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Common inhaler-types using in Hospital .pdf

This document provides information on common inhaler devices used to treat respiratory conditions such as asthma and COPD. It lists short-acting relievers, preventers, and combination inhalers, along with their active ingredients and doses. Key points covered include: short-acting beta agonists used as relievers, inhaled corticosteroids as preventers, and combination inhalers containing corticosteroids and long-acting beta agonists for maintenance therapy. Equivalent doses between different corticosteroid products are also noted.

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©Respiratory Quality Improvement Group, June 2016 Inhaler Devices Identification Chart Short Acting Beta2 Agonists (SABA) Short Acting Muscarinic Antagonists (SAMA) Combination SABA + SAMA RELIEVERS SALBUTAMOL TERBUTALINE IPRATROPIUM SALBUTAMOL + IPRATROPIUM 100mcg 100mcg 100mcg 100mcg 250mcg 20mcg 100/20 Respigen SalAir Ventolin Salamol Bricanyl Turbuhaler Atrovent Duolin HFA Inhaled Corticosteroids (ICS) PREVENTERS FLUTICASONE propionate Aerosol inhaler and Accuhaler BUDESONIDE BECLOMETHASONE dipropionate BECLOMETHASONE dipropionate (ultra fine particle) 50mcg 125mcg 250mcg 50mcg 125mcg 250mcg 50mcg 100mcg 250mcg 100mcg 200mcg 400mcg 50mcg 100mcg 250mcg 50mcg 100mcg Floair Flixotide Flixotide Accuhaler Pulmicort Turbuhaler Beclazone Qvar Combination Inhaled Corticosteroids (ICS) + Long Acting Beta2 Agonists (LABA) FLUTICASONE propionate + SALMETEROL Aerosol inhaler and Accuhaler FLUTICASONE furoate + VILANTEROL BUDESONIDE + FORMOTEROL Turbuhaler and Aerosol inhaler 50/25 125/25 250/25 50/25 125/25 250/25 100/50 250/50 100/25 200/25 100/6 200/6 400/12 100/6 200/6 RexAir Seretide Seretide Accuhaler Breo Ellipta Symbicort Turbuhaler Vannair Subsidised Inhalers for Asthma or COPD New Zealand March 2016 SABA – Short-Acting Beta2 Agonists SALBUTAMOL Aerosol inhaler 100mcg/puff TERBUTALINE powder for inhalation 250mcg/dose Respigen SalAir Salamol Ventolin Bricanyl Turbuhaler SAMA – Short-Acting Muscarinic Antagonists Combination SABA IPRATROPIUM Aerosol inhaler 20mcg/puff IPRATROPIUM Nebuliser solution 250 mcg/mL 500mcg/2mL SALBUTAMOL WITH IPRATROPIUM Aerosol inhaler salbutamol 100 mcg + ipratropium 20 mcg /puff SA Atrovent Univent Duolin Mast Cell Stabilisers SODIUM CROMOGLYCATE Powder for inhalation SODIUM CROMOGLYCATE Aerosol inhaler NEDOC (see note 3) Subsidised Inhalers for Asthma or COPD New Zealand March 2016 SABA – Short-Acting Beta2 Agonists SALBUTAMOL Aerosol inhaler 100mcg/puff TERBUTALINE powder for inhalation 250mcg/dose SALBU spigen SalAir Salamol Ventolin Bricanyl Turbuhaler SAMA – Short-Acting Muscarinic Antagonists Combination SABA & SAMA TROPIUM Aerosol inhaler 20mcg/puff IPRATROPIUM Nebuliser solution 250 mcg/mL 500mcg/2mL SALBUTAMOL WITH IPRATROPIUM Aerosol inhaler salbutamol 100 mcg + ipratropium 20 mcg /puff SALBUTAMO Neb salbu ipratropi Atrovent Univent Duolin Mast Cell Stabilisers UM CROMOGLYCATE Powder for inhalation SODIUM CROMOGLYCATE Aerosol inhaler NEDOCROMIL Ae (see note 3) e FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose Floair Flixotide Flixotide Accuhaler d e Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) A Combination ONCE daily ICS & LABA PIONATE & SALMETEROL sol inhaler sone propionate & almeterol/puff asone propionate & almeterol/puff : 250mcg fluticasone 5mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) Seretide Seretide Accuhaler Breo Ellipta esentations are NOT dose equivalent with Accuhaler 25mcg salmeterol - Accuhalers contain 50mcg salmeterol puffs twice daily; Accuhaler: ONE inhalation twice daily costeroid is needed, change to the higher strength presentation Fluticasone furoate 100mcg ONCE daily is approx. equivalent to fluticasone propionate Fully subsidised - Special Authority removed sthma or COPD New Zealand March 2016 nhaled Corticosteroids tion mcg/dose FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose aler Floair Flixotide Flixotide Accuhaler imately tandard opionate Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) & LABA Combination ONCE daily ICS & LABA NE PROPIONATE & SALMETEROL Aerosol inhaler g fluticasone propionate & 5mcg salmeterol/puff cg fluticasone propionate & 5mcg salmeterol/puff bsidised: 250mcg fluticasone ate & 25mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) Fully subsidised - Special Authority removed r Asthma or COPD New Zealand March 2016 – Inhaled Corticosteroids IDE halation 00mcg/dose ose FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose buhaler Floair Flixotide Flixotide Accuhaler proximately as standard ipropionate ne) Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) CS & LABA Combination ONCE