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To prevent dry mouth, hoarseness, and oral yeast infections from developing, gargle, rinse your mouth with water and spit out after each use. A mild increase in blood pressure might not cause any noticeable symptoms. This type of drug is sometimes used to treat exacerbations (flare-ups) of chronic obstructive pulmonary disease (COPD) or asthma. 2023 Dotdash Media, Inc. All rights reserved. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The progestin concentration of a combined hormonal contraceptive is expected to remain similar or increase with coadministration, which would maintain the effectiveness of the oral contraceptive. Trelegy Ellipta may be used alone or with other medications. Before taking Trelegy Ellipta, its important to talk with your doctor. Using dextroamphetamine together with alcohol can increase the risk of cardiovascular side effects such as increased heart rate, chest pain, or blood pressure changes. To get information on different conditions and tips for improving your health, subscribe to any of Healthlines newsletters. National Library of Medicine, DailyMed. Controlling symptoms of breathing problems helps you stay active. It can literally be a life saver- but it can have a LOT a side effects. Theyll provide you with details, such as how often to check it. Also describe any vitamins, herbs, or supplements you use. What should I know about Trelegy Ellipta vs. Symbicort? This article contains information about other treatments used for COPD, including other inhalers. Carry a warning card or medical ID bracelet that says you use (or have used) corticosteroid medications. Doing so can expose you to double the medication, leading to overdosing and an increased risk of side effects. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Advair Diskus- fluticasone propionate and salmeterol powder [drug label]. This may also be called an asthma attack or flare-up. You should let your rheumatologist or primary care doctor know if you develop COVID-19 symptoms or have been in close contact with someone who has it. Follow the illustrated directions for the proper use of this medication. Sign in to your account to save this drug interaction list. As a result, most people with COPD use several different inhalers as part of the treatment plan. I Care. Your doctor may want you to reduce your dose gradually. It's a brand-name prescription drug used for COPD or asthma in adults.. Usually avoid combinations; use it only under special circumstances. Find answers to some commonly asked questions about Trelegy Ellipta. Trelegy Ellipta and Breo Ellipta are both inhalers used to manage chronic obstructive pulmonary disease (COPD) and asthma in adults. Trelegy Ellipta is a combination medication. * An active drug is an ingredient that makes a medication work. One of Trelegy Elliptas active drugs,* fluticasone, is an inhaled corticosteroid. Breo Ellipta is a combination of fluticasone, a glucocorticoid, and vilanterol, a bronchodilator of the beta-2 agonist type. If you notice that you take more than one medicine in the same class, ask your physician or pharmacist to review your prescriptions. Codeine, morphine, and hydrocodone are opioids that doctors prescribe to treat pain. Trelegy Ellipta may help lower your risk of exacerbations. They can also include swelling of your tongue, mouth, or throat, which can cause trouble breathing. If you have symptoms that feel life threatening, call 911 (or your local emergency number) or get immediate medical help. This figure from a review of the topic in the European Respiratory Journal shows where in the process ICS could influence COVID-19, either increasing or decreasing risk of 1) initial infection, 2). In fact, using some together can pose health risks. Treat acute symptoms with an inhaled SABA such as albuterol. In rare cases, you may experience sudden trouble breathing after taking a dose of Trelegy Ellipta. Tell your doctor right away if you have any serious side effects, including: white patches in your mouth or on your tongue, signs of infection (such as sore throat that doesn't go away, fever, chills), increased thirst/urination, bone pain, difficult/painful urination, shaking (tremor), muscle cramps/weakness, mental/mood changes (such as depression, mood swings, nervousness, agitation), easy bruising/bleeding. Add your drug list to My Med List to view medical information in a simple, easy-to-read, personalized format. FDA requiring Boxed Warning updated to improve safe use of benzodiazepine drug class. Avoid smoking and other things that can worsen breathing problems. Alternative treatment for COVID-19 should be prescribed. Withhold atorvastatin and rosuvastatin at the beginning of treatment