Inhaler is a medical device used to deliver medicine into the lung. These are the most effective and safe drugs to treat asthma. Contrary to the common belief, inhalers are non habit forming.
Studies show that up to 80-90 % of patients use their inhaler incorrectly.
Incorrect inhaler technique leads to increase in use of emergency medicines, worsening of asthma control, non compliance with medications.
According to asthma guidelines inhalers should only be prescribed after patients have received training in the use of device and have demonstrated satisfactory technique.
Different types of inhalers are available in the market. Choice of inhaler depends on various factors including patient’s age, inspiratory flow, ability to coordinate and patients own preference.
Use of Spacer devices
Spacer devices are recommended to improve inhaler technique with MDI (metered dose inhaler), and to increase drug delivery and reduce oral thrush.
Spacers are plastic device with mouthpiece or mask at one end, and place to insert inhaler at other end. Spacers give patient more time to inhale the medicine, better coordination, and prevent escape of medicine into air.
Spacers are especially useful in younger children.
These devices require proper cleaning and regular change as per manufacturer’s recommendation
Use of spacer helps to take inhaler medication more effectively
Steps for taking inhaler (MDI) with spacer
Breath actuated inhalers
In patients who have difficulty in coordinating, breath actuated inhalers can be used.
These devices deliver the drug automatically when they sense that patient is breathing in through the mouth piece.
Dry powder inhaler (DPI)
A dry powder inhaler (DPI) is a breath-actuated device that delivers the drug in the form of particles contained in a capsule or blister. They can be single dose or multiple dose inhalers.
These devices are recommended for patients who can take a deep and fast breath.
Steps to use DPI
I would like to conclude by saying that technique of taking inhaler is of utmost importance while managing patients with asthma and it should be reinforced every time patient visits the doctor.