Feature Article

Inhaler therapy for COPD: an individualised approach to inhaler selection

Feature Article

Inhaler therapy for COPD: an individualised approach to inhaler selection

Debbie Rigby

Figures

© bochimsang12/shutterstock
© bochimsang12/shutterstock

Abstract

Inhaled therapy for chronic obstructive pulmonary disease can help reduce exacerbation frequency, admission to hospital and risk of death. Appropriate inhaler choice for the patient’s capabilities and education and frequent assessment of inhaler technique can help improve adherence to therapy.

Key Points

  • Adherence and inhaler satisfaction copredict improved health outcomes for patients with chronic obstructive pulmonary disease (COPD).
  • The best inhaler device for a patient with COPD is one they can use; patient- and device-related factors should be considered when choosing an inhaler device.
  • Assessment of a patient’s co-ordination and inspiratory flow patterns should guide selection of inhaler devices.
  • Adherence and device technique should be assessed regularly and before changing a patient’s therapy.
  • Patients should use only one type of device for all of their inhaled therapies, where possible.