COPD: Nutrition and Your Health
Source: WebMD.com
Breathing is hard work if you have COPD, or chronic obstructive pulmonary disease. Your inflamed lungs and partially blocked airways make it a struggle to get air in and out.
That effort to breathe burns a lot of calories, way more than someone with healthy lungs, says Albert Rizzo, MD, chief of pulmonary and critical care medicine at Christiana Care Health System.
As a result, you could lose too much weight. If you fall below a healthy weight, that makes it more likely that your immune system won’t work the way it should. That could set you up for more infections, Rizzo says.
Long-term inflammation, like the kind that comes with COPD, drains your energy, too. You may not feel like exercising, which makes it hard to stay healthy and fit. “If you don’t get enough calories, the extra work it takes to breathe can cause you to lose muscle mass and strength, Rizzo says.
To stay at a healthy weight, get the most calories and nutrition in each bite of food you have during the day, says Joan Salge Blake, clinical associate professor of nutrition at Boston University.
You want to get good, healthy calories and enough protein,” she says. “Make every bite as nutrient-rich as possible.”
Follow these simple tips to help you get more calories throughout your day so you keep your weight and energy levels healthy.
Eat more often. Frequent small meals may help you get more calories than you would by eating one or two big meals a day, Rizzo says.
Large meals might make you feel too full, and that can make breathing even harder, he says.
You might not have the energy to cook a large meal, either. So opt for small dishes that are quick and easy to prepare.
Tip: Top a turkey pita sandwich with a slice of cheese and fresh avocado.
Mix in natural protein sources. Protein-rich foods like nuts and eggs help build muscle mass that you lose when you shed pounds, says Blake, a registered dietitian.
Tip: Toss a handful of almonds or walnuts into Greek yogurt for breakfast or as a snack.
Make a batch of hard-boiled eggs on Sunday nights. Grab these to add to meals throughout the week, or as a quick snack.
Spread on extra fat. A toasted whole-grain English muffin is an easy breakfast or snack. Pile on toppings rich in protein and fats for a quick calorie boost, Blake says.
Fats may help you breathe easier because they make less carbon dioxide, which you exhale as waste when you digest food.
Tip: Slather your bread with peanut butter, almond butter, or hummus. Add full-fat mayo or dressing to your lunchtime sandwich or pasta salad.
Whip up a smoothie. Buy or make your own yogurt and fruit smoothies for a sweet treat that’s rich in protein, vitamins, calcium, and calories, Blake says.
They make great mid-afternoon or evening snacks.
Tip: Toss milk, ice, frozen berries, and plain Greek or regular yogurt into a blender and whip.
Chow on some carbs. Baked potatoes are a great base for adding more calories and nutrients. They’re easy to make in the microwave or oven.
Tip: Stuff a baked potato with cottage or ricotta cheese and steamed broccoli, or chopped avocado.
Reach for the fruit. It's rich in calories, fiber, and vitamins. Choose whatever’s in season for the best flavor. Grapes and bananas pack lots of calories and nutrients.
Enjoy dried treats like raisins, plums, or peaches year-round. Dried fruit has less water, so you can get more punch per bite.
Tip: Mix raisins or dried cherries with nuts and put into plastic, resealable bags for easy snacks.
Choose classic comfort food. No dish is easier or cheaper to make than a peanut butter and jelly sandwich, Blake says.
Peanut butter is a healthy way to add calories and protein to your diet.
Whole milk or full-fat yogurt gives you calories, protein, and calcium.
Tip: Spread peanut butter on fresh apple slices or whole-grain crackers, and enjoy with a glass of milk.
Pump it up. Look for ways to add protein, fiber, and fat to a simple meal.
Tip: Make a quick stirfry of sliced chicken and veggies in olive oil.
Boost the protein and fiber with a scoop of canned, rinsed beans or whole-grain pasta twirls.
Bonus: Use supplements as needed. High-calorie supplement drinks are sweet and creamy.
