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Usual doses of single agent long-acting beta agonists* for COPD

Usual doses of single agent long-acting beta agonists* for COPD
Agent Brand name Dosing
Arformoterol Brovana (United States) Solution for nebulization: Inhale contents of 1 vial (15 mcg/2 mL) twice daily via standard jet nebulizer
FormoterolΔ Perforomist (United States) Solution for nebulization: Inhale contents of 1 vial (20 mcg/2 mL) twice daily via standard jet nebulizer
Foradil (Canada) DPI: Inhale contents of 1 capsule (12 mcg/capsule) twice daily§
Oxeze Turbuhaler (Canada: 6 mcg/inhalation and 12 mcg/inhalation)¥ DPI: 1 to 2 inhalations (12 to 24 mcg total dose) twice daily
Indacaterol Arcapta Neohaler DPI: Inhale contents of 1 capsule (75 mcg/capsule) once daily
Onbrez Breezhaler (Canada) DPI: Inhale contents of 1 capsule (75 mcg/capsule) once daily
Olodaterol Striverdi Respimat (United States) SMI: 2 inhalations (2.5 mcg/actuation) once daily
Salmeterol Serevent Diskus (United States/Canada) DPI: 1 inhalation (50 mcg/actuation) twice daily

COPD: chronic obstructive pulmonary disease; DPI: dry powder inhaler; SMI: soft mist inhaler.
* Vilanterol is not available as a single agent. Refer to relevant clinical topics and Lexicomp drug monographs included within UpToDate for information about combination inhalers containing vilanterol with a long-acting muscarinic antagonist and/or inhaled glucocorticoid.
¶ Data about mixing nebulized medications are limited; refer to the UpToDate topic on delivery of inhaled medications, table on mixing nebulized medications, and Lexicomp drug information monographs included within UpToDate.
Δ Formoterol is not available as a single agent inhaler in the United States. Refer to relevant clinical topics and Lexicomp drug monographs included within UpToDate for information about combination inhalers containing formoterol with a long-acting muscarinic antagonist and/or inhaled glucocorticoid.
DPIs contain lactose and may contain milk protein, which may put patients with milk protein allergy at risk.
§ According to Canadian labelling, the formoterol dose can be increased to 2 capsules (24 mcg/dose) inhaled twice daily (maximum dose 48 mcg/day), if needed for symptom control.
¥ Oxeze Turbuhaler has been approval in Canada for use in asthma but not COPD.
‡ In countries outside the United States and Canada, indacaterol doses of 150 or 300 mcg/day have been approved and are available.
† Arcapta Neohaler is no longer available in the United States, but may be available elsewhere.

Data from: Lexicomp Online. Copyright © 1978-2023 Lexicomp, Inc. All Rights Reserved.
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