The invention provides a pharmaceutical composition preparation. The pharmaceutical composition preparation comprises an anticholinergic
drug tiotropium or a
hydrate thereof, a beta 2-
receptor agonistarformoterol or a salt thereof, and an inhaled
glucocorticoid fluticasone or an ester derivative thereof;
tiotropium bromide acts on a muscarinic
receptor on bronchial smooth muscles, the cholinergiceffect of
acetylcholine released by the
tail ends of parasympathetic nerves can be inhibited, and
muscular tension is blocked; the arformoterol acts on a beta 2-
receptor on an
airway smooth muscle cell membrane, so that the release of
degranulation and media of mast cells and basophils is reduced, the permeability of capillaries is reduced, and swinging of
airway epithelial cilia is increased; the
fluticasone is an effective anti-inflammatory
drug, and when the three drugs are combined for use, the three mechanisms jointly exert the
bronchus relaxing effect and the anti-inflammatory effect; the application range of the triple therapy is wider on the important clinical indexes of reducing acute
exacerbation of patients suffering from chronic obstructive
pulmonary disease, reducing total-cause
mortality rate, improving the
lung function of the patients suffering from chronic obstructive
pulmonary disease, improving the living quality and the like.