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The dual bronchodilator combination of a long-acting muscarinic antagonist (LAMA) and a long-acting beta-2 agonist (LABA) delivered once daily in a single inhaler has demonstrated superior lung function improvements over either monocomponent alone in the large Phase 3 TONADO program (n=5,162 patients). Both LAMA/LABA doses significantly improved FEV1 AUC0–3 and trough FEV1 vs. the individual components in patients with moderate to very severe COPD, and the 5/5 μg dose also produced statistically significant improvements in St George’s Respiratory Questionnaire total score.

NCCN Guidelines
Discussion question

From a managed care perspective, how do single-inhaler dual-bronchodilator regimens affect medication adherence and simplification of COPD therapy versus multiple-device regimens?

  • Yesterday
    Makes a huge difference in compliance and hence improvement in symptoms with combined inhalers
  • 2d
    It will increase compliance due to a simpler regimen.
  • 4d
    In my experience anything that simplifies a treatment regimen like dual and triple therapy in a single inhaler device will increase compliance and medication adherence.
  • 1w
    Dual bronchodilators with LAMA/LABA combination such as ANORO are well covered under most insurance plans , improve lung function and decrease exacerbations.
  • 1w
    It improves compliance as there is only one inhaler to remember to take. Also, there is only one copay which helps with cost.
  • 1w
    My opinion a single-inhaler combination can improve convenience, help patients stay on treatment, and may reduce healthcare costs by keeping COPD better controlled.

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