American Academy of Asthma, Allergy & Immunology: "Asthma" and "Allergy and Asthma Drug Guide."
National Jewish Medical and Research Center: "Inhaled Medication with a Metered Dose Inhaler (MDI)."
Asthma Society of Canada: "How to Use Your Inhaler."
Science Daily: "New Asthma Inhaler Propellant Effective, but Costlier."
Children's Hospital Boston: "Allergy Treatment."
Boehringer Ingelheim: "US FDA Expands Approval of Tiotropium Respimat® for Maintenance Treatment of Asthma in Children."
FDA. Prescribing Information: Spiriva Respimat.
Nebulisers are machines that turn the liquid form of your short-acting bronchodilator medicines into a fine mist, like an aerosol. You breathe this in with a face mask or a mouthpiece. Nebulisers are no more effective than normal inhalers. However, they are extremely useful in people who are very tired (fatigued) with their breathing, or in people who are very breathless. Nebulisers are used mainly in hospital for severe attacks of asthma when large doses of inhaled medicines are needed. They are used less commonly than in the past, as modern spacer devices are usually just as good as nebulisers for giving large doses of inhaled medicines. You do not need any co-ordination to use a nebuliser - you just breathe in and out, and you will breathe in the medicine.
The study, which was published in the academic journal, the European Respiratory Journal , was led by Sarah Brode, PhD, assistant professor of medicine at the University of Toronto, Canada. Using existing data collected on 417,494 people aged 66 and older in Ontario, Canada, Dr. Brode’s team discovered that people who had been prescribed inhaled corticosteroids for the treatment of either asthma or COPD experienced 2,966 cases of nontuberculous myocobacteria (NTB). The association was particularly strong in patients who were using the corticosteroid fluticasone , an ingredient in the allergy medication, Flonase . The risk seemed to be lower for patients using the corticosteroid, budesonide .