These quick and easy drinks are rich in protein and calcium, and they may help you keep your weight up, Rizzo says.
Talk to your doctor or dietitian before you buy any supplement, drink, or bar.
Some are really more like candy, with more sugar than nutrients, Blake says.
COPD: Medication Guidelines
Source: Cleveland Clinic
You have the right and responsibility to know what medications are being prescribed for you. The more you know about your medications and how they work, the easier it will be for you to control your symptoms.
You and your doctor are partners in developing, adjusting, and following an effective medication plan. Make sure that you understand and share the same treatment goals as your doctor.
Talk about what you expect from medications so you can know if your treatment plan is working.
The type and dose of medications you need might change with the season, your location, or other factors. Your medications will also vary with different triggers such as viral infections, allergens, pollution, cold air, and exercise.
For most people with
COPD, it takes from several weeks to several months to work out a treatment plan that leads to excellent symptom control.
General medication guidelines
- Before any medication is prescribed, tell your doctor if you have any allergies. Also tell your doctor about all other medications you are taking including over-the-counter medications, vitamins, and herbal products.
- Know the names of your medications and what they do. Know the generic and brand names, dosages, and side effects of your medications. Always keep a list of your medications with you, as well as the dosages and frequency of use.
- Know what side effects to expect from your medications. Call your doctor if you experience unexpected or troubling side effects.
- Take your medications exactly as prescribed, at the same time(s) every day. Do not stop taking or change your medications unless you first talk with your doctor. Even if you feel good, continue to take your medications. Stopping some medications suddenly might make your condition worse.
- Have a routine for taking your medications. Consider getting a pill box that is marked with the days of the week. Fill the pill box at the beginning of each week to make it easier for you to remember.
- Keep a medicine calendar and note every time you take a dose. Your prescription label tells you how much to take at each dose, but your doctor might change your dosage periodically, depending on your response to the medication. On your medication calendar, you can list any changes in your medication dosages as prescribed by your doctor.
- Wash your hands before preparing or taking medications.
- Take your time. Double check the names and dosages of all your medications before using them.
- Regularly fill your prescriptions and ask your pharmacist any questions you have about refilling your prescription. Know your pharmacy phone number, prescription number, medication name, and dose so you can easily call for refills. Try to fill all your prescriptions at the same pharmacy, so the pharmacist can monitor for interactions and provide proper dosing and refills. If your refill medication does not look right, ask your pharmacist to verify that you have received the correct prescription.
- Do not wait until you are completely out of medication before filling your prescriptions. Call the pharmacy or doctor's office at least two business days before running out. If you have trouble getting to the pharmacy, have financial concerns, or have other problems that make it difficult for you to get your medications, let your doctor know. A social worker might be available to help you.
- If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take two doses at the same time to make up for the dose you missed, unless you are instructed to do so.
- Do not decrease your medication dosage to save money. You must take the full amount to get the full benefits. Talk with your doctor about ways you can reduce the costs of your medications.
- If you have prescription coverage, make sure you know the terms of your policy. Remind your doctor about the type of insurance coverage you have.
- Do not stop taking your medication. Talk to your doctor if you have concerns about your medication and how it is working.
- Keep medications stored in their original containers. Store according to the instructions given with the prescription.
- Check liquid medications often. If they have changed color or formed crystals, throw them away and get new ones.
- Do not take any over-the-counter drugs or herbal therapies unless you ask your doctor first.
- When traveling, keep your medications with you so you can take them as scheduled. On longer trips, take an extra week's supply of medications and copies of your prescriptions, in case you need to get a refill.
Helpful facts and tips
- COPD medications are used to improve your symptoms, but they cannot cure COPD.
- Most people need to take more than one type of medication. Not everyone with COPD takes the same medication.
- There are many different COPD medications, and they come in many forms: pills, vapors, powder, liquids, and injections.
- COPD medications are generally very safe. However, side effects can occur and vary depending on the medication and dose. Ask your doctor to describe medication side effects.
