpiece and air dry daily
store at room temp
proper nebulizer technique (entire vial, over 5-15min)
contact provider if no relieve or symptoms worsen

Anoro Ellipta

COPD

1 inhalation qd

lower respiratory infection, muscle spasms, sinus infection, cold like symptoms, chest pain

proper inhaler technique
not for acute symptoms (resuce therapy)
notifiy provider if worsening symptoms
DO NOT use with OTC medications without proper authorizations from provider
notify provider if pregnant or considering pregnancy

umeclidinium/vilanterol/fluticasone

Trelegy

COPD, asthma

1 inhalation qd

nervousness, uncontrollable shaking, runny nose/sore throat, taste changes, back pain

proper inhalation technique
not for acute attacks
wash mouth after use
DO NOT use with OTC medications unless prior authorization from provider
notify provider if pregnant or considering pregnancy

prednisone, methylprednisolone

Deltasone

allergic states(asthma,etc.), endocrine disorders, GI diseases, etc.

5-60mg po qd

GI upset

take with food or milk
take in morning
monitor for signs of hyperglycemia, osteoporosis, adrenocortical insufficiency, infection

Medrol

allergic states(asthma, etc.), endocrine disorders, GI diseases, etc.

1-2 tablets(4-48mg) po qd

GI upset, hyperglycemia

take with meals
monitor for signs of hyperglycemia, osteoporosis, adrenocortical insufficiency, infection

montelukast

Singulair

asthma, exercise-induced bronchoconstriction, seasonal allergic rhinitis

1 tablet(10 mg) qd

cough, diarrhea, stomach upset, headache, cold like symptoms

not for acute asthma attacks
use with other asthma treatments
take in the evening
rarely, can cause neuropsychiatric side effects(mood changes)