The Pennine Acute Hospitals
NHS Trust Formulary
 
back
3 Respiratory system
03-01-02 Antimuscarinic bronchodilators

GMMMG: COPD Inhaler Options


Tiotropium Spiriva®
First Choice

Respimat® inhaler 2.5 micrograms/dose.

The Spiriva Respimat device should be used with caution in patients with known cardiac rhythm disorders - see SPC


View adult BNF  View SPC online  View childrens BNF
Aclidinium Eklira Genuair®
Formulary
Inhaler 400 micrograms/dose

Link  IPNTS recommendation: Aclidinium
 

View adult BNF  View SPC online  View childrens BNF
Glycopyrronium Seebri breezhaler®
Formulary

Inhalation powder, hard capsule for use with Breezhaler® device

Reserved for COPD patients with intolerance to tiotropium, or those who cannot use tiotropium devices.

Link  IPNTS recommendation: Glycopyrronium
 

View adult BNF  View SPC online  View childrens BNF
Ipratropium
Formulary
Metered dose inhaler (MDI) 20 micrograms/dose
Nebuliser solution 250 micrograms/ml, 500 micrograms/ml


View adult BNF  View SPC online  View childrens BNF
Umeclidinium Incruse Ellipta
Formulary

View adult BNF  View SPC online  View childrens BNF