which long-acting bronchodilator to use first-line for COPD

August 2011

You'll hear debate over which long-acting bronchodilator to use first-line for COPD.

Guidelines suggest either tiotropium (Spiriva) or a long-acting beta-agonist (salmeterol, formoterol) for persistent symptoms.

Both types of bronchodilators improve COPD symptoms...but tiotropium seems to work better to prevent exacerbations.

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