- The way the body responds to medications might change over time, so your medications might need to be adjusted. Tell your doctor if you notice a difference in how well the treatment plan is working.
Types of COPD medications
- Oxygen might be prescribed if your lungs are not getting enough oxygen to your blood. Breathing prescribed oxygen increases the amount of oxygen in your blood, reduces the extra work of the heart, and usually decreases shortness of breath.
- Bronchodilators relax the muscle bands that tighten around the airways. This action opens the airways, letting more air in and out of the lungs, and improving breathing. Bronchodilators also help clear mucus from the lungs. As the airways open, the mucus moves more freely and can therefore be coughed out more easily.
- Anticholinergics relax the muscle bands that tighten around the airways. This action opens the airways, letting more air in and out of the lungs to improve breathing. Anticholinergics also help clear mucus from the lungs. As the airways open, the mucus moves more freely and can therefore be coughed out more easily. Anticholinergics work differently and more slowly than fast-acting bronchodilators.
- Leukotriene modifiers might be used. Leukotrienes are chemicals that occur naturally in our bodies and cause tightening of airway muscles, and production of mucus and fluid. These newer drugs work by blocking the chemicals and decreasing these reactions. These medications help improve airflow and reduce symptoms in some people.
- Anti-inflammatories reduce swelling and mucus production in the airways. As a result, airways are less sensitive and less likely to react to triggers. These need to be taken daily for several weeks before they will begin to control symptoms. Anti-inflammatories lead to fewer symptoms, better airflow, less-sensitive airways, and less airway damage.
- Expectorants thin mucus in the airways so it can be coughed out more easily. Take these medications with about 8 ounces of water.
- Antihistamines relieve stuffy head, watery eyes, and sneezing. Although effective at relieving these symptoms, antihistamines can dry the air passages, making breathing difficult, as well as causing difficulty when coughing up excess mucus. Take these medications with food to reduce upset stomach.
- Antibiotics might be prescribed to treat infections or help you recover from an illness. To help clear up your infection completely or to help you recover more quickly from an illness, it is important to take antibiotics for the full time of treatment, even if your symptoms have improved.
- Antivirals might be prescribed to treat or prevent illnesses caused by viruses, most frequently to treat or prevent influenza ("the flu"). Influenza is particularly dangerous for people who have COPD.
COPD: Control Drugs
Source: MedlinePlus
Control medicines for Chronic Obstructive Pulmonary Disease (COPD) are drugs you take to control or prevent symptoms of COPD.
You must use them every day for them to work well.
These medicines are not used to treat flare-ups. Flare-ups are treated with
quick-relief (rescue) drugs.
Depending on the medicine, control drugs help you breathe easier by:
- Relaxing the muscles in your airways
- Reducing any swelling in your airways
- Helping the lungs work better
You and your doctor can make a plan for the control drugs that you should use. This plan will include when you should take them and how much you should take.
You may need to take these drugs for at least a month before you start to feel better. Take them even when you feel OK.
Ask your doctor about the side effects of any medicines you are prescribed.
Be sure you know which side effects are serious enough that you need to call your doctor right away.
Follow instructions on how to use your medicines the right way.
Make sure you get your medicine refilled before you run out.
Anticholinergic Inhalers
Anticholinergic inhalers include:
- Aclidinium (Tudorza Pressair)
- Glycopyrronium (Seebri Neohaler)
- Ipratropium (Atrovent)
- Tiotropium (Spiriva)
- Umeclidinium (Incruse Ellipta)
Use your anticholinergic inhalers every day, even if you do not have symptoms.
Beta-agonist Inhalers
Beta-agonist inhalers include
- Arformoterol (Brovana)
- Formoterol (Foradil; Perforomist)
- Indacaterol (Arcapta Neohaler)
- Salmeterol (Serevent)
- Olodaterol (Striverdi Respimat)
DO NOT use a spacer with beta-agonist inhalers.