daily ICS & LABA SONE PROPIONATE & SALMETEROL Aerosol inhaler 0mcg fluticasone propionate & 25mcg salmeterol/puff 5mcg fluticasone propionate & 25mcg salmeterol/puff subsidised: 250mcg fluticasone pionate & 25mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) Fully subsidised - Special Authority removed ma or COPD New Zealand March 2016 ed Corticosteroids dose FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose Floair Flixotide Flixotide Accuhaler ely ard ate Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) ABA Combination ONCE daily ICS & LABA ROPIONATE & SALMETEROL erosol inhaler icasone propionate & g salmeterol/puff ticasone propionate & g salmeterol/puff sed: 250mcg fluticasone & 25mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) Fully subsidised - Special Authority removed BUDESONIDE powder for inhalation 0mcg/dose 200mcg/dose 400mcg/dose FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose Pulmicort Turbuhaler Floair Flixotide Flixotide Accuhaler udesonide is approximately e same potency as standard eclomethasone dipropionate (Beclazone) Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) mbination ICS & LABA Combination ONCE daily ICS & LABA FLUTICASONE PROPIONATE & SALMETEROL Aerosol inhaler 50mcg fluticasone propionate & 25mcg salmeterol/puff 125mcg fluticasone propionate & 25mcg salmeterol/puff Not subsidised: 250mcg fluticasone propionate & 25mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) 400 terol se RexAir Seretide Seretide Accuhaler Breo Ellipta cg dose dose Inhaler presentations are NOT dose equivalent with Accuhaler Inhalers contain 25mcg salmeterol - Accuhalers contain 50mcg salmeterol Inhaler: TWO puffs twice daily; Accuhaler: ONE inhalation twice daily Fluticasone furoate 100mcg ONCE daily is approx. equivalent to Fully subsidised - Special Authority removed nhalers for Asthma or COPD New Zealand March 2016 ICS – Inhaled Corticosteroids BUDESONIDE owder for inhalation g/dose 200mcg/dose 400mcg/dose FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose ulmicort Turbuhaler Floair Flixotide Flixotide Accuhaler sonide is approximately me potency as standard methasone dipropionate (Beclazone) Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) nation ICS & LABA Combination ONCE daily ICS & LABA FLUTICASONE PROPIONATE & SALMETEROL Aerosol inhaler 50mcg fluticasone propionate & 25mcg salmeterol/puff 125mcg fluticasone propionate & 25mcg salmeterol/puff Not subsidised: 250mcg fluticasone propionate & 25mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) l RexAir Seretide Seretide Accuhaler Breo Ellipta e Inhaler presentations are NOT dose equivalent with Accuhaler Inhalers contain 25mcg salmeterol - Accuhalers contain 50mcg salmeterol Inhaler: TWO puffs twice daily; Accuhaler: ONE inhalation twice daily If extra inhaled corticosteroid is needed, change to the higher strength presentation or add separate inhaled corticosteroid Fluticasone furoate 100mcg ONCE daily is approx. equivalent to fluticasone propionate 250mcg TWICE daily Fully subsidised - Special Authority removed BUDESONIDE owder for inhalation g/dose 200mcg/dose 400mcg/dose FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose ulmicort Turbuhaler Floair Flixotide Flixotide Accuhaler sonide is approximately me potency as standard methasone dipropionate (Beclazone) Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) nation ICS & LABA Combination ONCE daily ICS & LABA FLUTICASONE PROPIONATE & SALMETEROL Aerosol inhaler 50mcg fluticasone propionate & 25mcg salmeterol/puff 125mcg fluticasone propionate & 25mcg salmeterol/puff Not subsidised: 250mcg fluticasone propionate & 25mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) l RexAir Seretide Seretide Accuhaler Breo Ellipta e Inhaler presentations are NOT dose equivalent with Accuhaler Inhalers contain 25mcg salmeterol - Accuhalers contain 50mcg salmeterol Inhaler: TWO puffs twice daily; Accuhaler: ONE inhalation twice daily Fluticasone furoate 100mcg ONCE daily is approx. equivalent to Fully subsidised - Special Authority removed
