Bronchial allergic asthma is a serious disease, but attacks of coughing and choking are tamed with the help of affordable and effective inhalers. They are also used to treat and prevent this ailment. Let's see what asthma inhalers are produced, how their types differ, what are the pros and cons of device types. We will learn how to use the device correctly.

Types of inhalers for bronchial asthma

The main types of inhalation devices are classified by the type of filler:

• Powder. Contain a dry medicinal product.
• Aerosol. Filled with medicinal liquid.

Both types of devices are divided into the following main types according to the method of drug delivery:

1. The spacer is a spray nozzle-valve for a pocket device that delivers the medicine only when you inhale.
2. Nebulizer - an ultrasonic or compressor membrane nebulizer device that delivers medicine in small doses (fractions).
3. With a dispenser - a can in which the liquid medicine is under pressure. This spray acts on the principle of any aerosol, and the supply of the medicinal substance is dosed. The downside is the inconvenience of use for asthmatics with sore finger joints and impaired coordination.
4. An adapter is a device that supplements the inhaler, which has the advantage of free delivery of the maximum dose of medication, without the need to regulate the inhalation-exhalation penetration. The downside is the large size.
5. An auto-inhaler is the most convenient device with an automatic delivery of a medication while inhaling.

Powder

This type of inhaler device delivers medication in the form of a dry mixture, the volume of which is dosed automatically or independently regulated:

1. The disc inhaler will automatically deliver powder. Differs in the ability to accurately adjust the number of doses of medication.
2. Turbo inhaler is a pocket medical device (turbuhaler) that delivers powder in small volumes. Differs in the presence of a built-in indicator of the amount of the remaining medication.

With the help of powder devices, bronchial asthma in children is easier to treat. The child is not always able to regulate and coordinate breathing when the medication is given. Powder spacers are the best devices that solve this problem by having a closing valve that blocks the expiration of the drug. The only drawback of such devices is their bulkiness.

Aerosol

Metered liquid devices contain asthma aerosol delivered in a metered volume. They are attractive for their low (compared to powder) price, design reliability, portability, and the ability to use the device as a pocket inhaler. The disadvantage of such a device is the need to synchronize inhalation with the moment of ejection of the medicinal mixture.

A nebulizer (nebulizer) is a liquid apparatus for asthmatics with a severe form of the disease. When spraying, it converts a liquid medicine into a dispersed suspension, provides deep penetration of the drug into the bronchi. Used for inpatient treatment. Modern portable forms of nebulizers are also available for home use, but such treatment with an inhaler is carried out only on the recommendation and with the permission of doctors.

List of asthma inhalers

The contents of inhalers of a particular manufacturer are certain drugs that help to stop an attack of bronchial asthma or are used for long-term treatment. The list of inhalers is constantly changing, some drugs, for example, phenamine benzedrine, are being discontinued, new drugs are being released that have less noticeable side effects.

Separately, devices and drugs are not produced, it is impossible to replace the contents of the device on your own, therefore, when choosing an inhaler, you should pay attention to the names of the active substances. Medicines for asthma are divided into anti-inflammatory drugs, which eliminate the very cause of the disease, and bronchodilators, which relieve asthma attacks.

Hormonal

Hormonal inhalers based on glucocorticoids have an anti-inflammatory effect, relieve mucosal edema under the action of the hormone adrenaline. The course of aerosol inhalations with steroids is prescribed after tablet treatment. Steroid anti-inflammatory drugs enter directly into the respiratory tract, bypass the bloodstream, therefore they have no side effects, do not affect metabolism, but also do not relieve asthma attacks. Examples of hormonal inhalers for asthma:

• flixotide;
• flunisolide;
• budesonide;
• becotide;
• beclomethasone;
• beclomet;
• benacort;
• fluticasone;
• ingacort.

To stop an attack

Respiratory allergy is dangerous with attacks of suffocation, which help to stop bronchodilators of several subspecies:

1. Sympathomimetics (pirburetol, levalbuterol, salbutamol, terbutaline). They expand the lumens of the bronchi by stimulating their receptors.
2. M-cholinergic receptor blockers (atrovent or ipratropium). Relax the bronchi.
3. Methylxanthines (aminophylline, theophylline). They block certain enzymes, relax the muscles of the bronchi.