with ritonavir-boosted nirmatrelvir and resume after completion of the 5-day course. It's not uncommon for people to take NSAIDs (e.g Ibuprofen, Advil, Aleve) with prednisone for short periods of time. The Trelegy Ellipta inhaler contains three active drugs: Trelegy Ellipta isnt currently available as a generic. After each dose, you should rinse your mouth with water. Updated on August 12, 2022 Key takeaways: Singulair (montelukast) is an oral medication that can be used to treat allergies and asthma. If any of these effects last or get worse, tell your doctor or pharmacist promptly. Umeclidinium belongs to a class of drugs known as anticholinergics and vilanterol is a LABA medication. Before prescribing ritonavir-boosted nirmatrelvir, carefully review the patients concomitant medications, including over-the-counter medicines, herbal supplements, and recreational drugs. While taking Trelegy Ellipta, continue to use your rescue inhaler (such as albuterol) as your doctor tells you to. Keep in mind that side effects of a drug can depend on: Your doctor or pharmacist can tell you more about the potential side effects of Trelegy Ellipta. and can have potentially adverse consequences. What should I know about Trelegy Ellipta vs. Anoro Ellipta? These effects are called interactions. Check this table to make sure you can use your COPD inhalers together. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Albuterol is a bronchodilator. Hair loss is most likely to happen with corticosteroids if you stop taking them after using them for a long time. Lauren Van Scoy, MD, is a board-certified physician in internal medicine, pulmonary medicine, and critical care. c Ritonavir-boosted nirmatrelvir interacts with certain conjugated monoclonal antibodies, such as those conjugated to the drug monomethyl auristatin E (or vedotin). If asthma is a part of your COPD, an inhaler may be particularly helpful. Adjusting the dose of the concomitant medication. Before taking Trelegy Ellipta, be sure to tell your doctor about all medications you take, including prescription and over-the-counter types. However, poorly controlled asthma can also slow down growth. If you develop high blood pressure while using Trelegy Ellipta, your doctor may prescribe medications to manage this. If you have questions about how to pay for your prescription, talk with your doctor or pharmacist. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. See Is Trelegy Ellipta used for COPD? and Is Trelegy Ellipta used for asthma? below for details. You and your doctor can discuss other treatments that may be safer for you. This wasnt reported in the drugs studies. Keep all medications away from children and pets. They can recommend other treatment options for your condition. Check out this article for information about other asthma treatments, including other inhalers. Key: EUA = Emergency Use Authorization; FDA = Food and Drug Administration, Clinicians should be aware that, in some cases, drug-drug interactions with ritonavir-boosted nirmatrelvir may lead to serious or life-threatening drug toxicities. Anoro Ellipta- umeclidinium bromide and vilanterol trifenatate powder [drug label]. 2023 eHealthMe.com. If youre pregnant, breastfeeding, or planning either, talk with your doctor. Stopping lopinavir/ritonavir in COVID-19 patients: duration of the drug interacting effect. It isnt known for sure whether its safe to use Trelegy Ellipta during pregnancy or while breastfeeding. During pregnancy, this medication should be used only when clearly needed. Thank you, {{form.email}}, for signing up. These are sudden flare-ups of severe symptoms. No alcohol/food interactions were found. Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. Let your doctor know if you experience severe or frequent headaches, chest pain, and/or a . Highly clinically significant. To make sure your inhalers are OK to take together, look at the class of medications. If this happens, use your quick-relief inhaler and get medical help right away. These include brentuximab vedotin, enfortumab vedotin, polatuzumab vedotin, and tisotumab vedotin. Stader F, Khoo S, Stoeckle M, et al. Breo Ellipta contains fluticasone and vilanterol. Prednisone is a prescription medication originally approved by the Food and Drug Administration (FDA). Unlike oral corticosteroids, fluticasone is not known to cause weight gain. This wasnt reported in the drugs studies. Can I Use an Over-the-Counter Inhaler for COPD? People with COPD are commonly treated with more than one inhaler. Learn more about some of the side effects Trelegy Ellipta may cause. They can also discuss safe feeding options if needed. Flovent Diskus- fluticasone propionate powder, metered [drug label]. Longer treatment courses of