©Respiratory Quality Improvement Group, June 2016 Inhaler Devices Identification Chart Long Acting Beta2 Agonists (LABA) SYMPTOM CONTROLLERS SALMETEROL Aerosol inhaler and Accuhaler FORMOTEROL (eformoterol) INDACATEROL 25mcg 25mcg 50mcg 6mcg 12mcg 150mcg 300mcg Meterol Serevent Serevent Accuhaler Oxis Turbuhaler Foradil Aerolizer device Onbrez Breezhaler Long Acting Muscarinic Antagonists (LAMA) Combination Long Acting Muscarinc Antagonists (LAMA) + Long Acting Beta2 Agonists (LABA) TIOTROPIUM UMECLIDINIUM GLYCOPYRRONIUM TIOTROPIUM + OLODATEROL UMECLIDINIUM + VILANTEROL GLYCOPYRRONIUM + INDACATEROL 18mcg 2.5mcg 62.5mcg 50mcg 2.5/2.5 62.5/25 50/110 Spiriva Handihaler Spiriva Respimat Incruse Ellipta Seebri Breezhaler Spiolto Anoro Ellipta Ultibro Breezhaler NOTES • Beclazone and Qvar are NOT dose equivalent • Fluticasone furoate 100mcg DAILY is approximately equivalent to fluticasone propionate 250mcg BD • Breo Ellipta 200/25 is not subsidised • Symbicort 400/12 and Seretide Accuhaler 100/50 and 250/50 can not be prescribed as greater than 2 doses per day • The therapeutic dose of tiotropium when delivered via Respimat device (Spiriva Respimat or Spiolto) is 5microgram daily ie. two doses inhaled once daily • Tiotropium (handihaler and respimat) – require Special Authority SA1568 (Actual FEV1 as a % of predicted <60%) • Glycopyrronium – Subsidy by endorsement “certified condition” or “COPD confirmed by spirometry” (post bronchodilator FEV1/FVC < LLN or <0.7) • Umeclidinium – Subsidy by endorsement “certified condition” or “COPD confirmed by spirometry” (post bronchodilator FEV1/FVC < LLN or <0.7) • Prescribing Combination LAMA + LABA - all combinations (Spiolto, Anoro Ellipta, Ultibro) require Special Authority SA1584 (same form for all combinations) *Inhalers not depicted include Mast Cell Stabilisers including: SODIUM CROMOGLYCATE powder for inhalation (Intal Spincaps and spinhaler 20mg/dose) and aerosol inhaler (Intal Forte 5mg/puff) and NEDOCROMIL aerosol inhaler (Tilade 2mg/puff) SALMETEROL Aerosol inhaler 25mcg/dose SALMETEROL Powder for inhalation 50mcg/dose FORMOTEROL (eformoterol) 6mcg/dose powder for inhalation FORMOTEROL 12mcg/dose powd Meterol Serevent Serevent Accuhaler Oxis Turbuhaler Foradil capsule con inhalation via A Inhaler presentations are NOT dose equivalent with Accuhaler Inhaler - 25mcg salmeterol/puff; Accuhaler - 50mcg salmeterol/dose Aerosol inhaler TWO puffs twice daily Accuhaler ONE inhalation twice daily Oxis and Foradil are NOT dose equiva Oxis contains 6mcg/dose Foradil contains 12mcg/capsule for inha TIOTROPIUM Powder for inhalation 18mcg/dose TIOTROPIUM solution for inhalation 2.5mcg/inhalation UMECLIDINIUM powder for inhalation 62.5mcg/dose Spiriva capsule containing powder for inhalation via Handihaler device Adult dose: 18mcg inhaled ONCE daily Spiriva Respimat Adult dose: 2 puffs (5mcg) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE Combination LAMA & ‘ultra’ long-acting beta2 agonist (LA For asthma, MUST be used in combination with an inhaled corticosteroid refer http://www.nzf.org.nz/nzf_170 Special Authority required for Tiotropium see Note 1 No Special Au script must be end LAMA – Long Acting Muscarinic Antagonists (see note 3) (see note 3) SALMETEROL Aerosol inhaler 25mcg/dose SALMETEROL Powder for inhalation 50mcg/dose FORMOTEROL (eformoterol) 6mcg/dose powder for inhalation FORMOTEROL (efor 12mcg/dose powder fo Meterol Serevent Serevent Accuhaler Oxis Turbuhaler Foradil capsule containin inhalation via Aeroliz Inhaler presentations are NOT dose equivalent with Accuhaler Inhaler - 25mcg salmeterol/puff; Accuhaler - 50mcg salmeterol/dose rosol inhaler TWO puffs twice daily Accuhaler ONE inhalation twice daily Oxis and Foradil are NOT dose equivalent Oxis contains 6mcg/dose Foradil contains 12mcg/capsule for inhalation TIOTROPIUM Powder for inhalation 18mcg/dose TIOTROPIUM solution for inhalation 2.5mcg/inhalation UMECLIDINIUM powder for inhalation 62.5mcg/dose iriva capsule containing powder for inhalation via Handihaler device ult dose: 18mcg inhaled ONCE daily Spiriva Respimat Adult dose: 2 puffs (5mcg) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE daily Combination LAMA & ‘ultra’ long-acting beta2 agonist (LABA) For asthma, MUST be used in combination with an inhaled corticosteroid refer http://www.nzf.org.nz/nzf_1706 pecial Authority required for Tiotropium see Note 1 No Special Authorit script must be endorsed LAMA – Long Acting Muscarinic Antagonists (see note 3) (see note 3) SALMETEROL Aerosol inhaler 25mcg/dose SALMETEROL Powder for inhalation 50mcg/dose FORMOTEROL (eformoterol) 6mcg/dose powder for inhalation FORMOTEROL (eformoterol) 12mcg/dose powder for inhalatio ol Serevent Serevent Accuhaler Oxis Turbuhaler Foradil capsule containing powder inhalation via Aerolizer device r presentations are NOT dose equivalent with Accuhaler 25mcg salmeterol/puff; Accuhaler - 50mcg salmeterol/dose er TWO puffs twice daily Accuhaler ONE inhalation twice daily Oxis and Foradil are NOT dose equivalent Oxis contains 6mcg/dose Foradil contains 12mcg/capsule for inhalation TIOTROPIUM inhalation 18mcg/dose TIOTROPIUM solution for inhalation 2.5mcg/inhalation UMECLIDINIUM powder for inhalation 62.5mcg/dose ule containing powder for via Handihaler device 18mcg inhaled ONCE daily Spiriva Respimat Adult dose: 2 puffs (5mcg) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE daily Seeb Ind Combination LAMA & ‘ultra’ long-acting beta2 agonist (LABA) For asthma, MUST be used in combination with an inhaled corticosteroid refer http://www.nzf.org.nz/nzf_1706 Spec hority required for Tiotropium see Note 1 No Special Authority required script must be endorsed that patie LAMA – Long Acting Muscarinic Antagonists (see note 3) (see note 3) LABA – Long Acting Beta2 Agonists ‘Ultra’ long-acting bet agonist (see note 3) SALMETEROL Powder for inhalation 50mcg/dose FORMOTEROL (eformoterol) 6mcg/dose powder for inhalation FORMOTEROL (eformoterol) 12mcg/dose powder for inhalation INDACATEROL powder for inhalation 150 mcg/dose or 300 mcg/d ent Serevent Accuhaler Oxis Turbuhaler Foradil capsule containing powder for inhalation via Aerolizer device Onbrez capsules containing po for inhalation via Breezhaler d T dose equivalent with Accuhaler ; Accuhaler - 50mcg salmeterol/dose ly Accuhaler ONE inhalation twice daily Oxis and Foradil are NOT dose equivalent Oxis contains 6mcg/dose Foradil contains 12mcg/capsule for inhalation Indication - COPD 150mcg OR 300mcg inhaled via Breezhaler ONCE d e TIOTROPIUM solution for inhalation 2.5mcg/inhalation UMECLIDINIUM powder for inhalation 62.5mcg/dose GLYCOPYRRONIUM powder for inhalation 50mcg/dose or ily Spiriva Respimat Adult dose: 2 puffs (5mcg) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE daily Seebri capsules containing powder for inhala via Breezhaler device Indication – COPD: 50mcg inhaled ONCE da Combination LAMA & ‘ultra’ long-acting beta2 agonist (LABA) TH OLODATEROL lation UMECLIDINIUM WITH VILANTEROL powder for inhalation GLYCOPYRRONIUM WITH INDACATEROL powder for inhalation ST be used in combination with an inhaled corticosteroid refer http://www.nzf.org.nz/nzf_1706 Special Authority required see Note 2 ropium see Note 1 No Special Authority required for umeclidinium or glycopyrronium – script must be endorsed that patient has had COPD confirmed by spirom LAMA – Long Acting Muscarinic Antagonists (see note 3) (see note 3) (see note 3) aler Oxis Turbuhaler Foradil capsule containing powder for inhalation via Aerolizer device Onbrez capsules containing powder for inhalation via Breezhaler device r dose ce daily Oxis and Foradil are NOT dose equivalent Oxis contains 6mcg/dose Foradil contains 12mcg/capsule for inhalation Indication - COPD 150mcg OR 300mcg inhaled via Breezhaler ONCE daily M mcg/inhalation UMECLIDINIUM powder for inhalation 62.5mcg/dose GLYCOPYRRONIUM powder for inhalation 50mcg/dose at g) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE daily Seebri capsules containing powder for inhalation via Breezhaler device Indication – COPD: 50mcg inhaled ONCE daily on LAMA & ‘ultra’ long-acting beta2 agonist (LABA) UMECLIDINIUM WITH VILANTEROL powder for inhalation Umeclidinium 62.5 mcg with vilanterol 25 mcg GLYCOPYRRONIUM WITH INDACATEROL powder for inhalation glycopyrronium 50 mcg with indacaterol 110 mcg Special Authority required see Note 2 No Special Authority required for umeclidinium or glycopyrronium – script must be endorsed that patient has had COPD confirmed by spirometry MA – Long Acting Muscarinic Antagonists (see note 3) repared by Helen Cant Clinical Pharmacist Tokoroa March 2016. Disclaimer: This information is obtained from current relevant sources; individual clinical cir apsule containing powder for tion via Handihaler device se: 18mcg inhaled ONCE daily Spiriva Respimat Adult dose: 2 puffs (5mcg) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE Combination LAMA & ‘ultra’ long-acting beta2 agonist (LA IOTROPIUM BROMIDE WITH OLODATEROL solution for inhalation Tiotropium 2.5mcg with olodaterol 2.5mcg UMECLIDINIUM WITH VILANTEROL powder for inhalation Umeclidinium 62.5 mcg with vilanterol 25 mcg Spiolto Respimat ndication COPD: TWO inhalations ONCE daily Anoro Ellipta Indication COPD: ONE inhalation ONCE daily (see note 3) ch 2016. Disclaimer: This information is obtained from current relevant sources; individual clinical circumstances should be considered when making treatment deci powder for inhalation 62.5mcg/dose Spiriva Respimat se: 2 puffs (5mcg) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE daily Seebri capsules containing powder for via Breezhaler device Indication – COPD: 50mcg inhaled ON Combination LAMA & ‘ultra’ long-acting beta2 agonist (LABA) L UMECLIDINIUM WITH VILANTEROL powder for inhalation Umeclidinium 62.5 mcg with vilanterol 25 mcg GLYCOPYRRONIUM WITH INDACATEROL powder for inhalation glycopyrronium 50 mcg with indacaterol 110 y Anoro Ellipta Indication COPD: ONE inhalation ONCE daily Ultibro capsule containing powder for inhala via Breezhaler device Indication COPD: ONE inhalation ONCE dai Special Authority required see Note 2

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Common inhaler-types using in Hospital .pdf

  • 1.
