Pulmonary - Combination Products

Combination (Beta2 agonist + Anticholinergic)

Combivent ® - albuterol + ipratropium

Adult (usual):
COPD: (MDI): 2 inhalations 4 times daily (Max of 12 puffs/day).
Inhalation solution: one 3 ml vial via nebulization 4 times daily (Max of 6 doses/day).

Combination (Beta2 agonist + Corticosteroid)

Advair ® - fluticasone + salmeterol

Adult (usual): Asthma: 1 puff twice daily (morning and evening) approximately 12 hours apart. More frequent administration (more than twice daily) or a higher number of inhalations (more than 1 puff twice daily) is not recommended.

[Supplied: Advair Diskus: 100/50, 250/50 ,500/50 ]

Symbicort ® - budesonide + formoterol

Adult (usual): 1-2 inhalations once or twice daily (Maximum daily maintenance dose: 4 inhalations). Maximum dose during worsening asthma: 4 inhalations twice daily.

[Supplied: 100/6 and 200/6]
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David F. McAuley, Pharm.D., R.Ph.  GlobalRPh Inc.