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Inhalers, a Guide to Breath-Actuated Devices

Key features of dry powder and aerosol devices.

Guide to Breath-Actuated Inhalers
DRY POWDER
DeviceBrandTypeDose Counter
Dose Check
Pack Size/No. of DosesComments
Accuhaler

Flixotide

Seretide

Serevent

Ventolin

P
LAB/P
LAB
R

Yes

Visual/lactose taste

60
60
60
60

Pre-loaded primed by opening.

Easy to use, requires minimal dexterity to prime.

Last 5 doses – red warning.

Humidity protected.

Breezhaler

Onbrez

Seebri

LAB
LAB
No Audible/lactose taste 30
6 or 30

Load each time with separate capsules.

Requires dexterity to load.

Separate cap.

Protect capsules against extremes of temperature/humidity.

Clickhaler

Asmabec

Asmasal

P
R

Yes

Visual/lactose taste

100 or 200
200

Pre-loaded primed by pressing button.

Easy to use, requires minimal dexterity.

Last 10 doses - red warning.

Lock out mechanism after final dose.

Humidity protected.

Easyhaler

Beclometasone

Budesonide

Formoterol

Salbutamol

P
P
LAB/R
R

Yes

Lactose taste

200
200
120
200

Pre-loaded, primed by pressing.

Easy to use.

Dose indicator with last 20 doses marked in red.

Ellipta

Anoro

Relvar

LAB

LAB/P

Yes

Audible/visual

30

30

Pre-loaded, primed by opening.

Easy to use, requires minimal dexterity to load.

Last 9 doses – red warning.

Humidity protected

Genuair Eklira

LAB

Yes Audible/visual/lactose taste 60

Pre-loaded, primed by pressing button.

Easy to use, requires minimal dexterity.

Separate cap.

Dose indicator counts down in intervals of 10 (last 10 doses in red).

Lock-out mechanism after final dose.

HandiHaler Spiriva

LAB

No

Visual/distinct taste

30

Load each time with separate capsules.

Requires dexterity to load.

Protect capsules against extremes of temperature/humidity.

Inhaler

Foradil

LAB

No

Visual/lactose taste

14 x 4

Load each time with separate capsules.

Requires dexterity to load.

Separate cap.

Humidity protected.

Supplied in case.

NEXThaler

Fostair

LAB/P

Yes

Audible/visual/lactose taste

120

Pre-loaded, primed by opening.

Easy to use, requires minimal dexterity.

Dose indicator.

Humidity protected.

Novolizer

Budelin

Salbulin

P
R

Yes

Audible/visual/lactose taste

100
200

Load with cartridge.

Primed by pushing down on button.

Separate cap.

Humidity protected.

Pulvinal

Beclometasone

Salbutamol

P
R

No

Visual/lactose taste

100
100

Pre-loaded primed by pressing button and twisting.

Easy to use, requires minimal dexterity.

Transparent drug reservoir.

Humidity protected.

Spiromax

DuoResp

LAB/P/R

Yes

Audible/visual/lactose taste

60 or 120

Pre-loaded, primed by opening.

Easy to use, requires minimal dexterity.

Dose indicator with last 20 doses marked in red.

Turbohaler

Bricanyl

Oxis

Pulmicort

Symbicort

R
LAB/R
P
LAB/P

Yes

Lactose taste with Oxis and Symbicort

100
60
50, 100, 200
60 or 120

 

Pre-loaded, primed by twisting.

Easy to use, requires

minimal dexterity. Cog-wheel dose indicator with last 20 doses marked in red.

Separate cap.

Humidity protected.

Twisthaler Asmanex

P

Yes

Visual/lactose taste

30 or 60

Pre-loaded primed by twisting cap off.

Easy to use, requires minimal dexterity to prime.

Separate cap.

Humidity protected.

Digital dose counter; counts down, locks cap when at zero.

AEROSOL
DeviceBrandTypeDose counterDose checkPack size/No. of dosesComments
Autohaler

Airomir

Qvar

R
P

No

Click

200
200

Pre-loaded single action.

Easy to use, requires minimal dexterity.

Separate cap.

Humidity protected.

EasiBreathe

Qvar

Salamol

P
R

No

Propellant taste

200
200

Pre-loaded primed by cap opening.

Easy to use, requires minimal dexterity.

Humidity protected.

Respimat

Spiriva

Striverdi

LAB

LAB

Yes Visual

60

60

Propellant-free.

Load with cartridge.

Primed by twisting and pressing button.

Dose indicator - last 14 puffs marked in red.

P=Preventer; R=Reliever; LAB=Long-acting bronchodilator
See monographs for age restrictions and further dosage details.
Prescribe by brand to avoid non-equivalent substitution.

Note: All inhalers shown are CFC-free.

KEYWORDS: COPD | Chronic Obstructive Pulmonary Disease

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