By Justin Beilby
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Additional info for Asthma Management Handbook 2006 (Revised, Updated 6th Edition)
In adults, there is no significant difference between MDI + spacer and DPI.
Beta2 agonist delivery for stable asthma • For children aged 0–5 years, MDI + spacer (with mask for those aged up to 2 years and mouthpiece for those aged over 2 years) is the preferred method of delivery. Where this is ineffective a nebuliser may be required. • In children aged 5–12 years, there is no significant difference between MDI and DPI, although administration via a spacer is recommended. • In adults, there is no significant difference between MDI + spacer and DPI.
Seretide) is used only as maintenance therapy. 1 • asthma who experience asthma symptoms despite The precise time interval and the size of the step- ICS treatment, the addition of a LABA improves down should be made on an individual basis. symptom control (I), and reduces ICS requirements Reduction in the ICS dose should be slow, over (II), compared with ICS alone. several months, as patients deteriorate at different • rates. 1 • The two LABAs differ in onset of therapeutic action: salmeterol has a slower onset (15–20 minutes).
Asthma Management Handbook 2006 (Revised, Updated 6th Edition) by Justin Beilby