    ©Respiratory Quality ImprovementGroup, June 2016 Inhaler Devices Identification Chart Short Acting Beta2 Agonists (SABA) Short Acting Muscarinic Antagonists (SAMA) Combination SABA + SAMA RELIEVERS SALBUTAMOL TERBUTALINE IPRATROPIUM SALBUTAMOL + IPRATROPIUM 100mcg 100mcg 100mcg 100mcg 250mcg 20mcg 100/20 Respigen SalAir Ventolin Salamol Bricanyl Turbuhaler Atrovent Duolin HFA Inhaled Corticosteroids (ICS) PREVENTERS FLUTICASONE propionate Aerosol inhaler and Accuhaler BUDESONIDE BECLOMETHASONE dipropionate BECLOMETHASONE dipropionate (ultra fine particle) 50mcg 125mcg 250mcg 50mcg 125mcg 250mcg 50mcg 100mcg 250mcg 100mcg 200mcg 400mcg 50mcg 100mcg 250mcg 50mcg 100mcg Floair Flixotide Flixotide Accuhaler Pulmicort Turbuhaler Beclazone Qvar Combination Inhaled Corticosteroids (ICS) + Long Acting Beta2 Agonists (LABA) FLUTICASONE propionate + SALMETEROL Aerosol inhaler and Accuhaler FLUTICASONE furoate + VILANTEROL BUDESONIDE + FORMOTEROL Turbuhaler and Aerosol inhaler 50/25 125/25 250/25 50/25 125/25 250/25 100/50 250/50 100/25 200/25 100/6 200/6 400/12 100/6 200/6 RexAir Seretide Seretide Accuhaler Breo Ellipta Symbicort Turbuhaler Vannair Subsidised Inhalers for Asthma or COPD New Zealand March 2016 SABA – Short-Acting Beta2 Agonists SALBUTAMOL Aerosol inhaler 100mcg/puff TERBUTALINE powder for inhalation 250mcg/dose Respigen SalAir Salamol Ventolin Bricanyl Turbuhaler SAMA – Short-Acting Muscarinic Antagonists Combination SABA IPRATROPIUM Aerosol inhaler 20mcg/puff IPRATROPIUM Nebuliser solution 250 mcg/mL 500mcg/2mL SALBUTAMOL WITH IPRATROPIUM Aerosol inhaler salbutamol 100 mcg + ipratropium 20 mcg /puff SA Atrovent Univent Duolin Mast Cell Stabilisers SODIUM CROMOGLYCATE Powder for inhalation SODIUM CROMOGLYCATE Aerosol inhaler NEDOC (see note 3) Subsidised Inhalers for Asthma or COPD New Zealand March 2016 SABA – Short-Acting Beta2 Agonists SALBUTAMOL Aerosol inhaler 100mcg/puff TERBUTALINE powder for inhalation 250mcg/dose SALBU spigen SalAir Salamol Ventolin Bricanyl Turbuhaler SAMA – Short-Acting Muscarinic Antagonists Combination SABA & SAMA TROPIUM Aerosol inhaler 20mcg/puff IPRATROPIUM Nebuliser solution 250 mcg/mL 500mcg/2mL SALBUTAMOL WITH IPRATROPIUM Aerosol inhaler salbutamol 100 mcg + ipratropium 20 mcg /puff SALBUTAMO Neb salbu ipratropi Atrovent Univent Duolin Mast Cell Stabilisers UM CROMOGLYCATE Powder for inhalation SODIUM CROMOGLYCATE Aerosol inhaler NEDOCROMIL Ae (see note 3) e FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose Floair Flixotide Flixotide Accuhaler d e Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) A Combination ONCE daily ICS & LABA PIONATE & SALMETEROL sol inhaler sone propionate & almeterol/puff asone propionate & almeterol/puff : 250mcg fluticasone 5mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) Seretide Seretide Accuhaler Breo Ellipta esentations are NOT dose equivalent with Accuhaler 25mcg salmeterol - Accuhalers contain 50mcg salmeterol puffs twice daily; Accuhaler: ONE inhalation twice daily costeroid is needed, change to the higher strength presentation Fluticasone furoate 100mcg ONCE daily is approx. equivalent to fluticasone propionate Fully subsidised - Special Authority removed sthma or COPD New Zealand March 2016 nhaled Corticosteroids tion mcg/dose FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose aler Floair Flixotide Flixotide Accuhaler imately tandard opionate Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) & LABA Combination ONCE daily ICS & LABA NE PROPIONATE & SALMETEROL Aerosol inhaler g fluticasone propionate & 5mcg salmeterol/puff cg fluticasone propionate & 5mcg salmeterol/puff bsidised: 250mcg fluticasone ate & 25mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) Fully subsidised - Special Authority removed r Asthma or COPD New Zealand March 2016 – Inhaled Corticosteroids IDE halation 00mcg/dose ose FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose buhaler Floair Flixotide Flixotide Accuhaler proximately as standard ipropionate ne) Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) CS & LABA Combination ONCE daily ICS & LABA SONE PROPIONATE & SALMETEROL Aerosol inhaler 0mcg fluticasone propionate & 25mcg salmeterol/puff 5mcg fluticasone propionate & 25mcg salmeterol/puff subsidised: 250mcg fluticasone pionate & 25mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) Fully