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Chronic Obstructive Pulmonary Disease

Chronic obstructive pulmonary disease (COPD) is a long-term lung condition in which the airways become inflamed and narrowed, making it progressively harder to breathe. It covers two overlapping patterns: emphysema, where the air sacs lose their elasticity, and chronic bronchitis, where the airway lining produces excess mucus. COPD does not reverse, but it can be stabilised and its daily impact significantly reduced.

Ventolin Evohaler

Salbutamol

100mcg

Ventolin Evohaler is salbutamol 100mcg as a pressurised inhalation solution for asthma and COPD, a fast-acting beta2 agonist.

From$20.40/ inhalerView

Symbicort

Budesonide, Formoterol

160/4.5mcg

Budesonide with formoterol 160/4.5mcg as an inhalation powder, used for asthma and COPD. A corticosteroid for the swelling, an agonist for the airway.

From$46.75/ inhalerView

Advair Diskus

Salmeterol, Fluticasone

100/50 · 250/50 · 500/50mcg

Salmeterol with fluticasone inhalation powder in three strengths, used in the management of asthma and COPD. A long-acting beta2-agonist with a corticosteroid.

From$106.55/ inhalerView

Pulmicort

Budesonide

100 · 200mcg

Budesonide 100mcg and 200mcg, as inhalation powder and nebuliser suspension, used for asthma and chronic obstructive pulmonary disease.

From$45.05/ inhalerView

Combivent

Ipratropium, Salbutamol

50/20mcg

Ipratropium with salbutamol 50/20mcg as a pressurised inhalation, used in the management of chronic obstructive pulmonary disease. Two bronchodilators.

From$22.10/ inhalerView

Seroflo Inhaler

Fluticasone, Salmeterol

25/125 · 25/250mcg

Seroflo Inhaler carries fluticasone with salmeterol as a pressurised suspension for asthma and COPD, a corticosteroid with a long-acting agonist.

From$34.00/ inhalerView

Spiriva

Tiotropium

9mcg

Tiotropium 9mcg as an inhalation powder in hard capsules, used in the management of chronic obstructive pulmonary disease. A long-acting M3 antagonist.

From$38.25/ inhalerView

Tiova Rotacap

Tiotropium

15caps

Tiova Rotacap is tiotropium in hard capsules loaded into a device, for chronic obstructive pulmonary disease. A long-acting M3 antagonist.

From$106.00/ bottleView

Ventolin Pills

Salbutamol

2 · 4mg

Ventolin Pills are salbutamol 2mg and 4mg tablets for asthma and COPD, the swallowed form of the beta2 agonist rather than the inhaled one.

From$0.47/ tabletView

Proair Inhaler

Salbutamol

100mcg

Proair Inhaler is salbutamol 100mcg as a pressurised suspension for asthma and COPD, a short-acting beta2 agonist for quick airway opening.

From$15.30/ inhalerView

Tiova Inhaler

Tiotropium

9mcg

Tiova Inhaler is tiotropium 9mcg as an inhalation powder for chronic obstructive pulmonary disease, blocking muscarinic receptors in the airway.

From$38.25/ inhalerView

Advair Rotahaler

Fluticasone, Salmeterol

50/250mg

Advair Rotahaler carries fluticasone with salmeterol as an inhalation powder for asthma and COPD, pairing an inhaled corticosteroid with a beta2-agonist.

From$1.81/ tabletView

Budecort

Budesonide

100mcg

Budecort is budesonide 100mcg as an inhalation powder for asthma and COPD. An inhaled corticosteroid with strong anti-inflammatory action in the airways.

From$35.02/ inhalerView

Theo-24 CR

Theophylline

400mg

Theo-24 CR is theophylline 400mg in a modified-release capsule for asthma and COPD, a methylxanthine that relaxes the bronchial muscle.

From$0.60/ tabletView

Uniphyl CR

Theophylline

400mg

Uniphyl CR is theophylline 400mg as a modified-release tablet rather than a capsule, for asthma and COPD. It inhibits the phosphodiesterase enzymes.

From$0.57/ tabletView

Theo-24 SR

Theophylline

200mg

Theo-24 SR is theophylline at the lower 200mg modified-release strength for asthma and COPD, a xanthine that raises cyclic AMP in the airway.

From$1.33/ tabletView

Proventil

Salbutamol

100mcg

Salbutamol 100mcg as a pressurised inhalation suspension, used for asthma and chronic obstructive pulmonary disease. A short-acting beta2-agonist.

From$23.09/ inhalerView

Daliresp

Roflumilast

500mg

Daliresp is roflumilast 500mg film-coated tablets for chronic obstructive pulmonary disease. A PDE4 inhibitor, so anti-inflammatory rather than bronchodilating.

From$1.04/ tabletView

Key points

  • The disease spans two overlapping patterns, loss of elasticity in the air sacs and excess mucus production in the airway lining.
  • Smoke from indoor biomass cooking, such as wood or coal, adds a substantial risk beyond tobacco, particularly affecting rural women.
  • Early breathlessness is often written off as a smoker’s cough or simple ageing, pushing diagnosis back for years.
  • Structured exercise paired with breathing technique training lifts daily function further than medicines can achieve alone.

What drives COPD

Tobacco smoking is the dominant cause globally, but prolonged exposure to biomass cooking smoke, from wood, coal, and crop residue burned indoors, is a major independent risk factor, particularly among women in rural areas. Air quality in dense urban centres adds further burden. Occupational dust and fume exposure in manufacturing and construction also contribute.

Recognising the pattern of symptoms

COPD typically builds slowly over years. A morning cough producing clear or yellowish mucus, gradually worsening breathlessness on exertion, and a sensation of chest tightness are the hallmark features. Wheezing is common. Many people dismiss early symptoms as a “smoker’s cough” or normal ageing, which delays diagnosis by a decade or more. Acute flare-ups, called exacerbations, produce a sudden worsening of breathlessness, increased mucus, and sometimes fever; these need prompt attention as they accelerate lung decline.

How COPD is managed

Treatment aims to open the airways, reduce inflammation, and prevent exacerbations. Short-acting bronchodilators such as salbutamol relieve breathlessness quickly during a flare. Long-acting bronchodilators like salmeterol and tiotropium provide sustained airway opening throughout the day. Inhaled corticosteroids, budesonide and fluticasone, reduce airway inflammation and are often combined with a long-acting bronchodilator in a single inhaler. Theophylline tablets remain widely used where inhaler access or cost is a barrier. Pulmonary rehabilitation, structured exercise and breathing training, improves function and quality of life beyond what medicines alone can achieve. Stopping smoking at any stage slows progression.

Seek urgent care if breathlessness becomes severe at rest, lips or fingertips turn bluish, or a flare does not improve within a day or two of starting usual treatment. Browse the full respiratory health range for available options.

Further reading