Concurrent Use of Metered-Dose and Dry Powder Inhalers by Children with Persistent Asthma Does Not Adversely Affect Spacer/Inhaler Technique

2006 ◽  
Vol 40 (10) ◽  
pp. 1743-1746 ◽  
Author(s):  
Debora S Chan ◽  
Charles W Callahan ◽  
Virginia B Hatch-Pigott ◽  
Annette Lawless ◽  
H Lorraine Proffitt ◽  
...  
Author(s):  
Mahesh C. Gupta ◽  
Jyoti Khanna ◽  
Dhruva Chaudhry

Background: Inhalers containing corticosteroid and a long acting β2 agonist (LABA) are widely used in asthma treatment. This study assessed the patient sensory perception and satisfaction of budesonide/formoterol fixed dose combination by pressurized metered dose inhalers (pMDI) with spacer and dry powder inhalers (DPI) in patients of moderate persistent asthma.Methods: This was a 6 week prospective, randomized, open label, comparative, parallel group clinical study. All patients had a forced expiratory volume in 1 second (FEV1) of 60-80% predicted normal. The patients were assessed for sensory perception and satisfaction in group I (pMDIs with spacers) and group II (DPIs) using patient evaluation questionnaire (PEQ) and patient satisfaction and preference questionnaire (PASAPQ) at the end of 6th week.Results: In PEQ, statistical analysis of the mean attribute ratings showed that both the devices were easy to use by patients. More medication was felt reaching throat using DPIs. Patients on DPI liked the taste and felt it to be less strong than patients on pMDIs. The overall liking was statistically comparable in two groups. In PASAPQ, the patients on DPI group were very satisfied with the treatment than pMDI (p<0.05).Conclusion: Overall liking of both DPIs and pMDIs was comparable and patients on DPI were satisfied more with the treatment device. Patient sensory perception and satisfaction may be taken into account in selecting device to improve compliance to treatment.


1993 ◽  
Vol 91 (2-3) ◽  
pp. 111-121 ◽  
Author(s):  
M.F. Biddiscombe ◽  
R. Melchor ◽  
V.H.F. Mak ◽  
R.J. Marriott ◽  
A.J. Taylor ◽  
...  

2021 ◽  
Vol 1 (11) ◽  
Author(s):  
Khai Than ◽  
Aleksandra Grobelna

Delivery of medication via metered-dose inhalers to children or adults with asthma, or adults with chronic obstructive pulmonary disease at emergency departments or intensive care units, may be as effective as nebulizers in terms of clinical parameters and health care resource use. Limited data on adverse events showed no significant differences between metered-dose inhalers and nebulizers. No evidence was found on the clinical effectiveness of dry powder inhalers in comparison with nebulizers or metered-dose inhalers. No evidence was found on the cost-effectiveness of medication administration via metered-dose inhalers, nebulizers, or dry powder inhalers in comparison with each other. No evidence-based guidelines with recommendations regarding the comparative use of metered-dose inhalers, dry powder inhalers, or nebulizers for administration of medication were identified.


1990 ◽  
Vol 3 (4) ◽  
pp. 233-241 ◽  
Author(s):  
MARYANNE G. BOUNDY ◽  
DAVID LEITH ◽  
MICHAEL R. KNOWLES

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