Asthma medicines are usually given by inhalers – devices that deliver medication directly into the lungs as you breathe in.
This is an effective way of taking an asthma medicine as most goes straight to the lungs, with very little ending up elsewhere in the body.
Each inhaler works in a slightly different way. You should have training from your GP or nurse in how to use your device or how to help your child use theirs. This should be checked at least once a year.
Pressurised canisters
Some inhalers are pressurised canisters – similar to a spray deodorant or an air freshener. You press the inhaler while breathing in, so the vapour containing the medication can pass into your lungs.
Dry powder form
Some inhalers contain the medication in dry powder form, usually in a capsule that is punctured when the inhaler is “primed”.
It is not possible to use a spacer with these inhalers and, unlike pressurised canisters, the powder must be inhaled quickly and forcefully if the medication is to reach the lungs.
Inhaler Technique
Why is inhaler technique important?
- It allows the correct dose of medication to reach your lungs
- It gives for you better control of your condition
- It could mean you need to use or be prescribed fewer medicine
Common Problems
- Not standing, sitting or holding the inhaler upright
- Blocking the air vent
- Not inhaling strongly enough to draw the medication out of the Spiromax and in to your lungs
- Breathing out through the inhaler, remove the inhale from your mouth first
- Not holding your breath long enough after breathing in the contents.
Useful Tips
- Always hold the Spiromax horizontally, take care not to block the air vent
- You may notice a taste when you inhale the medicine
- Always close the mouthpiece after use
- Do not open and close the mouthpiece unless you are going to use the inhaler as this will move the counter without you taking a dose.
- Never wash the inhaler with water. To clean your inhaler, wipe the mouthpiece inside and outside with a clean, dry, lint-free cloth to remove any power residue. Keep your inhaler dry.
- When the numbers become red in the window, you should consult your nurse or doctor and obtain a new inhaler.
- Rinse your mouth out with water and brush your teeth after using your inhaler to reduce the amount of steroid that is deposited in your mouth
- Speak to your nurse or pharmacist if you experience problems with opening or using your inhaler.
- Always read the patient leaflet provided with your inhaler for any specific instructions
Checklist for use
- Stand or sit upright when using your inhaler
- Hold the inhaler upright with the mouthpiece facing down; take care not to block the air vent.
- Open the mouthpiece cover by folding it down until you hear a loud click
- Breathe out gently as far as is comfortable away from mouthpiece do not breathe in again yet.
- Place the mouthpiece between your teeth without biting and form a good seal around it with your lips.
- Breathe in through your mouth as deeply and fast as you can
- Hold breath for about 10 seconds or as long as is comfortable
- Remove the inhaler from your mouth
- Breathe out gently and slowly away from mouthpiece
- If you need to take a second dose repeat steps 4 to 9
- Close the mouthpiece.