There are numerous cough linctuses, cough suppressants, mucolytics and expectorants available in pharmacies but there is not good evidence that any of them are effective. Mucolytics may have a small benefit (reduce the frequency and duration of exacerbations) in patients with chronic productive cough but are not routinely recommended. Cough suppressants should not generally be … Continue reading OTC drugs for COPD
In the short term it is essential to give oxygen. It may be difficult to keep a mask on her and nasal prongs might be better. Be aware that similar to patients with respiratory failure and elevated pCO2, she may not be able to tolerate a high concentration of oxygen. Consider a Venturi mask with … Continue reading Non-pharmacologic treatments post-COPD exacerbation
Tiotropium is a long acting anticholinergic agent. It inhibits M3 receptors in the smooth muscle of the bronchus and bronchioles leading to bronchodilatation. It is indicated in the treatment of COPD. It is not indicated for the immediate relief of acute shortness of breath . Side effects include: Dry mouth constipation, urinary retention and others.
Salbutamol is prescribed for the relief or prevention of bronchospasm. It has a duration of action of 4 hours and is indicated in the treatment of asthma and COPD. This is a directly acting sympathomimetic drug which has a high degree of selectivity for B2 adrenoceptors. This has a prominent effect of the bronchodilators leading … Continue reading Salbutamol