![]() Acopair Neumohaler (DPI) and Tiogiva DPI capsules with device - both unlicensed.Handihaler Braltus Zonda inhaler - not licensed.(Respimat/Handihaler/Zonda/Neumohaler devices) Tiotropium (Spiriva ®, Braltus ®, Acopair ®, Tiogiva ®) Ipravent ® pMDI 2nd line to LAMA, only if patient cannot use a LAMA inhaler.Ipravent ® pMDI not recommended due to lack of evidence.Tiotropium should not be used in conjunction with ipratropium Only indicated in patients unable to use a standard inhaler device.Re-usable inhaler with 60 dose refills available.LTHT DTC Summary - March 2011 (NHS access only) For use in line with NICE Guideline 101 for COPD as an alternative to salmeterol or formoterol where once daily administration is likely to offer a significant advantange to compliance and concordance.Foradil Aeroliser Oxis Turbohaler - 2nd line for existing patients, or if cannot use or declines preferred inhaler in the Leeds COPD Algorithm.LABA should only be prescribed as part of a combination in ICS/LABA inhaler to prevent inadvertent monotherapy.Ītimos Modulite pMDI Formoterol Easyhaler.Recommended at BTS/SIGN Step 3+ in addition to ICS.In practice, LABAs should only be prescribed for asthma as part of a combination ICS/LABA inhaler Inhaled long acting beta 2 agonists should be used for asthma only in patients who regularly use an inhaled corticosteroid (CHM advice). Jan 19: mark 3 turbohaler device - patients need to inhale faster to achieve same lung deposition Salbutamol MDI 100 micrograms 2 puffs when required (+/- spacer).Salbutamol Easyhaler 100 micrograms 2 puffs when required or.LTHT: check patient's inhaler technique and offer either.Dec 18 - Feb 19: supply problems with Bricanyl Turbohaler - alternatives.The oral route is rarely used and associated with significant side effects.When nebulised therapy is indicated, salbutamol nebules are first line (terbutaline nebules are reserved for use by respiratory consultants) LTHT: prescribing salbutamol inhalers on eMeds Tablets: The oral route is rarely used and associated with significant side effects.Injection: The intravenous route should be reserved for acute severe asthma in specific patients where the inhaled route cannot be reliably used.- Ventolin Evohaler (high carbon impact).on the traffic light list and should not be used as a preference: Airomir autohaler, Airomir MDI, Airsalb MDI, Asmasal clickhaler, Salbulin Novolizer, Pulvinal, Ventolin Accuhaler, Salamol 100 microgram Easibreathe.Salamol 100 microgram MDI or Easyhaler salbutamol (DPI).see below for further details / other brands.MHRA Drug Safety Update (Aug 17): risk of central serous chorioretinopathy with local as well as systemic administrationĪdult nebuliser guidance (NHS access only) LHP: Allergic rhinitis and non-allergic rhinitis in adults and children over 12 ![]() ![]() Unless explicitly stated, any brand names included in brackets next to a drug's generic name are there solely to aid searching and identification, and should not be considered to limit use to that specific brand. Leeds and York Partnership NHS Foundation Trustįormulary Chapter 3: Respiratory system - Full Chapter Leeds Formulary Leeds Teaching Hospitals NHS Trust ![]()
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