Tuesday, October 30, 2012


ARE YOU USING YOUR INHALERS CORRECTLY? #20


   The total direct cost of asthma in the US is estimated to be up to $1.48 billion ANNUALLY!!!!  Asthmatics usually fall into two categories: controlled and uncontrolled. The controlled group has few (if any) attacks while the uncontrolled have frequent, often severe attacks requiring ER visits and/or hospitalization.

   Numerous studies have shown that errors or poor technique in handling an inhaler was present in between 14% and 90% of the asthmatics studied. Other studies have shown that proper inhaler education was associated with improved lung function, decreased school absenteeism and fewer ER visits. The fault of poor inhaler technique does not always fall on the patient but can be traced back to inadequate or poor educational attempts.

   The patient’s own beliefs are sometimes a factor to be dealt with. Denial or lack of faith in the medication are areas of contention. Individual preference for one type of inhaler over others is another issue. When the HFA inhalers were introduced, many asthmatics were convinced that they did not work well since the force of the propelled drug, taste, “coldness” were absent. With proper education beforehand, these problems may have been averted. 

   Another issue healthcare providers must remember that the education process is not a one time thing. The asthmatic should repeat their inhaler process and regular intervals to be sure they are using their inhaler properly. Cleaning of the device, which is often overlook by the professional, is paramount in a proper working inhaler.

   In conclusion, if you have questions about your devices whether they are MDI’s, dry powder (DPI) or single or multiple use devices- ASK, ASK, ASK !!!!! Don’t let your healthcare provider think you know how to use your inhaler when you don’t. They won’t think you are being a problem.












  1. Price D, et al., Inhaler competence in asthma: Common errors, barriers to use and  recommended solutions, Respiratory Medicine (2012),       http://dx.doi.org/101016/j.rmed.2012.09.017

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