Visual guide to respiratory devices: Relievers - long acting + preventers - steroidal

on the 25 November 2020

Images and key features of inhalers available on prescription containing a long-acting reliever drug plus a steroidal preventer.

Last updated 25th November 2020: added Symbicort 100/3 pMDI and Atectura Breehaler



FOSTAIR 100/6 Chiesi
Formoterol 6 microgram, beclometasone 100 microgram
Long acting reliever/preventer–metered dose inhaler
Price: 120-actuation unit=£29.32
Actuation counter: Yes
Compatible spacer: AeroChamber Plus


FOSTAIR 200/6 Chiesi
Formoterol 6 microgram, beclometasone 200 microgram
Long acting reliever/preventer–metered dose inhaler
Price: 120-actuation unit=£29.32
Actuation counter: Yes
Compatible spacer: AeroChamber Plus


FOSTAIR NEXTHALER 100/6 Chiesi
Formoterol 6 microgram, beclometasone 100 microgram
Long acting reliever/preventer-breath actuated inhaler, dry powder
Price: 120-actuation unit=£29.32
Priming: Pre-loaded, primed by opening; requires minimal dexterity
Actuation counter: Yes
Actuation check: Audible/visual/lactose taste


FOSTAIR NEXTHALER 200/6 Chiesi
Formoterol 6 microgram, beclometasone 200 microgram
Long acting reliever/preventer-breath actuated inhaler, dry powder
Price: 120-actuation unit=£29.32
Priming: Pre-loaded, primed by opening; requires minimal dexterity
Actuation counter: Yes
Actuation check: Audible/visual/lactose taste


SYMBICORT 100/3 pMDI AstraZeneca
Formoterol 3 microgram, budesonide 100 microgram
Long acting reliever/preventer–metered dose inhaler
Price: 120-actuation unit=£14.00
Actuation counter: Yes
Compatible spacer: AeroChamber Plus


SYMBICORT 200/6 pMDI AstraZeneca
Formoterol 6 microgram, budesonide 200 microgram
Long acting reliever/preventer–metered dose inhaler
Price: 120-actuation unit=£28.00
Actuation counter: Yes
Compatible spacer: AeroChamber Plus


DUORESP SPIROMAX 160/4.5 Teva
Formoterol 6 microgram, budesonide 200 microgram
Long acting reliever/preventer-breath actuated inhaler, dry powder
Price: 120-actuation unit=£27.97
Priming: Pre-loaded, primed by opening; requires minimal dexterity
Actuation counter: Yes; last 20 actuations in red
Actuation check: Audible/visual/lactose taste


DUORESP SPIROMAX 320/9 Teva
Formoterol 12 microgram, budesonide 400 microgram
Long acting reliever/preventer-breath actuated inhaler, dry powder
Price: 60-actuation unit=£27.97
Priming: Pre-loaded, primed by opening; requires minimal dexterity
Actuation counter: Yes; last 20 actuations in red
Actuation check: Audible/visual/lactose taste


FOBUMIX EASYHALER 80/4.5 Orion
Formoterol 4.5 microgram, budesonide 80 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 120-actuation unit=£21.50
Priming: Pre-loaded, primed by pressing; requires minimal dexterity
Actuation counter: Yes; units of 5 actuations; last 20 actuations in red
Actuation check: Lactose taste


FOBUMIX EASYHALER 160/4.5 Orion
Formoterol 4.5 microgram, budesonide 160 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 60-actuation unit=£16.99; 120-actuation unit=£21.50
Priming: Pre-loaded, primed by pressing; requires minimal dexterity
Actuation counter: Yes; units of 5 actuations; last 20 actuations in red
Actuation check: Lactose taste


FOBUMIX EASYHALER 320/9 Orion
Formoterol 9 microgram, budesonide 320 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 60-actuation unit=£21.50
Priming: Pre-loaded, primed by pressing; requires minimal dexterity
Actuation counter: Yes; units of 5 actuations; last 20 actuations in red
Actuation check: Lactose taste


SYMBICORT TURBOHALER 100/6 AstraZeneca
Formoterol 6 microgram, budesonide 100 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 120-actuation unit=£28.00
Priming: Pre-loaded, primed by twisting; requires minimal dexterity
Actuation counter: Yes; last 20 actuations in red


SYMBICORT TURBOHALER 200/6 AstraZeneca
Formoterol 6 microgram, budesonide 200 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 120-actuation unit=£28.00
Priming: Pre-loaded, primed by twisting; requires minimal dexterity
Actuation counter: Yes; last 20 actuations in red