subsidised - Special Authority removed ma or COPD New Zealand March 2016 ed Corticosteroids dose FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose Floair Flixotide Flixotide Accuhaler ely ard ate Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) ABA Combination ONCE daily ICS & LABA ROPIONATE & SALMETEROL erosol inhaler icasone propionate & g salmeterol/puff ticasone propionate & g salmeterol/puff sed: 250mcg fluticasone & 25mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) Fully subsidised - Special Authority removed BUDESONIDE powder for inhalation 0mcg/dose 200mcg/dose 400mcg/dose FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose Pulmicort Turbuhaler Floair Flixotide Flixotide Accuhaler udesonide is approximately e same potency as standard eclomethasone dipropionate (Beclazone) Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) mbination ICS & LABA Combination ONCE daily ICS & LABA FLUTICASONE PROPIONATE & SALMETEROL Aerosol inhaler 50mcg fluticasone propionate & 25mcg salmeterol/puff 125mcg fluticasone propionate & 25mcg salmeterol/puff Not subsidised: 250mcg fluticasone propionate & 25mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) 400 terol se RexAir Seretide Seretide Accuhaler Breo Ellipta cg dose dose Inhaler presentations are NOT dose equivalent with Accuhaler Inhalers contain 25mcg salmeterol - Accuhalers contain 50mcg salmeterol Inhaler: TWO puffs twice daily; Accuhaler: ONE inhalation twice daily Fluticasone furoate 100mcg ONCE daily is approx. equivalent to Fully subsidised - Special Authority removed nhalers for Asthma or COPD New Zealand March 2016 ICS – Inhaled Corticosteroids BUDESONIDE owder for inhalation g/dose 200mcg/dose 400mcg/dose FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose ulmicort Turbuhaler Floair Flixotide Flixotide Accuhaler sonide is approximately me potency as standard methasone dipropionate (Beclazone) Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) nation ICS & LABA Combination ONCE daily ICS & LABA FLUTICASONE PROPIONATE & SALMETEROL Aerosol inhaler 50mcg fluticasone propionate & 25mcg salmeterol/puff 125mcg fluticasone propionate & 25mcg salmeterol/puff Not subsidised: 250mcg fluticasone propionate & 25mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) l RexAir Seretide Seretide Accuhaler Breo Ellipta e Inhaler presentations are NOT dose equivalent with Accuhaler Inhalers contain 25mcg salmeterol - Accuhalers contain 50mcg salmeterol Inhaler: TWO puffs twice daily; Accuhaler: ONE inhalation twice daily If extra inhaled corticosteroid is needed, change to the higher strength presentation or add separate inhaled corticosteroid Fluticasone furoate 100mcg ONCE daily is approx. equivalent to fluticasone propionate 250mcg TWICE daily Fully subsidised - Special Authority removed BUDESONIDE owder for inhalation g/dose 200mcg/dose 400mcg/dose FLUTICASONE propionate Aerosol inhalers 50mcg/dose 125mcg/dose 250mcg/dose FLUTICASONE propionate powder for inhalation 50mcg/dose 125mcg/dose 250mcg/dose ulmicort Turbuhaler Floair Flixotide Flixotide Accuhaler sonide is approximately me potency as standard methasone dipropionate (Beclazone) Fluticasone and beclomethasone dipropionate are NOT dose equivalent Fluticasone is approximately twice as potent as standard beclomethasone dipropionate (Beclazone) nation ICS & LABA Combination ONCE daily ICS & LABA FLUTICASONE PROPIONATE & SALMETEROL Aerosol inhaler 50mcg fluticasone propionate & 25mcg salmeterol/puff 125mcg fluticasone propionate & 25mcg salmeterol/puff Not subsidised: 250mcg fluticasone propionate & 25mcg salmeterol/puff FLUTICASONE PROPIONATE & SALMETEROL powder for inhalation 100mcg fluticasone propionate & 50mcg salmeterol/dose 250mcg fluticasone propionate & 50mcg salmeterol/dose FLUTICASONE FUROATE & VILANTEROL powder for inhalation Fluticasone furoate 100mcg & vilanterol 25 mcg (Asthma and COPD) Fluticasone furoate 200mcg & vilanterol 25 mcg (Asthma only) l RexAir Seretide Seretide Accuhaler Breo Ellipta e Inhaler presentations are NOT dose equivalent with Accuhaler Inhalers contain 25mcg salmeterol - Accuhalers contain 50mcg salmeterol Inhaler: TWO puffs twice daily; Accuhaler: ONE inhalation twice daily Fluticasone furoate 100mcg ONCE daily is approx. equivalent to Fully subsidised - Special Authority removed
  • 2.
