Pharmacological and non-pharmacological management of COPD; limitations and future prospects: a review of current literature.

Objective: This article aimed to summarize the pharmacological and non-pharmacological management of COPD and limitations and prospects of the currently available pharmacological therapies in the management of COPD. Background: COPD is a complex comorbid disease that irreversibly affects the pulmona...

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Publicado en:Journal of Public Health: From Theory to Practice (2198-1833) Vol. 28; no. 4; pp. 357 - 367
Autores principales: ur Rehman, Anees, Hassali, Mohamed Azmi Ahmad, Abbas, Sameen, Ali, Irfhan Ali Bin Hyder, Harun, Sabariah Noor, Muneswarao, Jaya, Hussain, Rabia
Formato: Artículo
Publicado: Springer Nature Aug2020
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Acceso en línea:Ver este registro en EBSCOhost
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        10.1007/s10389-019-01021-3
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        atl: Pharmacological and non-pharmacological management of COPD; limitations and future prospects: a review of current literature.
      aug:
        au:
          ur Rehman, Anees
          Hassali, Mohamed Azmi Ahmad
          Abbas, Sameen
          Ali, Irfhan Ali Bin Hyder
          Harun, Sabariah Noor
          Muneswarao, Jaya
          Hussain, Rabia
        affil:
          School of Pharmaceutical Sciences, University Sains Malaysia, 11800, Minden, Penang, Malaysia
          Faculty of Pharmacy, Bahauddin Zakariya University, Multan, Pakistan
          Department of Pharmacy, Quaid e Azam University, Islamabad, Pakistan
          Respiratory Department, Hospital Pulau Pinang, Penang, Ministry of Health Malaysia, George Town, Malaysia
          Pharmacy Department, Hospital Kulim, Kedah, Ministry of Health Malaysia, Kulim, Malaysia
      su:
        Drugs
        Immunization
        Influenza vaccines
        Patient compliance
        Quality of life
        Obstructive lung disease treatment
        Adrenocortical hormones
        Antibiotics
        Bronchodilator agents
        Lung diseases
        Obstructive lung diseases
        Medical rehabilitation
        Oxygen therapy
        Pneumococcal vaccines
        Pneumonectomy
        Respiratory therapy equipment
        Smoking cessation
        Disease management
        Treatment effectiveness
      sug:
        subj:
          Drugs
          Immunization
          Influenza vaccines
          Patient compliance
          Quality of life
          Pharmaceutical and medicine manufacturing
          Drugs and Druggists' Sundries Merchant Wholesalers
          Pharmaceuticals and pharmacy supplies merchant wholesalers
          Medicinal and Botanical Manufacturing
          Surgical Appliance and Supplies Manufacturing
          Medical equipment and supplies manufacturing
          Electromedical and Electrotherapeutic Apparatus Manufacturing
          All Other Miscellaneous Ambulatory Health Care Services
          All other ambulatory health care services
          Obstructive lung disease treatment
          Adrenocortical hormones
          Antibiotics
          Bronchodilator agents
          Lung diseases
          Obstructive lung diseases
          Medical rehabilitation
          Oxygen therapy
          Pneumococcal vaccines
          Pneumonectomy
          Respiratory therapy equipment
          Smoking cessation
          Disease management
          Treatment effectiveness
      keyword:
        COPD
        Non-pharmacological management
        Pharmacological treatment
        Review
        COPD
        Non-pharmacological management
        Pharmacological treatment
        Review
      ab: Objective: This article aimed to summarize the pharmacological and non-pharmacological management of COPD and limitations and prospects of the currently available pharmacological therapies in the management of COPD. Background: COPD is a complex comorbid disease that irreversibly affects the pulmonary system and is considered the fifth leading cause of death worldwide. Currently, the diagnosis, assessment and management of COPD are difficult because of its complex syndrome involving numerous pulmonary and extra-pulmonary components. It is diagnosed based on the subjective and objective findings of a chronic cough, sputum production, dyspnoea, exercise intolerance and spirometry values. The GOLD report recommends bronchodilators as the first-line treatment agents in all stages of COPD severity, commonly combined with inhaled corticosteroids (ICS), methylxanthines and antibiotics, depending upon the condition and symptoms of patients. Non-pharmacological treatments of COPD include smoking cessation, influenza and pneumococcal vaccination, pulmonary rehabilitation, LTOT and surgical lung volume reduction. The efficacy of the therapy is directly related to the patients' inhaler use training and education. A new future in COPD medication is essential to ensure the optimal management of COPD. New alternative sources should be considered in the treatment of COPD. Conclusion: New approaches such as e-technology can play an essential role in improving compliance and adherence to therapy. New therapies with better and long-lasting effects and minimized side effects need to be discovered to improve the pharmacological management of COPD.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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