How to use the inhaler

How to relieve an asthma attack or use an inhaler to treat it? In order not to make mistakes, to quickly stop an attack of suffocation, not to waste the drug in vain, it is necessary to remember the rules for using this convenient and effective "magic wand".

Asthma is a serious disease of the bronchi that threatens the patient's life. It is known that an attack can happen at any, even the most inopportune moment.

An asthma inhaler is a modern tool that allows you to quickly stop the negative manifestations of the disease and alleviate the patient's condition.

This therapy has found wide application in the treatment of patients of any age. There is a wide range of medicines for inhalation use.

One of the main dangers of an asthma attack is the development of a state of asthma of varying severity.

The main symptoms of an incipient attack include:

1. Cough, mainly in the morning or at night.
2. Discharge of clear sputum.
3. Inhalation is short and difficult.
4. The exhalation is longer than the inhalation.
5. Respiratory rhythm change.
6. Wheezing is heard in both lungs.

If the patient is not given timely assistance, symptoms may worsen. Respiratory failure and shortness of breath develop.

An asthma inhaler is the fastest and most effective way to prevent and treat. With its help, the medicine flows directly into the bronchi, which ensures the maximum speed of action.

Several types of devices for inhalation administration of drugs have been developed.

There are stationary and portable devices.

For the treatment of bronchial asthma at home, inhalation through a nebulizer is recommended. This is a stationary device that provides the most efficient drug delivery to the most distant parts of the bronchial tree.

It is used both for stopping seizures and for basic treatment of the disease. The nebulizer is widely used for prophylactic purposes.

For self-help with bronchial asthma on the road, pocket inhalers are well suited. They are easy to carry and use in case of urgent need due to their low weight and compactness.

Types of inhalers by the method of drug delivery

There are many types of inhalers used for bronchial asthma. Most often they are subdivided according to the way the medication is given.

The following types of devices are distinguished:

Spacers

These inhalers consist of a valve system made of plastic or metal. They attach to the medication inhaler itself. The principle of operation is based on the supply of the active substance only during inhalation.

In this case, when the patient exhales, the valve closes and the drug delivery is stopped.

This device allows you to save asthma spray and strictly observe the dosage of the drug prescribed by your doctor. Spacers are good for children who cannot control their breathing cycle.

The main disadvantages of this device include their large enough size, which does not allow the use of the inhaler as a portable one. Most often it is used at home.

Nebulizers

The most efficient inhalation device. It provides a uniform spray of the drug on the surface of the bronchi. Fine particles penetrate even the most distant parts of the respiratory system, ensuring deep distribution of the active substance.

Due to its large size, the nebulizer for asthma is used only at home. That is why this device has not found application in the relief of acute attacks. However, it is effectively used for subsequent treatment, as well as for the prevention of exacerbations of the disease.

According to the principle of operation, nebulizers are divided into compressor and ultrasonic.

Compressor devices are the most popular. With the help of compressed air supplied to a special nozzle, the liquid is converted into an aerosol.

Fine dispersion is achieved by passing through the deflector. The advantages include the ability to use a wide range of medicines.

In ultrasonic nebulizers, an aerosol mixture is created by means of high frequency ultrasonic vibrations. Such devices operate very quietly, which makes them indispensable in pediatric therapy.

Currently, work is underway to reduce the size and weight of nebulizers.

Metered inhalers

A common portable inhaler is an aerosol-type nebulizer. These are balloon devices, inside of which the drug is injected under pressure. When pressed, the substance is sprayed. The drug is delivered in a strict, constant dosage. In addition, these inhalers have a fairly low price, which makes them available to any segment of the population.

The disadvantages include the fact that the application requires special training in breathing techniques. In aerosol inhalers, the medicine enters the body along with the air when inhaled. In addition, some of the drug is deposited in the oral cavity. Then it is swallowed along with saliva and enters the digestive system. When choosing a dose, it is important to take this nuance into account.

Metered-dose powder inhalers should be mentioned separately. With their help, not an aerosol enters the human body, but a dry powder mixture. Ease of use (compared to aerosol inhalers) is an undeniable advantage. It should also be noted the high efficiency due to the fact that the drug enters the bronchi, and does not settle in the oral cavity and pharynx. The disadvantages include a higher price.

