Anticholinergic and P2"aSonist bronchodilators are the mainstay of drug therapy in chronic obstructive pulmonary disease (COPD), but other treatments are also used and may have a place in particular patients. Inhaled corti-costeroids are disappointing and have no effect on the accelerated decline in lung function seen in COPD, although they may have a small effect in reducing exacerbations. This chapter discusses some of the other treatments used for COPD and considers some of the novel approaches to treatment that may be used in the future.
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If you suffer with asthma, you will no doubt be familiar with the uncomfortable sensations as your bronchial tubes begin to narrow and your muscles around them start to tighten. A sticky mucus known as phlegm begins to produce and increase within your bronchial tubes and you begin to wheeze, cough and struggle to breathe.