Antimuscarinics
Drug Safety Update
August 2022: Nebulised asthma rescue therapy in children: home use of nebulisers in paediatric asthma should be initiated and managed only by specialists
July 2018: Pressurised metered dose inhalers (pMDI): risk of airway obstruction from aspiration of loose objects
NICE Guidance
NG115: Chronic obstructive pulmonary disease in over 16s - diagnosis and management, December 2018 (updated July 2019)
Ipratropium and Spiriva Respimat are the only antimuscarinics licensed for asthma and COPD. The rest are licensed for COPD only.
Short-acting bronchodilator
Pack | Price |
---|---|
200 dose | £5.56 |
Pack | Price |
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20 unit dose | £6.50 |
60 unit dose |
Long acting bronchodilator used twice daily. Each 375 microgram inhalation of aclidinium bromide delivers 322micrograms of aclidinium
Pack | Price |
---|---|
60 dose | £32.50 |
Long acting bronchodilator used once daily. Each capsule delivers 55 micrograms of glycopyrronium bromide equivalent to 44 micrograms of glycopyrronium
Pack | Price |
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10 capsule | |
30 capsule | £27.50 |
6 capsule |
Long acting bronchodilator used once daily. Use Spiriva Respimat only when patients are unable to use Spiriva Handihaler.
Pack | Price |
---|---|
30 capsule | £33.50 |
60 capsule |
Pack | Price |
---|---|
30 capsule | £34.87 |
Pack | Price |
---|---|
60 dose | £23.00 |
Long acting bronchodilator
Pack | Price |
---|---|
30 dose | £27.50 |
LAMA/LABA combination used twice daily
Pack | Price |
---|---|
60 dose | £32.50 |
LAMA/LABA combination used twice daily
Pack | Price |
---|---|
120 dose | £32.50 |
LAMA/LABA combination used once daily
Pack | Price |
---|---|
10 capsule | £10.83 |
30 capsule (3 x 10 capsules) | £32.50 |
LAMA/LABA combination used once daily
Pack | Price |
---|---|
60 dose | £32.50 |
LAMA/LABA combination used once daily
Pack | Price |
---|---|
30 dose | £32.50 |