Breathe Easy: A Guide to Living
With COPD

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Management of COPD
Medications

 

STEROIDS

Corticosteroids reduce inflammation, swelling and mucus production. For people with an asthma component to their COPD, or if the COPD is advanced, taking inhaled corticosteroids can help reduce the number and severity of your flare-ups.

The most common anti-inflammatory steroidal drugs include:

 - Beclomethasone (QVARTM)
 - Budesonide(Pulmicort®)
 - Ciclesonide (Alvesco®)
 - Fluticasone(Flovent®)

Corticosteroids must be used regularly and DO NOT have immediate effects. This means they have NO VALUE when an effect is needed in minutes.

Side Effects of Corticosteroid Inhalers

 - few side effects at low doses
 - hoarseness and sore throat
 - thrush or yeast infection

Throat infections can be prevented by rinsing the mouth and gargling, and by using a spacer device.

Because long-term use of inhaled or oral corticosteroids suppresses the body's own production of corticosteroids, treatment lasting more than a few weeks should be slowly withdrawn to give the body time to re-adjust.

Corticosteroid Tablets

Corticosteroid tablets or Prednisone® :

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are used when inflammation becomes severe
 -
reduce inflammation, swelling & mucus, and help bronchodilators work better
 -
start to work within a few hours, but may take several days to have a full effect
 -
often are used for short periods of time to get the inflammation under control
 -
there are many side effects if used long-term, such as water retention, bruising, puffy face, increased appetite, weight gain and stomach irritation

Combined steroid and long-acting bronchodilators

Some inhalers have both an inhaled steroid and a long-acting bronchodilator to help reduce swelling, relieve shortness of breath, improve lung function and help prevent flare-ups. These medications should be taken regularly.

Combination medications include:

Salmeterol xinofoate/fluticasone proprionate (Advair®)
Budesonide/fomoterol fumarate dehydrate (Symbicort®)

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Bronchodilators <-- --> Antibiotics

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