Management of COPD for Smokers

Chronic obstructive pulmonary disease (COPD) is a condition of the lungs characterized by difficulty breathing due to narrowed breathing airways. Smoking is the most common cause. Chronic bronchitis and emphysema are types of COPD. Damage to the lungs from smoking can lead to emphysema. Persons with COPD are at an increased risk for developing pneumonia and heart conditions.

Persons with COPD who smoke are recommended to quit as soon as possible to decrease the effects of the condition. Short-acting inhaled bronchodilator medications may be prescribed to reduce symptoms as needed and to improve the function of the lungs. Albuterol (Proventil, Ventolin) is a short-acting beta-agonist that may be prescribed for persons with COPD. Ipratropium (Atrovent) is a short-acting anticholinergic that may be prescribed along with albuterol. For persons who have symptoms requiring continuous treatment, a long-acting inhaled medication may be needed. Formoterol (Foradil) is a long-acting beta-agonist that works to relax the lung muscles to improve the ability to breathe. Tiotropium (Spiriva) is a long-acting anticholinergic medication. Fluticasone is an inhaled steroid that may be prescribed in combination with other inhaled medications. It works to reduce inflammation in the airways.





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