Inhaler Reference

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Common inhalers used at UCLH

Picture Name MOA Dose

Salbutamol-inhaler.jpg

Salbutamol (Ventolin)

Short acting beta agonist (SABA)

100mcg PRN 1-2 puffs every 2 hours

Clenil-inhaler.jpg

Beclomethasone diproprionate (Clenil Modulate/QVAR)

Inhaled corticosteroid (ICS)

100mcg 1 puff BD

Serevent1.png Serevent2.png

Serevent Accuhaler/Evohaler (salmeterol)

Long acting beta agonist (LABA)

50mcg BD

Spiriva respimat.png Spiriva handihaler.png

Spiriva Respimat and Handihaler (Tiotropium Bromide)

Long acting muscarinic antagonist (LAMA)

Powder: 18mcg OD

Aerosol: 5mcg OD

Anoro ellipta.png

Anoro Ellipta (Umeclidinium/ vilanterol)

LAMA/LABA combination

One inhalation OD

Seretide accuhaler.png

Seretide Accuhaler & MDI (fluticasone/ salmeterol)

ICS/LABA combination

Accuhaler 250: 1 inhalation BD

Evohaler 50: 2 puffs BD reduced to 2 puffs OD, use reduced dose only if control maintained

Symbicort rapihaler.png Symbicort turbuhaler.png

Symbicort RapihalerTM & Turbuhaler (budesonide/ eformoterol)

ICS/LABA combination

Symbicort 400/12 Turbohaler: 1 puff BD

Symbicort 100/6 or 200/6 Turbohaler: Initially 1-2 puffs BD for maintenance. For maintenance and reliever therapy 2 puffs daily in 1-2 divided doses, 1 puff PRN for relief of symptoms. Max 8 puffs per day

References:

http://lungfoundation.com.au/wp-content/uploads/2014/02/COPD-Medicines-Wall-Chart_A4.pdf

Medicines Complete/BNF website for doses