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Inhalers, a Guide to Breath-Actuated Devices

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

Flixotide

Seretide

Serevent

Ventolin

P
LAB/P
LAB
R

Yes

Visual/lactose taste

60
60
60
60

Yes

Pre-loaded primed by opening.

Easy to use, requires minimal dexterity to prime.

Last 5 doses – red warning.

Humidity protected.

Aerohaler

Atrovent Aerocaps

R

No

Visual/glucose taste

100

Yes

Load each day with separate capsules.

Requires dexterity to load.

Protect capsules against extremes of temperature/humidity.

Clickhaler

Asmabec

Asmasal

P
R

Yes

Visual/lactose taste

100 or 200
200

Yes

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.

Diskhaler

Becodisks

Flixotide

Serevent

P
P
LAB

Yes

Visual/lactose taste

Ranges from 15 x 4 to
15 x 8

Yes

Pre-loaded dual action.

Requires dexterity to load.

Separate cap.

Humidity protected.

Easyhaler

Beclometasone

Budesonide

Formoterol

Salbutamol

P
P
LAB/R
R

Yes

Lactose taste

200
200
120
200

Yes

Pre-loaded, primed by opening.

Easy to use.

HandiHaler Spiriva

LAB/P

No

Visual/distinct taste

30

Yes

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

Yes

Load each time with separate capsules.

Requires dexterity to load.

Separate cap.

Humidity protected.

Supplied in case.

Novolizer

Budelin

Salbulin

P
R

Yes

Visual/click/lactose taste

100
200

Yes

Load with cartridge.

Primed by pushing down on button.

Separate cap.

Humidity protected.

Breezhaler Onbrez LAB/P No Audible/lactose taste 30 Yes

Load each time with separate capsules.

Requires dexterity to load.

Separate cap.

Protect capsules against extremes of temperature/humidity.

Pulvinal

Beclometasone

Salbutamol

P
R

No

Visual/lactose taste

100
100

Yes

Pre-loaded primed by pressing button and twisting.

Easy to use, requires minimal dexterity.

Transparent drug reservoir.

Humidity protected.

Turbohaler

Bricanyl

Oxis

Pulmicort

Symbicort

R
LAB/P/R
P
LAB/P

No

Lactose taste with Oxis and Symbicort

100
60
50, 100, 200
60 or 120

 

Yes

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 and 60

Yes

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 dosesCFC-freeComments
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 LAB/P Yes Visual 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.

KEYWORDS: COPD | Chronic Obstructive Pulmonary Disease

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