Metered Dose Inhaler and Nebulizer Use in Asthmatic Patients

Effective administration of medication to the lungs as an aerosol depends on the delivery system and its position in relation to the patient. Metered dose inhalers have proven efficacy, availability in a variety of medications, cost-effectiveness, and similar therapeutic outcomes when compared with other methods of aerosol administration such as the dry powder inhaler or a small volume nebulizer. Patient capabilities, convenience, disease state, breathing pattern, and proper technique continue to be issues that deserve attention. However, regardless of the delivery system chosen, it is important to remember that the aerosol drug should be titrated to maximize the therapeutic effect.