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Table 1 Summary of long-acting bronchodilators including combinations

From: Cutting edge of COPD therapy: current pharmacological therapy and future direction

 

Dosing

Reported superiority over other long-acting bronchodilators or ICSs

References

LAMAs

   

Tiotropium

once-daily

vs. salmeterol: trough FEV1, improving dyspnea, health-related QOL, preventing exacerbations

27–40

Glycopyrronium

once-daily

 

41, 42

Aclidinium

twice-daily

 

43, 44

LABAs

   

Salmeterol

twice-daily

 

46–48

Formoterol

twice-daily

 

49

Indacaterol

once-daily

vs. salmeterol or formoterol: trough FEV1 and improving dyspnea

50–53

Olodaterol

once-daily

vs. formoterol: health-related QOL

54–56

LABA/LAMA

   

Umeclidinium

once-daily

vs. umeclidinium or vilanterol: trough FEV1, improving dyspnea, health-related QOL

60–63

-Vilanterol

Indacaterol

once-daily

vs. tiotropium: trough FEV1, improving dyspnea, health-related QOL, preventing exacerbations; vs. glycopyrronium: trough FEV1, health-related QOL, preventing exacerbations; vs. indacaterol: trough FEV1, improving dyspnea

64–66

-Glycopyrronium

LABA/ICS

   

Fluticasone -Salmeterol

twice-daily

vs. salmeterol or fluticasone: trough FEV1, health-related QOL, preventing exacerbation

48, 76, 77

Budesonid

twice-daily

vs. formoterol: trough FEV1, improving dyspnea, health-related QOL, preventing exacerbations

78, 79

-formoterol

Fluticasone furoate -Vilanterol

once-daily

vs. fluticasone furoate: trough FEV1

80