    ©Respiratory Quality ImprovementGroup, June 2016 Inhaler Devices Identification Chart Long Acting Beta2 Agonists (LABA) SYMPTOM CONTROLLERS SALMETEROL Aerosol inhaler and Accuhaler FORMOTEROL (eformoterol) INDACATEROL 25mcg 25mcg 50mcg 6mcg 12mcg 150mcg 300mcg Meterol Serevent Serevent Accuhaler Oxis Turbuhaler Foradil Aerolizer device Onbrez Breezhaler Long Acting Muscarinic Antagonists (LAMA) Combination Long Acting Muscarinc Antagonists (LAMA) + Long Acting Beta2 Agonists (LABA) TIOTROPIUM UMECLIDINIUM GLYCOPYRRONIUM TIOTROPIUM + OLODATEROL UMECLIDINIUM + VILANTEROL GLYCOPYRRONIUM + INDACATEROL 18mcg 2.5mcg 62.5mcg 50mcg 2.5/2.5 62.5/25 50/110 Spiriva Handihaler Spiriva Respimat Incruse Ellipta Seebri Breezhaler Spiolto Anoro Ellipta Ultibro Breezhaler NOTES • Beclazone and Qvar are NOT dose equivalent • Fluticasone furoate 100mcg DAILY is approximately equivalent to fluticasone propionate 250mcg BD • Breo Ellipta 200/25 is not subsidised • Symbicort 400/12 and Seretide Accuhaler 100/50 and 250/50 can not be prescribed as greater than 2 doses per day • The therapeutic dose of tiotropium when delivered via Respimat device (Spiriva Respimat or Spiolto) is 5microgram daily ie. two doses inhaled once daily • Tiotropium (handihaler and respimat) – require Special Authority SA1568 (Actual FEV1 as a % of predicted <60%) • Glycopyrronium – Subsidy by endorsement “certified condition” or “COPD confirmed by spirometry” (post bronchodilator FEV1/FVC < LLN or <0.7) • Umeclidinium – Subsidy by endorsement “certified condition” or “COPD confirmed by spirometry” (post bronchodilator FEV1/FVC < LLN or <0.7) • Prescribing Combination LAMA + LABA - all combinations (Spiolto, Anoro Ellipta, Ultibro) require Special Authority SA1584 (same form for all combinations) *Inhalers not depicted include Mast Cell Stabilisers including: SODIUM CROMOGLYCATE powder for inhalation (Intal Spincaps and spinhaler 20mg/dose) and aerosol inhaler (Intal Forte 5mg/puff) and NEDOCROMIL aerosol inhaler (Tilade 2mg/puff) SALMETEROL Aerosol inhaler 25mcg/dose SALMETEROL Powder for inhalation 50mcg/dose FORMOTEROL (eformoterol) 6mcg/dose powder for inhalation FORMOTEROL 12mcg/dose powd Meterol Serevent Serevent Accuhaler Oxis Turbuhaler Foradil capsule con inhalation via A Inhaler presentations are NOT dose equivalent with Accuhaler Inhaler - 25mcg salmeterol/puff; Accuhaler - 50mcg salmeterol/dose Aerosol inhaler TWO puffs twice daily Accuhaler ONE inhalation twice daily Oxis and Foradil are NOT dose equiva Oxis contains 6mcg/dose Foradil contains 12mcg/capsule for inha TIOTROPIUM Powder for inhalation 18mcg/dose TIOTROPIUM solution for inhalation 2.5mcg/inhalation UMECLIDINIUM powder for inhalation 62.5mcg/dose Spiriva capsule containing powder for inhalation via Handihaler device Adult dose: 18mcg inhaled ONCE daily Spiriva Respimat Adult dose: 2 puffs (5mcg) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE Combination LAMA & ‘ultra’ long-acting beta2 agonist (LA For asthma, MUST be used in combination with an inhaled corticosteroid refer http://www.nzf.org.nz/nzf_170 Special Authority required for Tiotropium see Note 1 No Special Au script must be end LAMA – Long Acting Muscarinic Antagonists (see note 3) (see note 3) SALMETEROL Aerosol inhaler 25mcg/dose SALMETEROL Powder for inhalation 50mcg/dose FORMOTEROL (eformoterol) 6mcg/dose powder for inhalation FORMOTEROL (efor 12mcg/dose powder fo Meterol Serevent Serevent Accuhaler Oxis Turbuhaler Foradil capsule containin inhalation via Aeroliz Inhaler presentations are NOT dose equivalent with Accuhaler Inhaler - 25mcg salmeterol/puff; Accuhaler - 50mcg salmeterol/dose rosol inhaler TWO puffs twice daily Accuhaler ONE inhalation twice daily Oxis and Foradil are NOT dose equivalent Oxis contains 6mcg/dose Foradil contains 12mcg/capsule for inhalation TIOTROPIUM Powder for inhalation 18mcg/dose TIOTROPIUM solution for inhalation 2.5mcg/inhalation UMECLIDINIUM powder for inhalation 62.5mcg/dose iriva capsule containing powder for inhalation via Handihaler device ult dose: 18mcg inhaled ONCE daily Spiriva Respimat Adult dose: 2 puffs (5mcg) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE daily Combination LAMA & ‘ultra’ long-acting beta2 agonist (LABA) For asthma, MUST be used in combination with an inhaled corticosteroid refer http://www.nzf.org.nz/nzf_1706 pecial Authority required for Tiotropium see Note 1 No Special Authorit script must be endorsed LAMA – Long Acting Muscarinic Antagonists (see note 3) (see note 3) SALMETEROL Aerosol inhaler 25mcg/dose SALMETEROL Powder for inhalation 50mcg/dose FORMOTEROL (eformoterol) 6mcg/dose powder for inhalation FORMOTEROL (eformoterol) 12mcg/dose powder for inhalatio ol Serevent Serevent Accuhaler Oxis Turbuhaler Foradil capsule containing powder inhalation via Aerolizer device r presentations are NOT dose equivalent with Accuhaler 25mcg salmeterol/puff; Accuhaler - 50mcg salmeterol/dose er TWO puffs twice daily Accuhaler ONE inhalation twice daily Oxis and Foradil are NOT dose equivalent Oxis contains 6mcg/dose Foradil contains 