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 |
|---|---|
| 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 |
|---|---|
| 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 |