Preparations for inhalation use

For each type of inhaler, its own groups of drugs are used. Some are anti-inflammatory. Others contribute to the rapid removal of a suffocating attack by expanding the lumen of the bronchi. There are also medications to treat allergic reactions.

For inhalation, the most popular are Salbutamol and Symbicort. They quickly and effectively relieve asthma symptoms in both adults and children.

In some cases, with asthma, inhalation is carried out using a nebulizer with ordinary mineral water or saline.

Most often, drug-free nebulizer liquid is used for people with individual drug intolerance.

Types of inhalers by purpose

For. This means that the doctor prescribes treatment with the lowest possible doses of the drug. Gradually, the concentration of the active substance increases until all the symptoms of the disease are completely stopped.

For each patient, this dose is individual and depends on the severity of the disease.

Most of the drugs are delivered directly to the focus of the pathology by inhalation.

In the treatment of bronchial asthma, two main approaches are used:

• basic therapy;
• symptomatic (to stop an attack).

Basic therapy is aimed at relieving inflammation and preventing exacerbations of the disease. When prescribed correctly, drugs reduce the frequency and intensity of attacks. If, nevertheless, there was an attack of suffocation, then aerosols prescribed for asthma to relieve symptoms come to the rescue. They have no effect on the cause of the disease, but significantly improve the patient's condition.

For basic therapy

The main goal of basic therapy is continuous control over the course of the disease. Aerosols prescribed for bronchial asthma in this case have an anti-inflammatory effect.

Inhaled drugs are used daily, thereby reducing the frequency and intensity of attacks.

For effective treatment, the doctor prescribes one or more basic drugs from the following list:

1. Inhaled glucocorticoids. This is the basis of basic therapy. They are the most effective medications for asthma. To enhance the effect, it is recommended to use them in combination with non-hormonal drugs. Depending on the form of the active substance, it is possible to administer the drug by inhalation using a nebulizer, as well as a powder dispenser.
2. Cromones. These drugs are recommended for the treatment of children, since their use is accompanied by a minimum number of side effects. The main action of these drugs is aimed at suppressing the body's allergic reaction. The anti-inflammatory effect is weak.

3. Combined funds. As the name implies, such inhalation preparations include several active ingredients.

To relieve an asthma attack

An asthma attack is accompanied by severe suffocation and can be life threatening. That is why the patient must constantly have an inhaler with him that can stop the manifestations of an exacerbation of the disease.

To relieve symptoms of an asthma attack, the following groups of drugs are used:

1. Sympathomimetics. They directly affect the bronchi, providing an expanding and stimulating effect. The most popular are: Levalbuterol, Salbutamol, Terbutaline.
2. Blockers of M-cholinergic receptors. They give a bronchodilatory effect. These include Ipratropium bromide and Atrovent.
3. Methylxanthines. The mechanism of action of these drugs is based on blocking the enzymes that cause bronchospasm.

Asthma attacks do not always start when the patient is at home. Therefore, nebulizers, despite their high efficiency, cannot be classified as first aid devices. Most likely, in such a situation, you will have to use a pocket powder or aerosol device.

Hormonal inhalers have shown good results. They contain drugs based on glucocorticoids and significantly reduce the swelling of the bronchial tissue, improving the patient's condition. This therapy is gentle, since the active substance is practically not absorbed into the bloodstream.

Pocket inhalation technique

Before using the pocket one, it is important to carefully read the rules of use. It is also important to know all possible contraindications and understand the risk of complications and side effects.

The rules for using the inhaler are extremely simple:

1. Remove the protective cap from the can.
2. Before starting use, you need to shake the inhaler well.
3. After taking a deep breath, you need to tightly clasp the mouthpiece with your lips.
4. It is very important to simultaneously press the medication delivery button and inhale the incoming air containing microparticles of the medication.
5. After inhaling, the mouthpiece must be removed from the mouth and hold the breath for at least 10 seconds.
6. After that, you can breathe normally.
7. Before storing the cylinder, it is necessary to wipe the mouthpiece and tightly close the protective cap.

The inhaler should only be used if it effectively relieves the symptoms of an asthmatic attack. If this does not happen, you must immediately contact your doctor to adjust the appointment.

The use of an ineffective drug can not only worsen the patient's condition, but also cause a number of complications.