12mcg/capsule for inhalation TIOTROPIUM inhalation 18mcg/dose TIOTROPIUM solution for inhalation 2.5mcg/inhalation UMECLIDINIUM powder for inhalation 62.5mcg/dose ule containing powder for via Handihaler device 18mcg inhaled ONCE daily Spiriva Respimat Adult dose: 2 puffs (5mcg) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE daily Seeb Ind Combination LAMA & ‘ultra’ long-acting beta2 agonist (LABA) For asthma, MUST be used in combination with an inhaled corticosteroid refer http://www.nzf.org.nz/nzf_1706 Spec hority required for Tiotropium see Note 1 No Special Authority required script must be endorsed that patie LAMA – Long Acting Muscarinic Antagonists (see note 3) (see note 3) LABA – Long Acting Beta2 Agonists ‘Ultra’ long-acting bet agonist (see note 3) SALMETEROL Powder for inhalation 50mcg/dose FORMOTEROL (eformoterol) 6mcg/dose powder for inhalation FORMOTEROL (eformoterol) 12mcg/dose powder for inhalation INDACATEROL powder for inhalation 150 mcg/dose or 300 mcg/d ent Serevent Accuhaler Oxis Turbuhaler Foradil capsule containing powder for inhalation via Aerolizer device Onbrez capsules containing po for inhalation via Breezhaler d T dose equivalent with Accuhaler ; Accuhaler - 50mcg salmeterol/dose ly Accuhaler ONE inhalation twice daily Oxis and Foradil are NOT dose equivalent Oxis contains 6mcg/dose Foradil contains 12mcg/capsule for inhalation Indication - COPD 150mcg OR 300mcg inhaled via Breezhaler ONCE d e TIOTROPIUM solution for inhalation 2.5mcg/inhalation UMECLIDINIUM powder for inhalation 62.5mcg/dose GLYCOPYRRONIUM powder for inhalation 50mcg/dose or ily Spiriva Respimat Adult dose: 2 puffs (5mcg) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE daily Seebri capsules containing powder for inhala via Breezhaler device Indication – COPD: 50mcg inhaled ONCE da Combination LAMA & ‘ultra’ long-acting beta2 agonist (LABA) TH OLODATEROL lation UMECLIDINIUM WITH VILANTEROL powder for inhalation GLYCOPYRRONIUM WITH INDACATEROL powder for inhalation ST be used in combination with an inhaled corticosteroid refer http://www.nzf.org.nz/nzf_1706 Special Authority required see Note 2 ropium see Note 1 No Special Authority required for umeclidinium or glycopyrronium – script must be endorsed that patient has had COPD confirmed by spirom LAMA – Long Acting Muscarinic Antagonists (see note 3) (see note 3) (see note 3) aler Oxis Turbuhaler Foradil capsule containing powder for inhalation via Aerolizer device Onbrez capsules containing powder for inhalation via Breezhaler device r dose ce daily Oxis and Foradil are NOT dose equivalent Oxis contains 6mcg/dose Foradil contains 12mcg/capsule for inhalation Indication - COPD 150mcg OR 300mcg inhaled via Breezhaler ONCE daily M mcg/inhalation UMECLIDINIUM powder for inhalation 62.5mcg/dose GLYCOPYRRONIUM powder for inhalation 50mcg/dose at g) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE daily Seebri capsules containing powder for inhalation via Breezhaler device Indication – COPD: 50mcg inhaled ONCE daily on LAMA & ‘ultra’ long-acting beta2 agonist (LABA) UMECLIDINIUM WITH VILANTEROL powder for inhalation Umeclidinium 62.5 mcg with vilanterol 25 mcg GLYCOPYRRONIUM WITH INDACATEROL powder for inhalation glycopyrronium 50 mcg with indacaterol 110 mcg Special Authority required see Note 2 No Special Authority required for umeclidinium or glycopyrronium – script must be endorsed that patient has had COPD confirmed by spirometry MA – Long Acting Muscarinic Antagonists (see note 3) repared by Helen Cant Clinical Pharmacist Tokoroa March 2016. Disclaimer: This information is obtained from current relevant sources; individual clinical cir apsule containing powder for tion via Handihaler device se: 18mcg inhaled ONCE daily Spiriva Respimat Adult dose: 2 puffs (5mcg) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE Combination LAMA & ‘ultra’ long-acting beta2 agonist (LA IOTROPIUM BROMIDE WITH OLODATEROL solution for inhalation Tiotropium 2.5mcg with olodaterol 2.5mcg UMECLIDINIUM WITH VILANTEROL powder for inhalation Umeclidinium 62.5 mcg with vilanterol 25 mcg Spiolto Respimat ndication COPD: TWO inhalations ONCE daily Anoro Ellipta Indication COPD: ONE inhalation ONCE daily (see note 3) ch 2016. Disclaimer: This information is obtained from current relevant sources; individual clinical circumstances should be considered when making treatment deci powder for inhalation 62.5mcg/dose Spiriva Respimat se: 2 puffs (5mcg) ONCE daily Incruse Ellipta Indication – COPD: ONE dose inhaled ONCE daily Seebri capsules containing powder for via Breezhaler device Indication – COPD: 50mcg inhaled ON Combination LAMA & ‘ultra’ long-acting beta2 agonist (LABA) L UMECLIDINIUM WITH VILANTEROL powder for inhalation Umeclidinium 62.5 mcg with vilanterol 25 mcg GLYCOPYRRONIUM WITH INDACATEROL powder for inhalation glycopyrronium 50 mcg with indacaterol 110 y Anoro Ellipta Indication COPD: ONE inhalation ONCE daily Ultibro capsule containing powder for inhala via Breezhaler device Indication COPD: ONE inhalation ONCE dai Special Authority required see Note 2