MTW NHS Trust West Kent CCG

Drug Status Key

  • Preferred
  • Second Line
  • Third Line
  • Specialist Initiation
  • Hospital Only
  • Not Approved for Formulary

Beta-2 adrenoreceptor agonists - long acting

Drug Safety Update

 December 2014: Asthma long acting beta-2 agonists: use and safety

 July 2018: Pressurised metered dose inhalers (pMDI): risk of airway  obstruction from aspiration of loose objects

National Guidance

  NG115: Chronic obstructive pulmonary disease in over 16s - diagnosis and management, December 2018

  NG80: Asthma diagnosis, monitoring and chronic asthma management, November 2017

 BTS/SIGN British Guideline on the management of asthma, September 2016

Asthma - for chronic asthma a LABA should always be prescribed with an inhaled corticosteroid (ICS) when an ICS alone is not sufficient. LABA should not replace ICS. Salmeterol cannot  be used as a relief medication but formoterol can be used for the relief of acute symptoms. Review regularly and step down/discontinue when appropriate.