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

03-07 Hypertonic Sodium Chloride

Sodium chloride 7% (Hypertonic)
First Choice

Sodium chloride 3% (Hypertonic)

Ipswich Hospital

Formulary medicine - only to be used if patients are sensitive to 7% preparation

Colchester Hospital

Sodium chloride 3% (hypertonic) is considered to be non-formulary

Restricted Drug Green
Sodium chloride 6% (hypertonic) MucoClear®

Ipswich Hospital

MucoClear is a non-formulary medicine

Colchester Hospital

Mucoclear is considered a formulary medicine

Restricted Drug View adult BNF  View SPC online  View childrens BNF