Key to symbols
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
3.1. Bronchodilators
3.1.2.1. Antimuscarinic combination inhalers
Preferred List
TIOTROPIUM AND OLODATEROL (SPIOLTO RESPIMAT) (Soft mist inhaler)
UMECLIDINIUM AND VILANTEROL (ANORO ELLIPTA) (dry powder inhaler)
Total Formulary
ACLIDINIUM AND FORMOTEROL (DUAKLIR GENUAIR) (dry powder inhaler)
GLYCOPYRRONIUM AND FORMOTEROL (BEVESPI AEROSPHERE) (Metered Dose Inhaler)
Restrictions:
To be used in patients where a dry powder inhaler (DPI)/soft mist inhaler(SMI) combination device is considered unsuitable.
Prescribing Notes:
To be used with a compatible spacer device.
To prevent confusion, prescribe inhaler devices by brand name.
INDACATEROL AND GLYCOPYRRONIUM BROMIDE (ULTIBRO BREEZHALER) (dry powder inhaler)