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Some examples of anticholinergics are tiotropium (Spiriva) and ipratropium bromide. Tiotropium is a long-acting, 24 hour, anticholinergic bronchodilator used in the management of chronic obstructive pulmonary disease (COPD). Only available as an inhalant, ipratropium bromide is used in the treatment of asthma and COPD.ome examples of anticholinergics are tiotropium (Spiriva) and ipratropium bromide. Tiotropium is a long-acting, 24 hour, anticholinergic bronchodilator used in the management of chronic obstructive pulmonary disease (COPD). Only available as an inhalant, ipratropium bromide is used in the treatment of asthma and COPD.
Patients (especially the elderly) seeking these products should be questioned more closely regarding patterns of use and, when possible, offered second-generation oral antihistamines (eg, loratadine, cetirizine) and/or topical (eg, intranasal, ocular) products for the regular treatment of allergic symptoms.ne unique and rather unanticipated aspect of the study is the link between mortality and anticholinergic burden. As with cognitive impairment, the association between the use of anticholinergic medication and death at 2 years was an observed dose-response effect involving the ACB score.