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

3 Respiratory system

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


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


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


Joint COPD Quick Reference Guide

IESCCG COPD action plan

NEECCG COPD patient passport

Other documents

Inhaler switching

03-02-03 Triple Therapy products for COPD

Joint guidance

Prescribing advice- triple therapy inhalers

Only to be used where the patient requires all three drugs to manage the condition 

If control improves, step back down to LABA/LAMA combined product



    • fluticasone furoate - 92 micrograms
    • umeclidinium - 55 micrograms
    • vilanterol - 22 micrograms

Once daily dosing

Blue View adult BNF  View SPC online  View childrens BNF


    • beclometasone dipropionate - 100 micrograms
    • glycopyrronium - 10 micrograms
    • formoterol fumarate - 6 micrograms

Twice daily dosing

Blue View adult BNF  View SPC online  View childrens BNF