List of steroid inhalers for copd

Monoamine oxidase inhibitors (phenelzine, isocarboxazid), clonidine , selegiline , guanethidine, and ergotamines (ergotamine tartrate, dihydroergotamine mesylate) may increase blood pressure when used at the same time as ephedrine. Methyldopa or reserpine may reduce ephedrine levels in the blood and thereby lessen the effectiveness of ephedrine. Tricyclic antidepressants ( desipramine , amitriptyline , doxepin , and imipramine ) may block the effect of ephedrine. The carbonic anhydrase inhibitors acetazolamide and dichlorphenamide may increase ephedrine blood levels and the risk of side effects from ephedrine. Patients taking any medications should consult with their physician or pharmacist before starting OTC ephedrine.

Nebulisers are machines that turn the liquid form of your short-acting bronchodilator medicines into a fine mist, like an aerosol. You breathe this in with a face mask or a mouthpiece. Nebulisers are no more effective than normal inhalers. However, they are extremely useful in people who are very tired (fatigued) with their breathing, or people who are very breathless. Nebulisers are used mainly in hospital for severe attacks of COPD when large doses of inhaled medicines are needed. They are used less commonly than in the past, as modern spacer devices are usually just as good as nebulisers for giving large doses of inhaled medicines. You do not need any co-ordination to use a nebuliser - you just breathe in and out, and you will breathe the medicine in.

There is inadequate evidence of safety in human pregnancy. Administration of corticosteroids to pregnant animals can cause abnormalities of foetal development including cleft palate and intra-uterine growth retardation. There may therefore, be a risk of such effects in the human foetus. It should be noted, however, that the foetal changes in animals occur after relatively high systemic exposure. Beclometasone dipropionate is delivered directly to the lungs by the inhaled route and so avoids the high level of exposure that occurs when corticosteroids are given by systemic routes.

In the end, many factors go into choosing among the inhaled steroids, some based on known differences between the medications, some based on personal preferences. The same is true when choosing among the anti-hypertensive medications used to treat high blood pressure. Often it is necessary to try one of the medications: if it is works well, causes few or no side effects, is convenient and not excessively expensive, you are likely to continue with it. If it fails to meet one or more of these criteria, you and your doctor now have the "luxury" of other preparations to try until you find the one best for you.

List of steroid inhalers for copd

list of steroid inhalers for copd

In the end, many factors go into choosing among the inhaled steroids, some based on known differences between the medications, some based on personal preferences. The same is true when choosing among the anti-hypertensive medications used to treat high blood pressure. Often it is necessary to try one of the medications: if it is works well, causes few or no side effects, is convenient and not excessively expensive, you are likely to continue with it. If it fails to meet one or more of these criteria, you and your doctor now have the "luxury" of other preparations to try until you find the one best for you.

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