All essential types Inhaler you need to know

 

All essential types

Inhaler

You need to know  

SABA

(Short-acting beta agonist)

·    Common examples include Albuterol (Salbutamol), Terbutaline and Levalbuterol

·    Usually use as reliever for COPD and asthma

·    Can cause tremor as a side effect

 

LABA

(Long-acting beta agonist)

·    Formoterol and Salmeterol are some common examples

·    It is used as controller for COPD and Asthma.

·    If used in asthma as controller, it must be used with ICS together.

SAMA

(Short-acting muscarinic antagonist)

·    Ipratropium is an example of SAMA

·    It is mainly used in COPD.

·    In asthma, its role limits to acute exacerbation only

·    It can cause anticholinergic effects such as dry mouth and blurred vision

LAMA

(Long-acting muscarinic antagonist)

·    Some common ones are Tiotropium and Glycopyrronium

·    Only LAMA to be used in asthma is Tiotropium

·    Other LAMA are mainly for COPD

ICS

(Inhaled Corticosteroid)

·    Generic names often ends with -sone

·    Such as Beclomethasone, Fluticasone, Mometasone

·    Used as a controller for COPD and Asthma

·    Remind patient to rinse mouth after using ICS

 

What is the common counselling point for patient using inhalers?

Ø     As part of inhaler technique counselling, you should make patients aware that loose objects may not be visible in the inhaler and a thorough check of the inside of the mouthpiece should be made before inhaling a dose. The cover must be replaced immediately after use, ensuring it clicks into place.