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    Asthma medicine needs to get into your lungs to work, but do you know how it gets there? Your doctor will tell you which device is best for you. Nebulizers are electric- or battery-powered machines that turn liquid asthma medicine into a fine mist. This mist comes through a tube that is attached to a mouthpiece or facemask. (A facemask is a kind of plastic cup that covers the mouth and nose.) Nebulizers are easy to use because there isn't much to do — just place the mouthpiece in your mouth or the mask over your nose and mouth, and breathe in the medicine. But nebulizers take at least 5 or 10 minutes to get the medicine into the lungs and sometimes even longer. They can be big and noisy and not always easy to carry around. Inhalers are little devices that can fit in your hand and are small enough to carry in a backpack, purse, or pocket. can metoprolol cause hallucinations Using a metered-dose albuterol inhaler with a holding chamber attached to it and increasing the number of puffs to treat breathing difficulties works as well as the nebulizer breathing treatment doctors typically prescribe, studies conducted at UF more than 10 years ago show. It also causes fewer side effects in children, studies conducted elsewhere have shown. Yet doctors and respiratory therapists across the country have been slow to adopt the newer method, even at the hospital where many UF faculty practice, according to a report published this month in the American Journal of Health-System Pharmacy. A policy implemented last year at Shands at UF medical center, however, increased use of the inhaler and holding chamber method by 53 percent in the intensive care unit and has given researchers hope that more doctors and respiratory therapists will convert to the newer technique. “Most doctors and patients misbelieve that a nebulizer is more effective than an inhaler,” said Leslie Hendeles, a UF professor of pharmacy and pediatrics and the lead author of the report. “There’s no difference in any outcome measure except in young children.” Young children, Hendeles said, actually fare better with an inhaler and holding chamber, also called a spacer, than they do with the nebulizer treatment and suffer fewer side effects, such as rapid heartbeat. Children under 5 who used an inhaler with a spacer were admitted to the hospital less often and made greater improvements than those who used a nebulizer, likely because they receive more medication into their lungs in a shorter amount of time, a study released in the Journal of Pediatrics last year states.

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    I have had asthma for around 10 years and use seretide and ventolin accuhalers. I have now been started on Spiriva, but feel I would benefit from a nebuliser, but I cannot find the medication on line. Please read this leaflet carefully before you use your medicine. When your chest is tight or when you are wheezing, Ventolin opens up the breathing tubes in your lungs. Because the medicine in your Ventolin Nebules gives fast relief from your chest symptoms, it is often called a 'reliever'. This leaflet answers some common questions about Ventolin Nebules. It does not take the place of talking to your doctor or pharmacist. Your doctor has weighed the risks of you taking Ventolin Nebules against the benefits they expect it will have for you. There are other types of medicines that prevent wheezing or chest tightness. If you have any concerns about taking this medicine, ask your doctor or pharmacist. These medicines are called 'preventers' and must be used every day. Your doctor may tell you to use a 'preventer' in addition to your Ventolin Nebules. Ventolin Nebules are not the only form of Ventolin available. Your doctor will decide which form of Ventolin is right for you. Ask your doctor if you have any questions about why this medicine has been prescribed for you.

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