Ipswich and East Suffolk CCG
North East Essex CCG
East Suffolk and North East Essex NHS Foundation Trust

 
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3 Respiratory system

MHRA:Pressurised metered dose inhalers (pMDI): risk of airway obstruction from aspiration of loose objects

Inhalers

The following acronyms may be mentioned in this section in reference to inhalers

  • MDI- Metered dose inhaler
  • DPI- Dry powder inhaler
  • BAA- Breath actuated aerosol
  • ICS- Inhaled corticosteroid
  • SABA- Short-acting bronchodilator
  • LABA- Long-acting bronchodilator
  • SAMA- Short-acting muscarinic
  • LAMA - Long-acting muscarinic

Local guidance

Asthma

IESCCG Asthma Action Plan

NEECCG Asthma plan (Asthma UK)

Joint Asthma quick reference guide - adults

Asthma quick reference guide – children (5yrs-12yrs)

Asthma quick reference guide – children (over 12yrs)

Asthma quick reference guide – children (under 5yrs)

Asthma step down guidance - adults

COPD

Joint COPD Quick Reference Guide

IESCCG COPD action plan

NEECCG COPD patient passport

Other documents

Inhaler switching

03-01-02 Antimuscarinic bronchodilators

Umeclidinium Incruse Ellipta®
First Choice

Licensed for adults >18 years for COPD


Blue View adult BNF  View SPC online  View childrens BNF
Aclidinium Eklira Genuair®
Formulary

Licensed for adults > 18 years for COPD


View adult BNF  View SPC online  View childrens BNF
Ipratropium inhaler
Formulary

Blue View adult BNF  View SPC online  View childrens BNF
Ipratropium nebules
Formulary

Only if patient unable to use inhalers / patients with severe disease.


Blue View adult BNF  View SPC online  View childrens BNF
Tiotropium Spiriva® Respimat
Formulary

On specialist recommendation (asthma)


May be continued for existing patients only, consider moving to a formulary option at next review (COPD)


Green View adult BNF  View SPC online  View childrens BNF
Glycopyrronium Seebri breezhaler®
Non Formulary

May be continued for existing patients only, consider moving to a formulary option at next review

Licensed for adults >18 years for COPD


View adult BNF  View SPC online  View childrens BNF