Clenil Modulite 100 micrograms inhaler with Dose Indicator Summary of Product Characteristics SmPC emc

SS2-adrenoceptor agonists are probably the commonest
prescribed medication in respiratory practice. They are used in
the treatment of asthma and the reversible element of airways
obstruction commonly found in patients with COPD. Although there
are several different types of ß2-agonist, most are
pharmacologically similar and all are used in a similar fashion.

• A Personalised Asthma Action Plan (PAAP) contains all the information that people need to manage their asthma.
• Spirometry literally means “the measuring of breath” and is the most common pulmonary function test.
• Their first study, published in 2000, tested a blend of fourteen herbal extracts commonly used in traditional Chinese herbal medicine for allergic asthma.
• Oral salbutamol is now only available as
  Volmax®, a specially designed capsule, which osmotically
  controls release of the drug by holding it within a core
  surrounded by a semi-permeable membrane.

The smart approach is only suitable for adults and adolescents aged 12 years and over using the Symbicort 100/6 or Symbicort 200/6 strengths. There’s some evidence that steroid inhalers used by people with chronic obstructive pulmonary disease (COPD) can increase steroids buy online the risk of chest infections like pneumonia. Don’t be tempted to skip doses so your medicines last longer; you’ll be putting yourself at risk of an asthma attack. Talk to your GP or asthma nurse if you’re worried about how to pay for your asthma medicines.

Side effects are putting me off taking my asthma medicines

The dose may then be adjusted until control is achieved and then should be titrated to the lowest dose at which effective control of asthma is maintained. Individually, these herbs all have a long history of use in asthma and other allergic, autoimmune and immune disorders, allergic rhinitis, hepatitis B, jaundice, adrenal insufficiency, peptic ulcers, and many other conditions. The researchers speculate that these herbs work both individually and synergistically. Chinese licorice is a staple botanical in TCM for asthma and allergic rhinitis.

A spacer helps make sure the medicine gets into your airways where it’s needed. They only work with pressurised metered dose inhalers – these are the ones that are aerosol, not powder. Using your preventer inhaler every day is essential to managing your asthma well. Your preventer inhaler keeps down the inflammation in your airways so you’re less likely to react to your triggers.

Suboptimal: March, year 3 – Jessica has her first asthma attack

Because of the tocolytic actions of beta2- sympathomimetic agents particular care should be exercised in the run up to delivery. Formoterol should not be recommended for use during pregnancy and particularly at the end of pregnancy or during labour unless there is no other (safer) established alternative. Therefore, it is important that the patient is reviewed regularly, and the dose of inhaled corticosteroid is reduced to the lowest dose at which effective control of asthma is maintained. The dosage of the components of Fostair is individual and should be adjusted to the severity of the disease.

On one episode where she was working in a dusty environment while having a viral head cold, she was getting more symptoms than normal. Her PAAP suggested she contact her asthma nurse as she was getting symptoms three or more times per week. The nurse encouraged greater use of her combined inhaler as per the MART regime, during this period.

Antibiotics are not effective against viral illnesses so are very rarely prescribed to treat viral induced wheeze. Support your child to sit in an upright position as this will help to expand the lungs and improve breathing. If your child has a fever or is in discomfort you can give them paracetamol to help relieve symptoms (always read the label).

Optimal: March, year 3 – Jessica has her first asthma attack and appropriate follow up

See your GP, asthma nurse, or pharmacist if you’re worried about any side effects. And if you’re using your preventer medicine every morning and evening as part of your daily routine, you’re less likely to need to use your reliever inhaler (usually blue) when you’re out and about. If you’re still finding your inhaler difficult to use, your GP or asthma nurse can talk to you about different types of inhaler devices you may find easier.

Key safety issues to discuss with patients given systemic steroids and their carers

42% of children who discontinued long term oral steroid therapy have an abnormal response to synacthen test despite a weaning regime. No clinical or biochemical factors could predict those with abnormal response (Wildi-Runge S et al J Pediatr 2013). An investigation of adrenal axis in this group of children whilst they remain on steroid is not necessary as these children have definite secondary adrenal insufficiency. The treatment dose of steroid of is greater than double the physiological dose.