Inhaled Corticosteroids
Inhaled corticosteroids include:
- Beclomethasone (Qvar)
- Fluticasone (Flovent)
- Ciclesonide (Alvesco)
- Mometasone (Asmanex)
- Budesonide ( Pulmicort)
After you use these drugs, rinse your mouth with water, gargle, and spit.
Combination Inhaled Medicines
Combination medicines combine two drugs and are inhaled. They include:
- Albuterol and ipratropium (Combivent Respimat; Duoneb)
- Budesonide and formoterol (Symbicort)
- Fluticasone and salmeterol (Advair)
- Fluticasone and vilanterol (Breo Ellipta)
- Formoterol and mometasone (Dulera)
- Tiotropium and olodaterol (Stiolto Respimat)
- Umeclidinium and vilanterol (Anoro Ellipta)
Quitting Smoking
Source: COPD Foundation
If you’re currently a smoker, the most important thing you can do to slow the progression of your COPD is to quit smoking now!
Smoking can cause your COPD to worsen more quickly if you are smoking. It’s also important for your environment to be smoke-free.
This means you should avoid being in the company of other people who smoke.
There are many options available to help you quit smoking. Options include gums, patches, and prescription medicine among others.
You can find more information from the U.S. Government about the steps you can take to quit smoking by visiting the
Smokefree.gov website.
You can also visit the
U.S. Surgeon General’s website and
Smoking in America for additional information on how to quit smoking and the impact of cigarette smoking in America.
Need help identifying other resources? The C.O.P.D Information Line can assist!
Call toll-free at 866-316-COPD (2673) Monday through Friday 9am to 9pm Eastern
COPD Related Terms
Source: COPD Foundation
Anticholinergics
These medications work to relax the muscles in airways through the parasympathetic pathway, by relaxing the tense state of the muscles.
These are available as controllers.
Beta-agonists
These medicines work to relax the muscles in your airways through the sympathetic pathway.
These are available as rescue relievers and controllers.
Bronchodilators
A medicine used for relaxing muscles around the lungs’ airways allowing the airways to open up and expand.
These include anticholinergics and Beta-agonists.
Cannula
Plastic tubing used to supply oxygen through the nose.
Corticosteroids
Medicines that mimic the action of a group of hormones produced by adrenal glands.
They are anti-inflammatory. This medicine can be inhaled or taken by mouth.
Dyspnea
Shortness of breath. Difficult or labored breathing.
Exacerbations
Flare-ups of Chronic Obstructive Pulmonary Disease in which symptoms get worse.
Changes in medical treatment may be needed.
Hyperventilation
Rapid breathing often caused by being nervous or panicked.
Hypoxia
Too little oxygen in the body.
Inhaler
A portable device to take inhaled medicine in a couple of breaths.
Liquid Oxygen (LOX)
This is oxygen condensed into a liquid state by extreme cold. A small amount of liquid oxygen is a very large amount of oxygen gas.
The big tank at your house can also fill easy-to-carry smaller tanks when you leave your house. Nebulizer
This is a device that delivers medicines in a fine spray or mist. It requires no special coordination.
It is a good method for getting drugs directly into the lungs.
Oxygen Concentrator
A machine used for oxygen therapy. It has a pump that takes oxygen from the air, and moves it through a long narrow tube into the nose.
It concentrates the amount of oxygen taken from the air.
There are now portable oxygen concentrators available.
Oxygen Therapy
A medically prescribed system of providing supplemental oxygen to the body.
It is prescribed when diseased lungs are not able to meet the body’s oxygen needs.
Pulse Oximetry
This test measures how much oxygen is in your blood. The test is easy, and the result is a percentage.
The doctor will put a sensor on your finger or ear and a light will be used to measure the oxygen content in your blood.
The result of this test may show if you need oxygen therapy.
Spirometry
This is a part of a Pulmonary Function Test. It measures the amount of air able to be breathed out forcefully.
It is used to help diagnose lung diseases.
Sputum
Mucus, usually loose in the lungs. It may be coughed up.