ritonavir-boosted nirmatrelvir are not authorized by the current Food and Drug Administration (FDA) Emergency Use Authorization (EUA), and there are insufficient data on the efficacy of administering a second treatment course in cases where SARS-CoV-2 viral rebound is suspected. This helps them determine whether Trelegy Ellipta is safe for you. One example of this type of drug is prednisone (Rayos). Consult the. Overview. Brian Bezack, DO, is board-certified in pediatric pulmonology and pediatrics. Its a possible side effect of any inhaler. It also lists the inhalers that should not be used together as well as several that may be OK. Clinicians should be aware that many commonly used medications can be safely coadministered with ritonavir-boosted nirmatrelvir despite its drug-drug interaction potential. This product can make you more likely to get infections or may worsen any current infections. They can also suggest ways to help reduce side effects. Weight Loss for Health and Longevity, Science Reveals How Red Meat Harms the Heart, Flavored Vapes Still in Stores Despite Federal Ban, New COVID Antiviral Pills: What You Need to Know, Dr. Whyte's Book: Take Control of Your Cancer Risk, WebMD Loses Cherished Leader Kristy Hammam, Health News and Information, Delivered to Your Inbox, List Trelegy Ellipta Blister, With Inhalation Device side effects by likelihood and severity. Do you take any vitamins or herbal supplements? Trelegy Ellipta contains vilanterol. No, Trelegy Ellipta doesnt cause hair loss. Ritonavir may also increase blood concentrations of certain concomitant medications. Its a place where people with certain conditions can find support and connect with others. Use this medication regularly to get the most benefit from it. It could also raise your risk of other heart problems, such as a heart attack. Ritonavir-boosted nirmatrelvir should not be given within 2 weeks of administering a strong CYP3A4 inducer (e.g., St. Johns wort, rifampin). Should I avoid certain foods while taking Trelegy Ellipta Blister, With Inhalation Device? Do not increase your dose, use this medication more often, or stop using it without first consulting your doctor. Throw away the inhaler 6 weeks after first removing it from the tray or when the dose counter reads zero, whichever comes first. Talk with your doctor if youre concerned about hair loss with any medications you take. How will I know if Trelegy Ellipta is working for me. Its a progressive disease, which means symptoms gradually worsen over time. The phase IV clinical study analyzes which people take Trelegy ellipta and have Gastritis. The use of the eHealthMe site and its content is at your own risk. Here are a few tips that might help guide your discussion: Remember, your doctor and other healthcare professionals are available to help you. We study millions of patients and 5,000 more each day. 2 It is available by prescription in tablets and liquids. This can contribute to weight gain. Advil is widely available and well-known as a pain-reliever and fever-reducer. Anoro Ellipta contains two of these drugs, umeclidinium and vilanterol. The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Trelegy Ellipta belongs to a class of drugs called Anticholinergics, Respiratory; Beta2 Agonists; Corticosteroids, Inhalants; Respiratory Inhalant Combos. The last thing you want to get is a cold, because it can turn into bronchitis or pneumonia. If its hard for you to read the label on your prescription, tell your doctor or pharmacist. Food and Drug Administration. This product may cause a condition that affects the heart rhythm (QT prolongation). "If someone has taken it for months at a substantial dose, when they stop it, they . Here is a list of other common COVID-19 symptoms. Note: Trelegy Ellipta should not be used as a rescue inhaler for exacerbations or sudden breathing problems. Tell your doctor if your condition does not get better or if it gets worse. The guidance in this table is based on the FDA EUA fact sheet for ritonavir-boosted nirmatrelvir. Use your next dose at the regular time. Symbicort contains two active drugs: budesonide and formoterol. can't seem to get off prednisone, when do go down hill quick. This is a fungal yeast infection that develops in your mouth or throat. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. Key:AE = adverse effect; BPH = benign prostatic hyperplasia; CHA2DS2-VASc = congestive heart failure, hypertension, age, diabetes, stroke, vascular disease; CYP = cytochrome P450; EUA = Emergency Use Authorization; FDA = Food and Drug Administration; LMWH = low-molecular-weight heparin; P-gp = P-glycoprotein, Ritonavir-Boosted Nirmatrelvir (Paxlovid), Table: Characteristics of Antiviral Agents, Including Antibody Products, Table: Characteristics of Immunomodulators, Table: Characteristics of Miscellaneous Drugs, Liverpool COVID-19 Drug Interactions website, University of Waterloo/University of Toronto drug interaction guide, Therapeutic Management of Nonhospitalized Adults With COVID-19, University Health Network/Kingston Health Sciences Centre, American Society of Transplantation statement, https://www.ncbi.nlm.nih.gov/pubmed/32556272, https://www.fda.gov/media/142368/download, https://www.ncbi.nlm.nih.gov/pubmed/30843777. Learn about asthma complications, what to do about them, and how to decrease your risk of developing them. If youd like to learn more about Trelegy Ellipta and Breztri Aerosphere, see this detailed comparison. Bring someone with you to your appointment if doing so will help you feel more comfortable. There are many different kinds of inhalers. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. Information for this minor interaction is available on the professional version. Factors to consider include those in the list below. If you have a milk allergy (also called a milk protein allergy), Trelegy Ellipta may not be safe for you to use. Calcium in particular helps stimulate contractions of the heart, while . Low dose prednisone can cause weight gain, increased blood pressure, worsening diabetes, osteoporosis and increase risk of heart disease. Talk with your doctor or pharmacist if you have more questions about how Trelegy Ellipta works. Sometimes you just don't have the choice but to figure out what it is that's causing it, and remove it for good. After inhalation, rinse the mouth with water without swallowing to reduce the risk of oropharyngeal candidiasis. Learn when you can treat sudden breathing problems by yourself and when you must get medical help right away. What should I know regarding pregnancy, nursing and administering Trelegy Ellipta Blister, With Inhalation Device to children or the elderly? If you notice other effects not listed above, contact your doctor or pharmacist. Do not swallow the rinse water. Consult your doctor for details. Your doctor will recommend whether you should keep using Trelegy Ellipta if you have thrush. WebMD does not provide medical advice, diagnosis or treatment. The effectiveness of the drug will depend on one's biological makeup and condition. Albuterol (ProAir HFA, Proventil-HFA) is a common example of a rescue inhaler. Each time you open the cover, you prepare a dose of the medication. Y do take vitamin Mary Ruth multivitamin and vitamin c and d and I have taking symbicord before I have asthma. The list isn't long but doctors are warning patients about taking some medications before and after getting the shot. Educate patients about potential adverse effects. Combivent Respimat- ipratropium bromide and albuterol spray, metered [drug label]. Trelegy Ellipta contains three active drugs,* which are fluticasone, vilanterol, and umeclidinium. This use is described below in Is Trelegy Ellipta used for asthma?). Other medications can affect the removal of fluticasone from your body, which may affect how fluticasone works. Secure .gov websites use HTTPSA lock (LockA locked padlock) or https:// means youve safely connected to the .gov website. However, the low level is not expected to be clinically significant during the 5 days of therapy. Ask questions to help you learn more about Trelegy Ellipta. 2 Dr. Fauci Says Some Tylenol After the Vaccine Should be OK Shutterstock Aches and pains are a common side effect of the COVID vaccine. Some reports may have incomplete information. Yes, Trelegy Ellipta is used to manage chronic obstructive pulmonary disease (COPD) symptoms in adults. See the What should be considered before taking Trelegy Ellipta? below for details. Common side effects of Singulair include upper respiratory infection, fever, and sore throat. This can be intentional in cases where drugs with similar actions are used together for demonstrated therapeutic benefit. It can also block muscle spasms (tightening) in your airways. You may have questions about Trelegy Ellipta and your treatment plan. If they confirm you have an infection, they can prescribe an antifungal medication. trouble breathing during physical activity, contain a code you can scan with a smartphone to change the text into audio. Other drugs are known to interact, causing severe drops in blood potassium and heart rhythm problems. If you have symptoms that feel life threatening, call 911 (or your local emergency number) or get immediate medical help. Tables with guidance on managing specific drug-drug interactions: Increasing monitoring for potential adverse reactions to the concomitant medication. These lists dont include all possible side effects. Vilanterol works by relaxing muscles