Contraindications to the procedure

In the treatment and inhalers give good results. But there are a number of contraindications for their use. The main one is the intolerance of the active substance of the inhalation drug. In addition, each medicine has its own limitations for use. They are listed in the instructions supplied with the inhaler.

Inhalation with a nebulizer, like any medical procedure, especially with the use of medications, has a number of contraindications.

Inhalation is unacceptable in the following cases:

• with some diseases of the respiratory system;
• in people with pathology of the cardiovascular system;
• with violations of hematopoiesis;
• with hypertension;
• during the rehabilitation period after a stroke or heart attack;
• during pregnancy, the inhalation procedure itself is not prohibited, but there is a restriction on the use of certain medicines;
• when treating children under 2 years of age.

1. Wait 2 hours after eating.
2. After exercise, at least 2 hours should also pass.
3. Smoking after inhalation is not recommended. Passive smoking is also prohibited.

To avoid possible complications, it is advisable to be under the supervision of a doctor for at least 30 minutes after the procedure.

Finally

Bronchial asthma is a disease that requires constant supportive treatment. There are many types of therapy. Inhalers in this case are the most effective and fast-acting way to improve the patient's condition.

Inhalation is used for supportive care as well as for relief of seizures.

It is important to remember that the treatment regimen must be prescribed by the attending physician. Self-administration of drugs, their replacement, as well as dosage adjustments are unacceptable.

It implies the inclusion in the composition of treatment of an increasing number of drugs, depending on the severity of the disease. A significant part of medicinal substances is injected directly into the respiratory tract using inhalers. The article will discuss which inhalers can be prescribed for bronchial asthma. We also provide a table of trade names and approximate prices for these drugs.

In the treatment of asthma, two fundamentally different directions are used: basic and symptomatic therapy. have an anti-inflammatory effect and are designed to stabilize the course of the disease. With the correct selection, they can get rid of attacks or reduce their number.

If the basic therapy is not effective enough, asthma attacks or. In these cases, medicines that dilate the bronchi come to the rescue. They have no therapeutic effect, but they quickly relieve the manifestations of an attack.

Inhalers used in basic asthma therapy

A metered-dose aerosol inhaler is the simplest device.

For regular use, your doctor may prescribe one or more of the following:

• inhaled glucocorticoids (ICS);
• cromones;
• combined funds that include several components at once.

Another group of drugs for basic therapy - leukotriene receptor antagonists - is available in the form of tablets for oral administration.

Inhaled glucocorticoids - inhalers for bronchial asthma

This is the basis of basic therapy. In most cases, regular use of these drugs is indispensable for asthma.

One of the following ICS is assigned:

Depending on the dosage form, the drug is administered in the form of an aerosol, using (suspension or solution) or special devices (powder).

Cromones

These drugs are safer than ICS. Therefore, they are often used for treatment. However, their main effect is anti-allergic, anti-inflammatory properties are less pronounced.

Aerosols for relieving asthma attacks

In order to quickly stop the arisen, each patient with this disease should always have one of the drugs listed below with them.

Combined inhalers for bronchial asthma

For more convenient treatment of asthma, multicomponent preparations have been created. They contain complexes for basic therapy, to relieve symptoms, and sometimes both groups of drugs at the same time.

Using these tables, you can select analogues of the prescribed drugs and check with your doctor about their effectiveness and safety. Good asthma remedies are not always provided free of charge, so the price / quality ratio is of particular importance. Do not buy these drugs without a doctor's prescription - in which case, they can be deadly.

Inhalers used for asthma help control the course of the disease by protecting the patient from. With their help, the drug is delivered directly to the target organ.

The role of inhalers

After numerous studies, doctors have come to the conclusion that most patients make mistakes during inhalation. Therefore, the effectiveness of the prescribed treatment decreases. To solve the problem, scientists invented inhalers... They are designed to activate the patient's breaths.

The inhaler is presented in the form of a special device, with the help of which the medicinal agent enters the respiratory system for the purpose of carrying out or a therapeutic effect in bronchial asthma.

The principle of operation of such devices is as follows:

• ensuring an accumulation of small particles trapped in the patient's respiratory system;
• transmission of vibrations to the cap using a conductor (gel or moisture that comes in during use);
• under the influence of vibrations, particles of the drug solution are pushed out.

