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Medication Manager: What you need to know about: Inhalers

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Whether you’re dealing with asthma or another respiratory condition, such as reactive airways, chronic bronchitis, emphysema, or chronic obstructive pulmonary disease, an inhaler can be an invaluable tool for the prevention or treatment of episodes that might otherwise leave you gasping for breath.

Inhaled medications aim to reduce airway inflammation, improve airflow, and decrease or relieve shortness of breath. They are available as dry powders and as liquids that are delivered in metered doses in spray form. Which is better? “Dry-powder inhalers are easier to use correctly and do not require the timing and coordination of effective use of a metered-dose inhaler [MDI]. In the powder form, the medication is more likely to enter and penetrate deep into the lungs. MDIs, when not used correctly, can often deliver a mist or spray of medication to the back of the mouth,” says Dr. James Mojica, a pulmonologist and an instructor at Harvard Medical School.

Inhaler use is tailored to each person’s needs. Some people require a short-acting medicine before exercise or during colds. Others require a long-acting medicine, which is usually taken twice daily. Finally, some people require a long-acting medicine once or twice daily, with short-acting medicines in between doses. Talk to your doctor to find out about the right treatment for your breathing condition.

Inhaled medications

Drug class

Short-acting bronchodilator

Long-acting bronchodilator




albuterol (Proventil)

salmeterol (Serevent)

tiotropium (Spiriva)

fluticasone (Flovent)


Relaxes muscles quickly in the airways to widen bronchial tubes

Relaxes muscles in the airways to widen bronchial tubes

Widens the bronchial tubes and reduces mucus

Reduces inflammation in the bronchial tubes


Inhaled up to four times a day

Inhaled twice a day

Inhaled once a day

Inhaled twice a day


  • Nervousness

  • Shakiness

  • Dizziness

  • Headache

  • Shaking

  • Headache

  • Nervousness

  • Dizziness

  • Dry mouth

  • Constipation

  • Stomach pain

  • Vomiting

  • Headache

  • Stuffy nose

  • Difficulty speaking

  • Sore throat


May cause chest pain,
irregular heart beat

May cause severe asthma attack and death

May raise risk of heart attack and stroke

Avoid grapefruit and grapefruit juice

Posted by: Dr.Health

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