0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Use of the Combination Product Ipratropium and Albuterol in Chronic Obstructive Pulmonary Disease

Sammy C. Campbell, MD
Arch Intern Med. 1999;159(13):1499. doi:.
Text Size: A A A
Published online

Extract

In reply

I thank Dr Crouch et al for their comments and their reminders of the current standards of care for COPD. Scheduled dosing of ipratropium is to be used as initial therapy for patients with COPD and a selective β-agonist is taken for symptomatic relief, or scheduled when a patient requires continous treatment. It is for the patients who regularly take both ipratropium and albuterol that combination therapy might be both less expensive and more convenient. The primary indication of combination therapy is to simplify the inhaler regimen and improve medication adherence of patients requiring scheduled dosing of ipratropium and albuterol. A combination inhaler might not be suited for those patients who require monitoring of drug use as an index of their severity, although as-needed drug use can also be monitored during routine therapy. There are several studies needed to examine the roles of different medications in COPD. A study to compare scheduled-dosing albuterol with symptomatic-dosing albuterol treatment in patients taking ipratropium would help to define the relative efficacy of these 2 albuterol treatment strategies.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();