Inhalers - medical and preventive devicesallowing you to breathe air with different medicinal components. With the help of the device, a preliminary transformation of the prepared drug solution in an accumulation of small particles is performed.

Device classification

With regard to the purpose of therapy, devices are classified into the following types:

1. Steam - work on the basis of the evaporation of a solution with a medicine.
2. Ultrasonic - crush the drug into aerosols, which is effective in treating asthma.
3. Compressor - are used for any medicine.
4. Innovative devices - allow you to use a wide range of tools.

The following devices are used for inhalation:

• powder;
• spacers;
• liquid;
• nebulizers.

Powder inhalers

The first group includes devices that ensure the introduction of the required dosage of dry powder into the body. The advantages of such inhalers include efficiency. But their cost is very high.

Overview of powder inhalers:

• single dose DPI - the powder capsule is inside the device. After opening the capsule, the powder is inhaled. The used capsule is discarded and a new capsule is inserted into the device for later use. Albuterol is inhaled using a single-dose device;
• multi-dose DPI - provides dosed delivery of powder, which is previously located in a special container. The device delivers free drug particles and drugs containing lactose as a filler.

Aerosol inhalers

Spacers are metal or plastic chambers that attach to the inhaler. They perform the tasks of a valve: delivering the drug to the lungs during inhalation. If the patient breathes out air, the valve closes.

Spacers simplify the inhalation process, the penetration of medicines deep into the lungs is ensured. The disadvantage of such inhalers is their large size.

Spacers overview:

• Optichamber Diamond - an inhaler equipped with an inhalation valve, which prevents the loss of the drug during exhalation. An audible signal is provided in the spacer to control the optimal inhalation rate of the drug. In the place where the valve is installed, the inhaler can be easily disassembled. This is convenient for cleaning the device. The set includes a small mask for children from the first years of life to one and a half years;
• Diamond with valve chamber - due to the convenient design of the device, therapy for children is facilitated. The medicine used is good.

Metered liquid devices are responsible for releasing a certain amount of aerosol into the body. The advantages of devices include:

• simple use;
• reliable design;
• reasonable price.

But with the help of the inhalers under consideration, the aerosol enters the lungs if there is a synchronicity between the release of the medication and inhalation. If the patient is a child, it is trained before use. The aerosol is heavier than the powder, so it settles in the mouth and is swallowed.

Overview of liquid devices:

• Salbutamol - due to the stimulation of the B2 receptors of the blood vessels, the muscles of the bronchi relax, which has a positive effect on the state of the asthmatic. The effect of the drug is observed for 4-5 minutes after using the inhaler. Its maximum concentration falls on 30 minutes of therapy. The drug is excreted by the kidneys.
• Fenoterol - has a selective effect on the B2 receptors of the bronchi. Against the background of its intake, the efficiency of the cilia of the epithelium of the bronchoalveolar tree increases. The drug begins to act 6 minutes after application, and its maximum concentration is observed after 80 minutes.

Nebulizers are stationary inhalers designed for inhalation at home or in a hospital. With their help, the preparation is sprayed into the smallest fractions., due to which the maximum effect of the treatment is achieved.

A separate group includes portable nebulizers that run on batteries. Due to their high cost, they are rarely used.

Overview of nebulizers:

• UN-233 AND - lightweight, compact, portable device that runs on batteries. The size of aerosol particles is 5 microns;
• OMRON Micro AIR U22 - a portable device designed for cleaning and disinfecting the bronchi. The size of aerosol particles is 4.9 microns.

List of names of inhalers

Inhalers for the treatment of bronchial asthma are prescribed taking into account the composition of the aerosol. The most effective therapeutic devices include:

• glucocorticosteroids - protect against constriction, acting only on the bronchial tree. This does not affect other organs and systems of the body;
• adrenergic agonists - affect only. Such funds are referred to as bronchodilator drugs. With their help, the signs of suffocation are instantly eliminated;
• m-anticholinergics - eliminate bronchospasm.

Hormonal inhalers

A separate group includes hormonal inhalers. They are designed to treat an attack with broad-spectrum glucocorticosteroids. Under the influence of adrenaline, inhalers quickly eliminate inflammation in the body, removing swelling from the mucous membranes.

