PMID- 29115881 OWN - NLM STAT- MEDLINE DCOM- 20180125 LR - 20181202 IS - 1744-7666 (Electronic) IS - 1465-6566 (Linking) VI - 18 IP - 17 DP - 2017 Dec TI - A review of current and developing fixed-dose LABA/LAMA combinations for treating COPD. PG - 1833-1843 LID - 10.1080/14656566.2017.1403583 [doi] AB - The current GOLD (Global Initiative for Chronic Obstructive Lung Disease) recommendations suggest using long acting beta2 agonists (LABA) and long acting muscarinic antagonists (LAMA) in combination for group B COPD patients with persistent symptoms, group C COPD patients with further exacerbations on LAMA therapy alone and for group D COPD patients with or without combination with inhaled corticosteroids (ICS). Thus, there is a lot of interest in developing LABA/LAMA combinations for maintenance therapy of chronic stable COPD. Areas covered: Many LABA/LAMA combinations have successfully been approved through carefully designed pivotal clinical trials. The current clinical use of LABA/LAMA combinations in COPD will continue to evolve as new trials with and without inhaled corticosteroids are completed. Expert opinion: Combining different classes of bronchodilators in a single inhaler is an attractive concept that can potentially improve patient adherence to therapy. Because LABA/LAMA combinations are the preferred treatment option for preventing COPD exacerbations in the updated GOLD guidelines for COPD, they will be clinically used. Future treatment of COPD should revolve around a personalized approach based on characterization of the COPD phenotype. FAU - Lal, Chitra AU - Lal C AD - a Pulmonary, Critical Care, Allergy and Sleep Medicine , Medical University of South Carolina , Charleston , SC , USA. FAU - Strange, Charlie AU - Strange C AD - a Pulmonary, Critical Care, Allergy and Sleep Medicine , Medical University of South Carolina , Charleston , SC , USA. LA - eng PT - Journal Article PT - Multicenter Study PT - Review DEP - 20171115 PL - England TA - Expert Opin Pharmacother JT - Expert opinion on pharmacotherapy JID - 100897346 RN - 0 (Adrenergic beta-2 Receptor Agonists) RN - 0 (Muscarinic Antagonists) SB - IM MH - Administration, Inhalation MH - Adrenergic beta-2 Receptor Agonists/pharmacology/*therapeutic use MH - Humans MH - Muscarinic Antagonists/pharmacology/*therapeutic use MH - Pulmonary Disease, Chronic Obstructive/*drug therapy OTO - NOTNLM OT - Chronic obstructive pulmonary disease OT - Global Initiative for Chronic Obstructive Lung Disease OT - bronchodilators OT - long acting muscarinic antagonists OT - long acting beta2 agonists EDAT- 2017/11/09 06:00 MHDA- 2018/01/26 06:00 CRDT- 2017/11/09 06:00 PHST- 2017/11/09 06:00 [pubmed] PHST- 2018/01/26 06:00 [medline] PHST- 2017/11/09 06:00 [entrez] AID - 10.1080/14656566.2017.1403583 [doi] PST - ppublish SO - Expert Opin Pharmacother. 2017 Dec;18(17):1833-1843. doi: 10.1080/14656566.2017.1403583. Epub 2017 Nov 15.