The Single Maintenance and Reliever Therapy (SMART or MART) protocol recommends ICS and a fast acting LABA as both maintenance and rescue treatment for relief from symptoms (for example, low dose budesonide-formoterol or beclomethasone-formoterol).1 Alternatively, ICS plus LABA (ICS/LABA) can be combined with a short acting agonist (SABA) as
MART is only available for ICS and LABA combinations in which the LABA has a fast-acting component (for example, formoterol). General
LAMA, LABA, ICS/LABA, LAMA/LABA). It shows all the different devices for each class, as well as dosing and both the trade and drug names. I
Examples of LABA inhalers include Serevent (salmeterol), Foradil (formoterol), and Striverdi (olodaterol). Theophylline is another kind of long
Fluticasone/salmeterol (Advair). Budesonide/formoterol (Symbicort Tiotropium (Spiriva). Umeclidinium (Incruse). Examples of LABAs include
This involves combining an ICS, a LABA, and a LAMA into a single medication. An example is fluticasone/vilanterol/umeclidinium (Trelegy
Combination inhalers – These medications contain both an ICS and a LABA. Examples include fluticasone/salmeterol (Advair Diskus) and budesonide/
Combination inhalers – These medications contain both an ICS and a LABA. Examples include fluticasone/salmeterol (Advair Diskus) and budesonide/
SABA SAMA = Combivent Respimat; LABA ICS = Symbicort Turbuhaler, Breo Ellipta, Advair, Advair Diskus; LABA LAMA = Duaklir Genuair, Ultibro Breezhaler, Ispiolto Respimat, Anoro Ellipta; The use of a LAMA, LABA and ICS together is called triple combination therapy. For example: LABA LAMA ICS = Trelegy Ellipta, Breztri Aerosphere
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