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

03-07 Mucolytics

Carbocisteine
Formulary

Joint guidance

Stepping down guidance

Please see below for guidance on stepping down carbocisteine for primary and secondary care

Should be stopped if there is no benefit after a 4 week trial

Link  IESCCG Primary care- Carbocisteine step down
Link  IHT- Therapeutic Substitution Register
Link  NEECCG Primary care- Carbocisteine step down
 

Blue View adult BNF  View SPC online  View childrens BNF
Erdosteine Erdotin®
Non Formulary

View adult BNF  View SPC online  View childrens BNF
Ivacaftor
Non Formulary

View adult BNF  View SPC online  View childrens BNF  HCD
Lumacaftor + Ivacaftor Orkambi®
Non Formulary
Link  NICE TA398: Lumacaftor–ivacaftor for treating cystic fibrosis homozygous for the F508del mutation
 

View adult BNF  View SPC online  View childrens BNF
Mecysteine Visclair®
Non Formulary

View adult BNF  View SPC online  View childrens BNF
N-Acetylcysteine
Non Formulary

View adult BNF  View SPC online  View childrens BNF