An Overview of Medicines for COPD
Chronic obstructive pulmonary disease (
COPD) is a lung disease in which the lungs are damaged, leading to long-term breathing problems. With COPD, the airways (the tubes that carry air into and out of the lungs) are partly obstructed, making it difficult to breathe. Chronic bronchitis and
emphysema are two kinds of COPD. While smoking is the most common cause, there are other possible
causes of COPD.
Depending on the severity of your condition, your healthcare provider may recommend a number of drugs as part of your COPD treatment, including:
- Bronchodilators (medications to open the airways)
- Steroids (including inhaled steroids)
- Antibiotics
- Immunizations.
In addition to being COPD drugs, most (but not all) of these medicines are also commonly used to treat
asthma.
Bronchodilators
Bronchodilators are medications that work by opening up the airways, usually by relaxing the muscles of the airways. A few different types of bronchodilators are used as COPD medications, including:
- Short-acting beta agonists, such as:
- Long-acting beta agonists, such as:
- Anticholinergic bronchodilators, such as:
- Theophylline (Elixophyllin®, Theo-24®, TheoCap™, Theochron®, Uniphyl®).
In addition, there is a combination medication that contains two different types of bronchodilators: an albuterol and ipratropium inhaler (
Combivent®). Short-acting beta-agonists are often used on an "as needed" basis, while long-acting beta agonists are usually taken regularly every day.
Typically, an anticholinergic medication (ipratropium or tiopropium) should be the first medication tried. If necessary, a beta-agonist may be added.
