RT Journal Article SR Electronic T1 An update on LAMA/LABA combinations for COPD JF Drug and Therapeutics Bulletin JO Drug Ther Bull FD BMJ Publishing Group Ltd SP 2 OP 5 DO 10.1136/dtb.2017.1.0451 VO 55 IS 1 YR 2017 UL http://dtb.bmj.com/content/55/1/2.2.abstract AB The management of symptoms of chronic obstructive pulmonary disease (COPD) typically involves the use of inhaled long-acting bronchodilators. Previously, we have reviewed the long-acting muscarinic antagonists (LAMAs) ▼aclidinium,1 ▼glycopyrronium,2 tiotropium3 and ▼umeclidinium,4 and the long-acting beta2 agonists (LABAs) indacaterol,5 ▼olodaterol,6 and ▼vilanterol (in combination with fluticasone) in the management of COPD.7 Four fixed-dose combinations of a LAMA with a LABA are now available, all indicated as maintenance bronchodilator treatment to relieve symptoms in adult patients with COPD. Here, we provide a brief overview of the four combinations and consider the place of a LAMA/LABA in people with COPD and any factors that might help to choose between them.