COPD (Chronic Obstructive Pulmonary Disease) (cont.)
Charles Patrick Davis, MD, PhD
Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
John P. Cunha, DO, FACOEP
John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
In this Article
- COPD facts
- What is the definition of chronic obstructive pulmonary disease (COPD)?
- What causes COPD?
- What are the signs and symptoms of COPD?
- What increases your risk for developing COPD?
- What are the four stages of COPD?
- What other diseases or conditions contribute to COPD?
- What kind of doctor treats COPD?
- When to Seek Medical Care for COPD
- How is COPD diagnosed?
- What is the treatment for COPD?
- What lifestyle changes (diet, exercise) and home remedies and care are recommended for people with COPD?
- What medications treat COPD?
- What other supplemental therapies help treat COPD complications and symptoms?
- What surgery is available to treat COPD?
- Can COPD be prevented?
- What is the prognosis for a person with COPD?
- COPD (Chronic Obstructive Pulmonary Disease) FAQs
- Find a local Pulmonologist in your town
What medications treat COPD?
Nicotine Replacement Therapy
The first line of therapy that involves medication is related to smoking cessation with nicotine replacement therapy. Nicotine replacement therapy can help patients quit smoking tobacco because it can help reduce the withdrawal symptoms due to nicotine. Replacement therapies include nicotine-containing chewing gum and patches that allow nicotine to be absorbed through the skin. In these types of therapy, nicotine is gradually reduced. This medication can work well for those patients who are seriously attempting to quit tobacco.
Oral Medications to Quit Smoking (Smoking Cessation)
- Varenicline (Chantix) is an oral medication that is prescribed to promote cessation of smoking. This is also an alternative to try to quit smoking.
- Bupropion (Zyban) is an antidepressant that helps reduce symptoms of nicotine withdrawal.
- Some medications are used "off label" (that is, they are normally prescribed for another condition) to help people quit smoking. These drugs are recommended by the Agency for Healthcare Research and Quality to help smokers kick the habit, but have not been approved by the FDA for this use. These medications include nortriptyline (Pamelor), an older type of antidepressant. It's been found to help smokers double their chances of quitting compared to taking no medicine. Another drug used off label is clonidine (Catapres). Normally used to treat high blood pressure it can help smokers quit.
Bronchodilators are used for COPD treatment because they open up the airway tubes and allow air to more freely pass in and out of the lung tissue. There are both short-term (several hours) and long-term (12 or more hours) types of bronchodilators.
Some short-term medications include:
- albuterol (Ventolin, Proventil),
- metaproterenol (Alupent),
- levalbuterol (Xopenex), and
- pirbuterol (Maxair).
Some long-term bronchodilators include:
- salmeterol (Serevent),
- formoterol (Foradil),
- arformoterol (Brovana), and
- indacaterol (Arcapta).
- Anticholinergic bronchodilators include:
- ipratropium (Atrovent),
- tiotropium (Spiriva), and
- aclidinium (Tudorza).
Learn more about: Theo-24
Also on the market are combined to drugs using steroids and long-acting bronchodilators. Roflumilast (Daxas, Daliresp) is a new drug that inhibits the enzyme phosphodiesterase type 4, has been utilized in patients with symptoms of chronic bronchitis.
Learn more about: Daliresp
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