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Diagnosed with COPD, using a bronchial inhaler. What are the available options?

my wife has been diognized with COPD and we are in the process of changing Doctors as the Dr she was referred to by the hospital is not Board Certified and was not providing adequate care. the problem is she has used up all of her rescue and daily inhalers and has nothing until she gets to a new Doctor. we saw on TV that there is a new Broncial inhaler that I believe is non prescription but we can remember the name of it and cannot find it at any local pharmacies. What are her options until she can get in to see a new doctor?
Asked On : Mon, 7 Jan 2013
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Pulmonologist 's  Response
Hi rick5547
Thanks for coming to HCM
COPD needs staging via spirometry and accordingly treatment has to be given. the treatment also depends on whether the patient has got respiratory failure, is she in acute exacerbation, has she got any comorbidities like heart disease, diabetes, osteoporosis, depression etc...

You can try a combination of long acting beta 2 agonists like salmeterol or formoterol plus inhaled corticosteroid like budesonide or fluticasone along with long acting muscarinic antagonists like tiotropium...
If your wife is in acute exacerbation manifested by increased baseline dyspnoea, cough, sputum production and its can give her a course of antibiotivs like amoxycillin clavulanic acid and azithromycin alon with short course of steroids like prednisolone 40 mg once a day for 10-14 days....and don't forget the nebulisation by salbutamol and ipratropium 6 hrly...
If she is continoussly in respiratory failure then probably she is needing controlled oxygen therapy to maintain oxygen saturation just above 90%....

best wishes
Answered: Fri, 5 Apr 2013
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