Important: Formulation and dosage details

Formulation:

PREFERRED: Dry Powder Inhaler (DPI) (Inhalation powder)

These are more environmentally friendly than MDIs and should be considered first line providing that the patient shows good inhaler technique with the chosen device.

• Easyhaler 100micrograms/dose (DPI)

Dosage:

By inhalation of powder, 100 to 200 micrograms (1 to 2 puffs) when required to relieve breathlessness. 

Important: Formulation and dosage details

Formulation:

PREFERRED: Dry Powder Inhaler (DPI) (Inhalation powder)

These are more environmentally friendly than MDIs and should be considered first line providing that the patient shows good inhaler technique with the chosen device. 

• Ventolin 200micrograms/dose Accuhaler (DPI)

Dosage:

By inhalation of powder: 200 to 400 micrograms (1 to 2 blisters) when required to relieve breathlessness.

Important: Formulation and dosage details

Formulation:

ALTERNATIVE: Metered dose inhalers (MDI) (Pressurised inhalation)

To be considered in the small proportion of patients who are unable to use a DPI.

• Salamol 100micrograms/dose inhaler CFC free (MDI)
• Salamol 100micrograms/dose Easi-Breathe inhaler (MDI)

Prescribe as the brand 'Salamol' as this has a lower environmental impact. 

Dosage:

By aerosol inhalation, 100 to 200 micrograms (1 to 2 puffs) when required to relieve breathlessness. 

Important: Formulation and dosage details

Formulation:

Nebuliser solution 2·5mg/2·5mL, 5mg/2·5mL

Dosage:

By inhalation of nebulised solution, 2·5mg, repeated up to 4 times daily (see nebuliser notes).

MHRA advice: Nebulised asthma rescue therapy in children: home use of nebulisers in paediatric asthma should be initiated and managed only by specialists (August 2020) (www.gov.uk).