around your airways. Deviation from the recommended strategies may be appropriate in certain clinical scenarios. To view an interaction report containing 4 (or more) medications, please sign in or create an account. Thrush is a known side effect of a group of drugs called inhaled corticosteroids. * Approximation only. Its possible for Trelegy Ellipta to cause thrush. Symptoms of bronchospasm can include any of the following immediately after using your inhaler: If you have trouble breathing after using Trelegy Ellipta, take a dose of your rescue inhaler right away. Unlike corticosteroids taken by mouth, fluticasone isnt known to cause hair loss. If sudden breathing problems occur, use your quick-relief inhaler as prescribed. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. You may report side effects to Health Canada at 1-866-234-2345. If you have chronic obstructive pulmonary disease (COPD) or asthma, your doctor may suggest treatment with Trelegy Ellipta. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. Do not use more Trelegy Ellipta than your doctor prescribes. Breztri Aerosphere also contains three active drugs: budesonide, glycopyrrolate, and formoterol fumarate. They may need to be withheld for longer if the patient is an adult of advanced age or the medication has a long half-life. They can suggest ways to reach or maintain a weight thats healthy for you. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. * An active drug is an ingredient that makes a medication work. Inhaled glucocorticoids (also known as inhaled steroids) are commonly used in combination with other inhaled drugs to control COPD. This can help you decide if its right for you. Trelegy Ellipta and Anoro Ellipta are both inhalers used to manage chronic obstructive pulmonary disease (COPD) in adults. The most common symptom of COVID-19 is fever, which often goes hand-in-hand with a dry cough and shortness of breath. You can also talk with your doctor about the treatment option thats right for you. Although more than one inhaler may be prescribed to treat COPD, they can't all be used together. If your symptoms feel life threatening, call 911 (or your local emergency number) or get immediate medical help. He is the sole practitioner and owner of Bezack Pediatric Pulmonology in Commack, NY. Before you start taking Trelegy Ellipta, you and your doctor will talk and make sure the drug is a good option for you. Keep all medical and lab appointments. If you have any questions, ask your doctor or pharmacist. Any suggestions. Bevespi Aerosphere- glycopyrrolate and formoterol fumarate aerosol, metered [drug label]. Symptoms of a severe allergic reaction can include swelling under your skin, typically in your eyelids, lips, hands, or feet. Thrush wasnt common in studies of Trelegy Ellipta. Discuss the risks and benefits with your doctor. Your doctor will explain how you should use your Trelegy Ellipta inhaler. In fact, using some together can pose health risks. I'd never advocate for long term use because of TSW. This refers to times when symptoms suddenly get worse. Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. By Lauren Van Scoy, MD National Library of Medicine, DailyMed. Our phase IV clinical studies alone cannot establish cause-effect relationship. Because the flu virus can also worsen breathing problems, ask your doctor or pharmacist if you should have a flu shot every year. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Also, talk with your doctor about the treatment thats right for you. Finally pulmonary function test shows COPD, slight asthma. In Canada - Call your doctor for medical advice about side effects. Drug Interaction Classification Further information Using alternative COVID-19 therapies (see, Cobicistat- or ritonavir-boosted antiretrovirals. Umeclidinium reduces how much mucus is produced in your airways. Avoid contact with people who have infections that may spread to others (such as chickenpox, measles, flu). If so, how often will I need to have those done? Dosage of drugs is not considered in the study. Yes steroids are effective short term, although it comes back quicker and more aggressively for many people. This can help prevent thrush, a possible side effect of Trelegy Ellipta. There is increasing evidence on the negative effects of low dose prednisone. Trelegy refers to the dry powder medication inside the inhaler. If you open and close the cover without inhaling the medication, you will lose the dose. Trelegy Ellipta is used as 1 inhalation 1 time each day to improve symptoms of COPD for better breathing and to reduce the number of flare-ups (the worsening of your COPD symptoms for several days). Each Trelegy Ellipta inhaler contains three active drugs* in the following strengths: