Relevant guidelines:

Patients should receive regular face-to-face review to ensure correct inhaler technique, self-management (where appropriate) and concordance with agreed treatment. Information for patients is available at Consider referring patients with COPD to pulmonary rehabilitation.

To achieve optimal compliance with inhaled therapy consider the following:

  • base the choice of inhaler device on patient acceptability, suitability and cost.
  • patients should only be given a device they can demonstrate they can use; many adults struggle to use metered dose inhalers (MDI) therefore dry powder inhalers (DPI) or other breath activated devices should be considered.
  • always take appropriate time to teach and check inhaler technique.
  • where possible use the same inhaler device if a patient requires a number of different inhaled medicines.
  • reduce the number of inhalers by use of appropriate combination products.