COPD is associated to dyspnea, cough, and sputum with lung hyperinflation. The purpose of this review is a complete criticism of pharmacological and clinical aspects related to the use of LAMA/LABA single inhalers for the maintenance treatment of stable COPD, with particular mention to the most debated topics and future prospects in the field.Ĭhronic obstructive pulmonary disease (COPD) is believed to be the third leading cause of death worldwide by 2020 ( WHO, 2008).Ĭhronic obstructive pulmonary diseases is a common disease characterized by respiratory symptoms and progressive airflow obstruction due to alveolar and bronchial abnormalities and inflammation caused by exposition to noxious substances ( Global initiative for chronic obstructive Lung disease, 2018). Many LAMA/LABA fixed dose combinations have been licensed in different countries and the clinical use of these drugs stimulated the performance of many clinical trials. Currently the Global initiative for COPD suggests the use of long acting beta agonists (LABAs) and long acting muscarinic antagonists (LAMAs) in combination for the majority of COPD patients, thus great interest is associated with the developing of LAMA/LABA fixed combination in the maintenance treatment of stable COPD. The cornerstones of treatment are bronchodilator drugs of two different classes: beta agonists and muscarinic antagonists. Great efforts were spent in the development of drugs able to improve symptoms, quality of life, reduce exacerbations, hospitalizations and the frequency of death of patients with COPD. Chronic obstructive pulmonary disease (COPD) is a common disabling disease characterized by progressive airflow obstruction.
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