Steroid inhalations are carried out after oral medication therapy. Hormonal agents act on the respiratory system without entering the bloodstream. During use, the process of metabolism is preserved. Effective hormonal inhalers include:

• Flixotide - carried out by systemic absorption through the respiratory system. At first, this process proceeds quickly, then - for a long time. The residual dosage of the medicine can be swallowed in the mouth. It is used for exacerbation of asthma.
• Beclomet - is included in bronchial asthma. The inflammation decreases with a decrease in the level of chemotaxis. After the use of Beclomet, the number of active beta-adrenergic receptors increases, and the frequency of bronchodilator use decreases.

Asthma inhaler names

The following devices are more commonly used for asthma:

1. Symbicort.
2. Salbutamol.
3. Budesonide.

Symbicort is a dry powder inhaler that is used to relieve asthma attacks. Its advantages include:

• the presence of a braille code on the dispenser;
• the presence of a dosing indicator;
• device rotation;
• the ability to use children over 6 years old.

Symbicort Turbuhaler - a combination drug used for maintenance therapy in asthma. The device is not used for initial therapy of asthma in case of episodic and persistent disease.

Inhaler Salbutamol promotes the expansion of the bronchi, selectively affecting the b2-adrenergic receptors of the muscles of the bronchi... Against the background of such an effect, bronchospasm is removed. Other advantages of the device include the provision of a quick bronchodilator effect, which lasts for 6 hours.

With the help of Salbutamol, bronchospasm can be prevented in various lung diseases, including asthma. For this the inhaler is used before possible contact with the allergen or before physical activity in order to prevent the onset of an attack. The disadvantages of Salbutamol include a high probability of developing severe hypokalemia, collapse, tremor, seizures.

Inhaler Budesonide is used topically, providing antiallergic, anti-inflammatory and immunosuppressive effects. With its help, the process of release of arachidic acid is inhibited, under the influence of which the synthesis of metabolic products is inhibited.

With the help of Budesonide, the accumulation of neutrophils is prevented, inflammatory exudation decreases, and the severity of granulation decreases. To other advantages of the device, doctors include:

• an increase in the number of "active" beta-adrenergic receptors;
• restoration of the patient's response to bronchodilators;
• decrease in the frequency of attack and edema of the bronchial mucosa;
• providing a fungicidal effect.

Budesonide is well tolerated by patients with long-term therapy. He has no ISS activity. But it will take a week to have a therapeutic effect. Inhaler Budesonite prevents an asthma attack, while acute bronchospasm does not decrease. During treatment, the patient may complain of dry mouth and. Rarely worried about nausea, migraine.

How to use the inhaler?

There are certain rules for using the inhaler:

• rinsing the mouth;
• opening the can with the index finger. In this case, the thumb is placed under the bottom of the device;
• removing the cover;
• shaking the can;
• exhalation;
• the mouthpiece is wrapped around the lips;
• entrance with simultaneous pushing up of the spray can;
• pulling the device out of the mouth.

After manipulation you cannot breathe for 5-10 seconds. Then the patient exhales and the can is closed. The effect of inhalers used to eliminate an asthmatic attack:

• anti-inflammatory - devices with such an effect eliminate the cause of the disease;
• bronchodilator - devices relieve acute suffocation.

If allergies are accompanied by suffocation, several types of bronchodilators are used to alleviate the patient's condition:

• sympathomimetics (Levalbuterol) - play the role of a stimulating function;
• MX blockers (Atrovent) - relax the bronchi;
• Methylxanthines (Aminophylline) - block specific enzymes, relaxing the muscles of the bronchi.

Since it is impossible to replace the medicine in the inhaler, the device is bought after consulting a doctor. Bronchial asthma is a serious illness, which can be provoked by various allergens and stress.

Modern medicine has made great strides in the treatment of asthma. Medical supplies provide positive impact, allowing you to control the attack and the disease itself. The action of such funds begins at the moment they enter the respiratory tract, that is, immediately after using the inhaler.

With bronchial asthma, it is necessary to clean the lungs, and inhalers, especially ultrasound devices, have proven themselves better than other means. They quickly cleanse the bronchial tree.

Inhalers for the treatment of bronchial asthma are available in different types and forms. They stop an attack of suffocation, prevent its occurrence when exposed to negative factors. They are produced in the form of cans with special nozzles that ensure the maximum penetration of active components into the lungs and bronchi. Inside are medicines in liquid, powder form. The mechanism of drug administration is the same for all types of inhalers for bronchial asthma.