SYMBICORT TURBOHALER 400/12 AstraZeneca
Formoterol 12 microgram, budesonide 400 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 60-actuation unit=£28.00
Priming: Pre-loaded, primed by twisting; requires minimal dexterity
Actuation counter: Yes; last 20 actuations in red


FLUTIFORM 50 Napp
Formoterol 5 microgram, fluticasone 50 microgram
Long acting reliever/preventer–metered dose inhaler
Price: 120-actuation unit=£14.40
Compatible spacer: AeroChamber Plus Flow-Vu
Actuation counter: Yes


FLUTIFORM 125 Napp
Formoterol 5 microgram, fluticasone 125 microgram
Long acting reliever/preventer–metered dose inhaler
Price: 120-actuation unit=£28.00
Compatible spacer: AeroChamber Plus Flow-Vu
Actuation counter: Yes


FLUTIFORM 250 Napp
Formoterol 10 microgram, fluticasone 250 microgram
Long acting reliever/preventer–metered dose inhaler
Price: 120-actuation unit=£45.56
Compatible spacer: AeroChamber Plus Flow-Vu
Actuation counter: Yes


FLUTIFORM K-HALER Napp
Formoterol 5 microgram, fluticasone 50 or 125 microgram
Long acting reliever/preventer–breath actuated inhaler, aerosol
Price: 120-actuation unit, 5/50 microgram =£14.40; 5/125 microgram=£28.00
Priming: Requires minimal dexterity
Actuation counter: Yes; last 28 doses in red


ATECTURA BREEZHALER 125/62.5 Novartis
Indacaterol 125 microgram, mometasone 62.5 microgram 
Long-acting reliever/preventer-breath actuated inhaler, dry powder
Price: 30 caps plus inhaler=£17.49
Priming: Load each time with individual capsule; requires dexterity
Actuation check: Audible/visual/lactose taste


ATECTURA BREEZHALER 125/127.5 Novartis
Indacaterol 125 microgram, mometasone 127.5 microgram 
Long-acting reliever/preventer-breath actuated inhaler, dry powder
Price: 30 caps plus inhaler=£21.50
Priming: Load each time with individual capsule; requires dexterity
Actuation check: Audible/visual/lactose taste


ATECTURA BREEZHALER 125/260 Novartis
Indacaterol 125 microgram, mometasone 260 microgram 
Long-acting reliever/preventer-breath actuated inhaler, dry powder
Price: 30 caps plus inhaler=£27.97
Priming: Load each time with individual capsule; requires dexterity
Actuation check: Audible/visual/lactose taste


AIRFLUSAL MDI Sandoz
Salmeterol 25 microgram, fluticasone 125 or 250 microgram
Long-acting reliever/preventer-metered dose inhaler
Price: 120-actuation unit, 25/125 microgram=£16.42; 25/250 microgram=£20.52
Compatible spacer: AeroChamber Plus, Volumatic
Actuation counter: Yes


ALOFLUTE 125 Mylan
Salmeterol 25 microgram, fluticasone 125 microgram
Long-acting reliever/preventer-metered dose inhaler
Price: 120-actuation unit=£22.45
Compatible spacer: AeroChamber Plus
Actuation counter: Yes


ALOFLUTE 250 Mylan
Salmeterol 25 microgram, fluticasone 250 microgram
Long-acting reliever/preventer-metered dose inhaler
Price: 120-actuation unit=£28.32
Compatible spacer: AeroChamber Plus
Actuation counter: Yes


COMBISAL 25/50 Aspire
Salmeterol 25 microgram, fluticasone 50 microgram
Long-acting reliever/preventer-metered dose inhaler
Price: 120-actuation unit=£27.99
Compatible spacer: AeroChamber Plus
Actuation counter: No


COMBISAL 25/125 Aspire
Salmeterol 25 microgram, fluticasone 125 microgram
Long-acting reliever/preventer-metered dose inhaler
Price: 120-actuation unit=£17.59
Compatible spacer: AeroChamber Plus
Actuation counter: No


COMBISAL 25/250 Aspire
Salmeterol 25 microgram, fluticasone 250 microgram
Long-acting reliever/preventer-metered dose inhaler
Price: 120-actuation unit=£27.99
Compatible spacer: AeroChamber Plus
Actuation counter: No


SEREFLO 25/125 Cipla
Salmeterol 25 microgram, fluticasone 125 microgram
Long-acting reliever/preventer-metered dose inhaler
Price: 120-actuation unit=£14.99
Compatible spacer: Not recommended
Actuation counter: Yes


