Inhaler
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Metered Dose Inhaler or MDI is a common type of anti-asthmatic drug device that being used around the world for many years. It helps to treat immediate asthmatic attack and some types of them can help prevent recurrent attack. Aero-chamber helps children and elderly use MDI to deliver the drugs to the lungs efficiently by attach it to the MDI only.
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Inhaler
- 1. NURHANANI BINTI ABD HALIM
- 2. • RELIEVERS (bronchodilator) • SABA eg Salbutamol, Fenoterol • Anticholinergic eg Ipratropium Br • Corticosteroid (for serious asthma attack) eg Prednisolone, Hydrocortisone • CONTROLLERS/PREVENTOR • Corticosteroid eg Fluticasone, Budesonide (Pulmicort), Mometasone, Beclometasone • Leukotriene modifier eg Montelukast (Singulair) • LABA eg Salmeterol • Theophyline tablet form – to prevent night time symptom • Combination LABA & Corticosteroid eg Seretide Accuhaler (Fluticasone, Salmeterol), Symbicort Turbuhaler (Budesonide, Formeterol)
- 3. • Metered Dose Inhaler (MDI) • Dry Powder Inhaler • Handihaler • Turbuhaler • Accuhaler • Ellipta • Breezehaler • Inhalation powder in hard capsule in inhaler • Spiriva • Respimat (soft mist inhaler) • Spiriva respimat
- 4. • Preventor: • Berodual N Inhaler (Ipratropium Br, Fenoterol) • Symbicort Turbuhaler (Budesonide, Formeterol) • Seretide Accuhaler (Salmeterol, Fluticasone) • Seretide Evohaler (Salmeterol, Fluticasone) • Spiriva Respimat (Tiotropium Br) • Ultibro Breezehaler (Gylcopyrronium Br, Indacaterol) • Pulmicort respules (Budesonide) • Singulair tab, Aspira tab (Montelukast) • Reliever: • Ventolin Evohaler (Salbutamol) • Combivent nebules (Ipratropium, Salbutamol)
- 5. • Require correct hand/breath coordination • Time & effort consuming • May cause drug deposition effect in the oropharynx • eg: oral candidiasis • Cheap • Portable • Fixed dose • Low dose • Can feel & hear dose being delivered • Less systemic effect • More rapid onset
- 7. • Plastic tube-like device helps to reach medication from MDI straight to the lungs. • Commonly used in children and geriatics. • Can reduce side effect like oral thrush.
- 8. 1. Take off the cap and hold the inhaler upright. Shake it well. Put it at the end of the spacer. 2. Put the mouthpiece between the teeth and lips, making it seal so that medicine can reach lungs. 3. Press the canister to put one puff of the medicine to the spacer. 4. Remove the mask from face. 5. Breathe out gently and slowly from the inhaler. *If dose indicated is more than one puff, wait for 30 seconds, shake the inhaler and repeat step 2-5.
- 9. • More expensive than MDI • Not suitable for young children. • Not recommended in people who cannot breathe in strongly enough to inhale the powder. • Easy • No coordination needed • Know dose balance left • Does not contain a propellant. • Does not require co- ordination of breathing in and pressing down.
- 14. • Require correct hand/breath coordination • May cause drug deposition effect in the oropharynx • eg: oral candidiasis • Cheap • Portable • Fixed dose • Low dose • Can feel & hear dose being delivered
- 15. • Clean mouth by rinsing / gargle with water or mouthwash after using corticosteroid inhaler as can cause oral thrush. • Clean inhaler by flowing water (bring out canister first) if used frequently.