ADE, I HARDLY KNEW YE
GINA AND ME
MIDAS TOUCH
COPD POTPOURRI
I KNOW HOW TO USE MY INHALER
200

The incidence of this ADE is lowered after rinsing one's mouth after using an ICS inhaler

Oropharnygeal candidasis (thrush)

200

The only FDA-approved LAMA for asthma is available as a soft-mist inhaler

Spiriva Respimat

200

GOLD 1 classification indicates an FEV1 >/= ____ than predicted

80%

200

A narrow therapeutic index drug no longer recommended as part of routine chronic COPD management

Theophylline (methylxanthines)

200

This is a process performed prior to initial use or after extended disuse of an MDI

Priming

400

Levalbuterol is purported to less frequently cause this ADE compared to racemic albuterol

Tachycardia

400

One of the guideline-recommended (S)MART inhaler combinations 

Budesonide/formoterol (Symbicort, Breyna)

Mometasone/formoterol (Dulera)

400

In addition to the mMRC scale, this feline scale assesses symptom severity with COPD

CAT

400

Triple therapy inhalers include these three classes of medications

ICS + LABA + LAMA

400

Decreased inspiratory flow with disease progression may make this inhaler type potentially more useful and easy to use for a patient

Soft mist inhaler (e.g., Respimat)
600

These two biologic treatments carry a BBW for anaphylaxis (name 1)

Omalizumab (Xolair) or rezlizumab (Cinqair)

600

An asthma severity classification for adults well controlled with low-intensity treatment (low-dose ICS-formoterol)

Mild asthma

600

(DAILY DOUBLE) An Andean native or an inhaler class indicated for all severities of COPD

LAMA

600

Once daily or three times weekly use of this macrolide for 1 yr can reduce COPD exacerbation rates compared to usual management

Azithromycin (Zithromax)

600

A counseling point for a DPI like Seebri Neohaler (glycopyrrolate)

1. Do not block air inlet

2. Breath in deep and fast

3. Avoid keeping in moist or wet environment

800

This drug received an FDA boxed warning for severe neuropsychiatric events in 2020 despite and advisory panel finding no increased risk

Montelukast (Singulair)

800

Asthma severity classification for patients uncontrolled despite optimized on high-dose ICS-LABA

Severe asthma

800

Patients with at least 1 mod/severe exacerbation in the last year are considered this GOLD group

Group E

800

Very severe COPD patients with chronic bronchitis can benefit from this oral PDE4 inhibitor

Roflumilast (Daliresp)

800

Valved holding chamber (spacer)

1000

Sudden withdrawal of this medication class, if given at a high dose for over 2 weeks, may lead to cardiovascular collapse and shock

Systemic/oral corticosteriods

1000

This add-on biologic therapy for severe asthma targets immunoglobulin E

Omalizumab (Xolair) or omalizumab-igec

1000

Exacerbation with blood eosinophils >300 cells/mL is an indication to start this type of therapy

Inhaled corticosteroids (ICS)

1000

Frequent pneumonia hospitalizations are a reason to stop this particular component of inhaler therapy for COPD

Inhaled corticosteroids (ICS)

1000

Ellipta device

M
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