SEREFLO 25/250 Cipla
Salmeterol 25 microgram, fluticasone 250 microgram
Long-acting reliever/preventer-metered dose inhaler
Price: 120-actuation unit=£19.99
Compatible spacer: Volumatic, AeroChamber Plus
Actuation counter: Yes


SERETIDE 50 EVOHALER GSK
Salmeterol 25 microgram, fluticasone 50 microgram
Long acting reliever/preventer–metered dose inhaler
Price: 120-actuation unit=£17.46
Compatible spacer: Volumatic, AeroChamber Plus
Actuation counter: Yes


SERETIDE 125 EVOHALER GSK
Salmeterol 25 microgram, fluticasone 125 microgram
Long acting reliever/preventer–metered dose inhaler
Price: 120-actuation unit=£23.45
Compatible spacer: Volumatic, AeroChamber Plus
Actuation counter: Yes


SERETIDE 250 EVOHALER GSK
Salmeterol 25 microgram, fluticasone 250 microgram
Long acting reliever/preventer–metered dose inhaler
Price: 120-actuation unit=£29.32
Compatible spacer: Volumatic, AeroChamber Plus
Actuation counter: Yes


SIRDUPLA 125 Mylan
Salmeterol 25 microgram, fluticasone 125 microgram
Long acting reliever/preventer–metered dose inhaler
Price: 120-actuation unit=£22.45
Compatible spacer: AeroChamber Plus
Actuation counter: Yes


SIRDUPLA 250 Mylan
Salmeterol 25 microgram, fluticasone 250 microgram
Long acting reliever/preventer–metered dose inhaler
Price: 120-actuation unit=£28.32
Compatible spacer: AeroChamber Plus
Actuation counter: Yes


AIRFLUSAL FORSPIRO Sandoz
Salmeterol 50 microgram, fluticasone 500 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 60-actuation unit=£29.97
Priming: Pre-loaded, primed by pushing lever, requires minimal dexterity
Actuation counter: Yes
Actuation check: Visual

FUSACOMB EASYHALER 50/250 Orion
Salmeterol 50 microgram, fluticasone 250 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 60-actuation unit=£21.50
Priming: Pre-loaded, primed by pressing; requires minimal dexterity
Actuation counter: Yes; units of 5 actuations; last 20 actuations in red
Actuation check: Lactose taste

FUSACOMB EASYHALER 50/500 Orion
Salmeterol 50 microgram, fluticasone 500 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 60-actuation unit=£26.99
Priming: Pre-loaded, primed by pressing, requires minimal dexterity
Actuation counter: Yes; units of 5 actuations; last 20 actuations in red
Actuation check: Lactose taste


SERETIDE 100 ACCUHALER GSK
Salmeterol 50 microgram, fluticasone 100 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 60-actuation unit=£17.46
Priming: Pre-loaded, primed by opening; requires minimal dexterity
Actuation counter: Yes
Actuation check: Visual/lactose taste


SERETIDE 250 ACCUHALER GSK
Salmeterol 50 microgram, fluticasone 250 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 60-actuation unit=£33.95
Priming: Pre-loaded, primed by opening; requires minimal dexterity
Actuation counter: Yes
Actuation check: Visual/lactose taste


SERETIDE 500 ACCUHALER GSK
Salmeterol 50 microgram, fluticasone 500 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 60-actuation unit=£32.74
Priming: Pre-loaded, primed by opening; requires minimal dexterity
Actuation counter: Yes
Actuation check: Visual/lactose taste


STALPEX Glenmark
Salmeterol 50 microgram, fluticasone 500 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 60-actuation unit=£16.37
Priming: Pre-loaded, primed by pushing lever; requires minimal dexterity
Actuation counter: Yes
Actuation check: Visual


RELVAR ELLIPTA 22/92 microgram GSK
Vilanterol 22 microgram, fluticasone furoate 92 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 30-actuation unit=£22.00
Priming: Pre-loaded, primed by opening, requires minimal dexterity
Actuation counter: Yes
Actuation check: Visual/audible



RELVAR ELLIPTA 22/184 microgram GSK
Vilanterol 22 microgram, fluticasone furoate 184 microgram
Long acting reliever/preventer–breath actuated inhaler, dry powder
Price: 30-actuation unit=£29.50
Priming: Pre-loaded, primed by opening, requires minimal dexterity
Actuation counter: Yes
Actuation check: Visual/audible

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