OBJECTIVE To explore the barriers and facilitators to inhaled asthma treatment in adolescents with asthma. DESIGN Qualitative analysis of posts about inhaler treatment in adolescents from an online forum for people with asthma. Analysis informed by the Perceptions and Practicalities Approach. PARTICIPANTS Fifty-four forum participants (39 adolescents ≥16 years, 5 parents of adolescents, 10 ...

BACKGROUND In many countries worldwide, the long-acting anticholinergic drug tiotropium is available as a dry powder formulation delivered by means of the HandiHaler® inhalation device and as an aqueous solution delivered via the Respimat® Soft Mist™ Inhaler. Tiotropium HandiHaler® is a single-dose, dry powder, breath-actuated inhaler that provides delivered doses and lung deposition of tiotrop...

Background In respiratory disorders, patient- and physician-perceived satisfaction with the maintenance inhaler device is an important factor driving treatment compliance and outcomes. We examine inhaler preferences in asthma and COPD from patient and physician perspectives, particularly focusing on the relative importance of individual device attributes and patient characteristics guiding inha...

Prescriber 5 February 2015 z 23 prescriber.co.uk Asthma is a chronic inflammatory disease of the airways characterised by reversible airflow obstruction.1 Over five million people in the UK suffer with asthma and the healthcare burden of the disease is significant.2 Asthma guidelines encourage a ‘step-up’ approach in pharmacological treatment to achieve disease control and a ‘step-down’ strateg...

Patient education is a critical factor in the use and misuse of medication inhalers. Inhalers represent advanced technology that is considered so easy to use that many patients and clinicians do not receive adequate training in their use. Between 28% and 68% of patients do not use metered-dose inhalers or powder inhalers well enough to benefit from the prescribed medication, and 39-67% of nurse...

Maintenance therapies for asthma are vulnerable to low adherence. Clinicians would benefit from having a validated questionnaire to assess adherence to metered-dose inhaler use in children with asthma. The objective of this study was to design and validate a questionnaire assessing adherence to metered-dose inhaler use, to be filled out by the parents and/or caregivers of children with asthma. ...

This study was carried out to investigate if particles approximately less than 5 microns are optimal when delivered from a dry powder inhaler. It was performed as a cumulative dose response study of twelve asthmatic adults. Three different versions of a dry powder inhaler, Bricanyl Turbuhaler, were studied. Each inhaler delivered 0.5 mg of pure terbutaline sulphate with each dose. Out of this 0...

This study investigated the influence of the use of different types of inhalers on the adequacy of inhalation technique among adult asthmatics. Three hypotheses were tested: first, patients using only one type of inhaler will demonstrate adequate inhalation technique more often than those with two or more types. Secondly, patients using a combination of dry powder inhalers (DPIs) will demonstra...

Inhaler merupakan suatu alat yang digunakan untuk terapi asma. Ketepatan penggunaan inhaler hal penting pada penghantaran obat keefektifan Keberhasilan di pengaruhi oleh ketepatan cara penggunaannya. Tujuan dari penelitian ini adalah mengetahui tingkat pengetahuan pasien tentang Penelitian deskriptif, dengan pengambilan data secara prospektif. Data diperoleh berdasarkan kuesioner dan peragaan r...

Twelve adult asthmatic patients participated in an open, randomized, cross-over comparison between cumulatively increasing doses of terbutaline sulphate administered via the multiple dose powder inhaler (Turbuhaler) or via a pressurized inhaler. Turbuhaler and the pressurized inhaler showed equipotency both with respect to bronchodilatation and side effects. Both treatments produced a significa...