Loop Diuretics: Control fluid retention. Furosemide (Lasix). Initial: 20-80mg/dose, repeat if inadequate response in increments of 20-40mg/dose at intervals of 6-8h. May be titrate up to 600mg/day. Maintenance dose: once or twice a day.
ACEI: Interfere with RAS. Enalapril (Vasotec) 10-20 bid. Initial: 2.5-5mg/day, increased if needed at 1-2 week intervals. range
BBl: If LV dysfunction. Carvedilol (Coreg) 25mg bid. Initial: 3.125mg bid for 2 weeks, increase if tolerated to 6.25mg bid. Double dose every 2 weeks until highest dose tolerated.
NO ASA, NSAIDS, CCBs
COPD -STABLE COPD Rx
Main stay drug therapy: Bronchodilators (beta-agonists, anticholinergics), and inhaled glucocorticoids, given alone or in combination depending upon the severity of disease and response to therapy.
Beta Agonists (SABAs, LABAs)
Albuterol (ProAir HFA, Proventil HFA, Ventolin HFA, AccuNeb) 2 puffs every 4-6h prn with metered-dose inhaler.