Long-Acting Muscarinic Antagonists - LAMA (Anticholinergic) Inhalers
Umeclidinium (Incruse Ellipta)
Tiotropium (Spiriva Respimat)
Aclidinium (Tudorza Pressair)
LAMA inhalers, otherwise known as Anticholingeric inhalers, are common first-line agents used in COPD management. Specifically in patients with GOLD Groups A, B, or C, LAMA monotherapy is an appropriate first line (check out one of my old posts for a review on how to classify patients into these groups). We have 3 true long-acting inhalers, but Atrovent (ipratropium) can also be used in this indication. However, it requires QID dosing which can be very hard for patients.
Jarred Prudencio, PharmD - https://www.instagram.com/ambcarerx
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