NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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For patients with asthma aged 6 years and older, which anticholinergic is approved for use?

  1. Ipratropium

  2. Aclidinium

  3. Tiotropium (Spiriva Respimat)

  4. Oxitropium

The correct answer is: Tiotropium (Spiriva Respimat)

For patients with asthma aged 6 years and older, tiotropium (Spiriva Respimat) is the approved anticholinergic. This medication is a long-acting muscarinic antagonist (LAMA) that helps relax the airway muscles and reduce bronchoconstriction, making it beneficial in the management of asthma symptoms. Ipratropium (Choice A) is also an anticholinergic medication often used for the treatment of asthma and chronic obstructive pulmonary disease (COPD), but it is typically more commonly used in the form of a short-acting bronchodilator rather than for regular asthma maintenance. Aclidinium (Choice B) is another anticholinergic medication approved for the treatment of COPD but is not typically used for asthma management. Oxitropium (Choice D) is not a commonly used anticholinergic medication for asthma and is not among the approved options for patients with asthma aged 6 years and older.