These strengths might be written as 100/62.5/25 mcg and 200/62.5/25 mcg. If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. What conditions does Trelegy Ellipta Blister, With Inhalation Device treat. suzrus, netmouse, Gretchen McCreary and 15 other people care about this. If you have symptoms that feel life threatening, call 911 (or your local emergency number) or get immediate medical help. Other drugs that have the same active ingredients (e.g. By injection. Learn more. You should avoid or limit the use of alcohol while being treated with dextroamphetamine. Drug interactions are reported among people who take Prednisone and Trelegy ellipta. You should also tell them about any medications you may take. For asthma treatment, this product should be used when breathing problems are not well controlled with two asthma-control medications (such as inhaled corticosteroid and long-acting beta agonist) or if your symptoms need combination treatment. Incruse Ellipta- umeclidinium aerosol, powder [drug label]. It is unknown if this medication passes into breast milk. And they want you to get the best care possible. Talk with your doctor about your health history before you use Trelegy Ellipta. If you dont understand something related to your condition or treatment, ask your doctor to explain it to you. National Library of Medicine, DailyMed. It works to treat patients with low levels of corticosteroids by replacing steroids that are normally produced naturally by the body. Its important to discuss all your concerns with your doctor. If withholding a statin is not clinically appropriate (e.g., the patient had a recent myocardial infarction), the doses of atorvastatin and rosuvastatin can be adjusted and continued, and lovastatin and simvastatin should be switched to an alternative statin.g The guidance on managing drug-drug interactions between certain benzodiazepines and ritonavir-boosted nirmatrelvir can vary significantly between resources. Trelegy Ellipta is used every day to help manage symptoms. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. If you drink alcohol and you have chronic obstructive pulmonary disease (COPD) or asthma, its best to avoid drinking large amounts. This is called bronchospasm. Talk to your doctor about using this product safely. Trelegy Ellipta contains three active drugs. Moderately clinically significant. If you have questions about how much alcohol is safe for you to have while using Trelegy Ellipta, talk with your doctor. Yes. It does not work right away and should not be used to relieve sudden shortness of breath. Lung function (forced expiratory volume in 1 second [FEV 1 ]), beta-agonist use, and COPD symptoms should be carefully monitored during withdrawal of oral corticosteroids. These medications may be coadministered without dose adjustment and without increased monitoring. If you have sudden trouble breathing with Trelegy Ellipta, your doctor will likely have you permanently stop using this drug. Always consult your healthcare provider before making changes to your medications or dosage. But some research has shown that heavy drinking can worsen your lung function over time. Most people with chronic obstructive pulmonary disease (COPD) use an inhaler every day to control shortness of breath and other symptoms of this progressive lung disease. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. Before coadministering ritonavir-boosted nirmatrelvir and any of these conjugated monoclonal antibodies, refer to the drugs FDA prescribing information and consult with the patients specialist providers as needed. Inhale this medication by mouth as directed by your doctor, usually once daily. Topically. See the American Society of Transplantation statement for more information.f Withhold lovastatin and simvastatin for at least 12 hours before initiating ritonavir-boosted nirmatrelvir, during treatment, and for 5 days after treatment completion. Symbicort- budesonide and formoterol fumarate dihydrate aerosol [drug label]. QVAR Redihaler- beclomethasone dipropionate HFA aerosol, metered [drug label]. Pre-emptive dose adjustment is not required but may be considered based on an individualized assessment of the patients risk for adverse reactions. Be sure to spit the water out instead of swallowing it. If withholding is not clinically appropriate, use an alternative concomitant medication or COVID-19 therapy. This type of drug is sometimes used to treat exacerbations (flare-ups) of COPD or asthma. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. All information is observation-only. This gives the medicine time to settle in your airways and lungs. Official websites use .govA .gov website belongs to an official government organization in the United States.