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Doctor insights on: Long Acting Anticholinergic Bronchodilators

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How do short acting bronchodilators function?

How do short acting bronchodilators function?

Relax smooth muscle: Saba (short acting beta-2 adrenergic agonist) work by activation of this beta-2 receptor on the smooth muscles that wrap around the small and medium airways in the lungs leading to relaxation and thus bronchodilation (opening up of narrowed airways as seen in asthma). ...Read more

Bronchodilator (Definition)

A bronchodilator opens airways by loosening the smooth muscle surrounding the airways. There are short and long acting bronchodilators that work ...Read more


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Does the xopenex (levalbuterol) inhaler contain steroids?

Does the xopenex (levalbuterol) inhaler contain steroids?

No.: Xopenx is a single medicine known as a short-acting-beta agonist (saba). There is no steroid. Its base medicine is albuterol. Most drugs have two forms-the active chemical and its mirror image (kind or like a right hand and left hand). Many drugs, only one of them works as the medicine. Xopenex (levalbuterol) is the "working form" of albuterol. Used to try and decrease side effects using active form of med. ...Read more

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Which is better for COPD patients, albuterol inhaler or Combivent (albuterol and ipratropium) inhaler?

Which is better for COPD patients, albuterol inhaler or Combivent (albuterol and ipratropium) inhaler?

Unknown: Longer term studies show that both drugs are quick acting and relieve acute dyspnea/shortness of breath. It appears unlikely that either drug affects the natural history of asthma/copd. Longer acting drugs called maintenance inhalers are associated with significant decreases in exacerbation (flares) of these diseases and may affect lung function longer term. ...Read more

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Asthma. Meds serevent (salmeterol) and Pulmicort helpful?

Asthma. Meds serevent (salmeterol) and Pulmicort helpful?

The combination help: Pulmicort is an inhaled steroid that reduces inflammation in the lung. Serevent (salmeterol) is a long acting bronchodilator that when used with an inhaled steroid, can help the effectivess of the inhaled steroid. Serevent (salmeterol) used without the inhaled steroid can over 1-2 weeks or more can make asthma worse. Serevent (salmeterol) with asthma should only be used with an inhaled steroid. ...Read more

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Which works better: dulera (formoterol and mometasone) or albuterol?

Which works better: dulera (formoterol and mometasone) or albuterol?

Both-read why: Dulera (formoterol and mometasone) is a combination inhaler containing an steroid (for inflammation) and long acting bronchodilator. Dulera (formoterol and mometasone) is used every day to control and prevent asthma. In contrast, albuterol is for quick relief and only used as needed. This is a good combination for patients with moderate to severe persistent asthma. An allergist can assist in further explanation. ...Read more

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Fast acting & long lasting medications for social anxiety?

Fast acting & long lasting medications for social anxiety?

Anxiety Meds: Fast acting are benzodiazepines ativan, klonopin, xanax.Long acting are ssri prozac, zoloft, celexa, Lexapro Buspar (buspirone) and new gen Cymbalta etc.Best is to have a baseline stable meds and not just use as needed meds. Get a consultation with a psychiatrist to get better recommendations and treatment and don't live with a disabling anxiety. ...Read more

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What are side effects of xopenex (levalbuterol) inhalers for asthma?

What are side effects of  xopenex (levalbuterol) inhalers for asthma?

Temporary jitterines: For the most part, you may experience temporary jitteriness that usually lasts for 15-20 minutes after taking it. This is because the medication causes an increase in heart rate. You may want to consult your physician prior to taking this if you have any heart problems. This is the most common side effect. ...Read more

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I'm using 2 rotacaps for asthma (salbutamol sulphate& ipratropium bromide, fluticasino propionate& formaterol fumarate). Is the long term use safe?

I'm using 2 rotacaps for asthma (salbutamol sulphate& ipratropium bromide, fluticasino propionate& formaterol fumarate). Is the long term use safe?

Yes and no: The last drug you mentioned formaterol is a long acting beta agonist (laba). In the us, labas alone are used in treating copd. When used in asthma and to reduce their potential serious side effects, they must be combined with a steroid like fluticasone. ...Read more

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Clozaril (clozapine) long term side effect?

Clozaril (clozapine) long term side effect?

Has many.: There appear to be many side effects with this antipsychotic medication. Common ones are extreme constipation, bed-wetting, night-time drooling, muscle stiffness, sedation, tremors, orthostasis, hyperglycemia, and weight gain. Others are agranulocytosis, CNS depression, leukopenia, neutropenia, seizure disorder, bone marrow suppression, dementia, hypotension, and myocarditis. ...Read more

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Quick acting medications for anxiety?

Quick acting medications for anxiety?

Benzodiazapines: usually have a pretty rapid action - however, anxiety can often respond to non-pharmacologic options. Other medications like SSRI's or Buspar (buspirone) can also be effective without the potential for tolerance. ...Read more

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Does the ventolin inhaler contain steroids?

No: Ventolin does not contain steroids. Its active ingredient is albuterol which is a stimulant (beta 2 agonist). ...Read more

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Will my long term inhaled steroid asthma medicine (qvar) interfere with general anesthesia?

Will my long term inhaled steroid asthma medicine (qvar) interfere with general anesthesia?

No, take your med: Qvar is being prescribed to help control the inflammation in your bronchi so you will be less susceptible to wheezing when challenged. Surgery and anesthesia are challenges. Therefore, you really need to stay on your medication regularly so you will have the easiest time when you are recovering. You should take it every day, even the morning of surgery. Get an asthma checkup before anesthesia. ...Read more

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Can proventil and atrovent (ipratropium) used together?

Can proventil and atrovent (ipratropium) used together?

Absolutely: Proventil (albuterol) and atrovent (ipratropium bromide) are very commonly recommend to be used together for treatment of airway bronchospasm commonly seen in asthma or copd. I would caution that there are better, long-acting medications that provide better benefit if you are not well-controlled on proventil and atrovent alone. Otherwise they do indeed work very well together. ...Read more

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Which has more side effects albuterol vs albuterol?

Which has more side effects albuterol vs albuterol?

Albuterol: These are the same drug. Levoalbuterol may have less side effects (also called xopenex), but for most people is the same. ...Read more

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Is qvar similar to albuterol?

Different: Qvar is an inhaled steroid (beclomethasone) and is designed for regular use to prevent asthma. Albuterol is a quick relief short acting bronchodilator designed to be used "as needed" for acute asthma symptoms. They can be used together. ...Read more

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Albuterol nebulizer or inhaler. Which is better?

Albuterol nebulizer or inhaler. Which is better?

Either one: When the inhaler is used properly with good technique, it can provide as much bronchodilation as a nebulizer dose. For those patients with poor coordination, the elderly or very young, the nebulizer may be easier to use. ...Read more

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Anticholinergic (Definition)

Most drugs have some anticholinergic qualities, which means they interfere with the normal function ...Read more