Inhalation Therapy forms foundation of Ashtma and COPD treatments. Understanding Inhalation Devices makes it easy for Family Physicians to accept and choose appropriate device.

1. 22/04/2018 Respiratory Diseases Management Course 2017-18
Respiratory Diseases
Management Course
2017-18
22/04/2018 Ahmedabad

2. 22/04/2018 Respiratory Diseases Management Course 2017-18
Inhalation Devices
Dr. Dhiren R. MehtaM.B.B.S.
Senior Family Physician
Ahmedabad

3. 22/04/2018 Respiratory Diseases Management Course 2017-18
• As we know very well that inhalation method for
delivering medicines is about > 2000 yrs old.
• But benefit of this is known since > 200 yrs.
• Inhalation therapy is now approved everywhere in
treatment of ASTHMA and COPD.
Inhalation Devices

4. 22/04/2018 Respiratory Diseases Management Course 2017-18
Mainly of two types:
• MDI or pMDI.
• DPI.
• Nebulizer is also other system widely used for
acutely ill patient or those who cannot breath
properly.
Inhalation Devices

5. 22/04/2018 Respiratory Diseases Management Course 2017-18
MDI
• Since 1950.
• Breath actuated as well as
non breath actuated.
• Aerosol.
• Canister filled by aerosol.
• So synergism is required.
PDI
• Since 2 decades.
• Breath actuated.
• Powder form.
• Capsule filled by powder.
• Not necessary.

6. 22/04/2018 Respiratory Diseases Management Course 2017-18
MDI
• Adherence is high up to 76%.
• Easy to use by 56.7%.
• The rate required to deliver
medicine is 30 L/minute.
• Exact technical steps followed
by 38.4%.
PDI
• Low up to 49 – 55%.
• 87.3% pts feel easy to use.
• The rate required to deliver
medicine is 30 – 120 L/
minute.
• Exact technical steps followed
by 67%.

7. 22/04/2018 Respiratory Diseases Management Course 2017-18
MDI
81.4% found difficulty in co
ordination.
59.4% show exacerbation of
symptoms during therapy.
16.8% develop Oral Thrush.
May be used with Spacer and
mask in children as well as
elderly patient.
PDI
• 15.8% to 23.7% found
difficulty in coordination.
• 21.7% show exacerbation of
symptoms during therapy.
• 49.7% develop Oral Thrush.
• Difficult by children as well as
elderly patient.

8. 22/04/2018 Respiratory Diseases Management Course 2017-18
MDI
• May be simple or
motorized types are
available.
PDI
• Different types like
Rotahaler, Spinhaler,
Turbohaler, Diskhaler,
Acuhaler are available.

9. 22/04/2018 Respiratory Diseases Management Course 2017-18
Medicines used are:
• Bronchodilators like SABA, LABA.
• Steroids like Beclomethasone, Budesonide,
Fluticasone, etc.
• SAMA like Ipratropium and LAMA like Tiotropium.
• Combinations of above also are used.
Inhalation Devices

10. 22/04/2018 Respiratory Diseases Management Course 2017-18
Thank You..

11. 22/04/2018 Respiratory Diseases Management Course 2017-18
Module Coordinator