Posts Tagged ‘COPD’

Azithromycin for Prevention of COPD Exacerbations

Posted by • August 24th, 2011

Summer’s coming to a close and the patient sitting in your office is worried.  A bad cough and wheeze sent him to the hospital for three days last winter, and he feels like he’s never quite gotten back to normal. He stopped smoking a few years ago, and uses the long-acting bronchodilators and inhaled corticosteroids… Read More…

Inhaler Wars: Tiotropium versus Salmeterol for Chronic Obstructive Pulmonary Disease

Posted by • March 23rd, 2011

COPD sufferers know the symptoms all too well: the phlegmy cough, gasping wheezy breaths, and chest tightness that signal an exacerbation. Guidelines recommend inhaled long-acting bronchodilators—either an anticholinergic or a β2-agonist—to mitigate symptoms and reduce the frequency of these exacerbations in patients with moderate to severe disease. Which one is more effective? Without large head-to-head… Read More…

COPD Exacerbations

Posted by • September 17th, 2010

In the Original Article, Susceptibility to Exacerbation in Chronic Obstructive Pulmonary Disease, Hurst et al. examined the rate of exacerbations among patients with COPD over a period of 3 years. The strongest predictor of an exacerbation in a given year was the presence of an exacerbation in the previous year. The natural history of chronic obstructive… Read More…

Severe COPD

Posted by • April 16th, 2010

Our latest Clinical Practice, Outpatient Management of Severe COPD, comes from Dr. Dennis Niewoehner of the Veterans Affairs Medical Center in Minneapolis. The sentinel clinical feature of severe chronic obstructive pulmonary disease (COPD) is dyspnea on exertion. Its onset is usually insidious, and it may progress to severe disability over a period of years or decades…. Read More…