Drugs for treatment, elimination of seizures

Some medicines work quickly, others gradually. The effect appears after a few days, or even weeks.

With this diagnosis, the following types of drugs are prescribed for nebulizer therapy:

The list of drugs is quite large. Medicines are selected individually for each patient... The choice depends on the severity of the disease, age, individual characteristics of the organism. Mesh nebulizers, ultrasonic and compressor devices are used to administer large doses of medicines.

Inhalation for bronchial asthma for quick relief of attacks is carried out using metered-dose inhalers. They are produced in the form of spray cans. They are compact in size. Easily fit into your purse, pocket. There are non-hormonal inhalers, the action of which is aimed at relieving bronchospasm, improving breathing, hormonal ones - to ensure stable remission. Used at home.

Types of inhalers for bronchial asthma

Each nebulizer has certain advantages and disadvantages. There are no perfect products.

Inhalation aerosols

Inside the can is a liquid medicine. When you press the bottle, a certain dose of active substances enters the respiratory tract, providing a quick therapeutic effect. These are the most common devices. They are distinguished by an affordable price, compact size. Of the shortcomings, it is noted that it enters the digestive tract, since some of the drugs settle in the oral cavity, with saliva enters the stomach.

Powder

Inside the bottle there is a preparation in the form of a powder. When you press the cartridge, the active ingredients in a certain dosage enter the respiratory tract. The likelihood of developing side effects is reduced. The drug in the maximum amount enters the respiratory organs, bypassing the digestive tract. Among the shortcomings, the high cost is noted.

Hormonal

Available in liquid, powder form. Not used to relieve asthma attacks. Medication is designed to reduce the number of relapses. They act gradually. The effect can be seen at least after 10-14 days of daily use. The duration of the course is determined by the doctor. Continuous use for up to 6 months is possible.

Hormonal inhalers for the treatment of bronchial asthma in large doses are administered using compressor nebulizers. The procedure is carried out at home. A solution for a nebulizer for bronchial asthma is made immediately before breathing procedures. The medicine loses its properties within 30 minutes. The prepared solution is not intended for storage. Medicines stop the inflammatory process, relieve swelling, strengthen the immune system, and reduce the effect of histamines. Hormonal agents are combined with bronchodilators, antispasmodics.

Hormonal drugs, antibiotics are administered using compressor devices. It is allowed to use mesh nebulizers, ultrasonic devices only in some cases. If they are filled with bronchodilators, mucolytics.

Nebulizer therapy is carried out with hormonal, non-hormonal agents. The duration of the procedure for children is on average 5 minutes, for adults - 10 minutes. It is used when it is necessary to administer large doses of drugs.

Rules for using the inhaler for bronchial asthma

To carry out inhalation using a nebulizer, it is necessary to pour the prescribed dose of medication into the chamber, take a comfortable sitting position, take a mouthpiece in your mouth, and clasp it tightly with your lips. The breathing procedure is carried out until the solution disappears in the chamber.

How to use the inhaler for bronchial asthma, the specialist making the appointment should tell. The procedure is extremely simple, but it requires certain skills, so it is not always possible to do everything right at once.

Algorithm of actions

1. shake the can, turn it upside down;
2. exhale;
3. insert the mouthpiece into your mouth, wrap your lips tightly;
4. press the can to release a dose of medication;
5. take a simultaneous breath;
6. hold the medicine for a couple of seconds;
7. exhale through the nose;
8. if necessary, repeat the procedure within 5 minutes.

If inhalation for bronchial asthma is given to a child, it is recommended to use a special nozzle. The spacer is called. Put on the mouthpiece, holds the dose of the drug inside until the person takes a deep breath. The attachment is also suitable for adults. It is not always possible to control inhalation and exhalation well with severe attacks. With a spacer, you can inhale the medication at the moment when the person is ready.

Inhaled drugs

They are selected individually. The procedure is done at home, in places where the next attack will overtake. Medicine for inhalation for bronchial asthma eliminates the next attack, prevents its occurrence, reduces the number of relapses. What drug to use should be determined by a specialist. The appointment depends on the severity of the disease.

Inhalation with a nebulizer for bronchial asthma is done using:

• Salbutamol;
• Ipratropium Bromide;
• Berodual.

The prescribed amount of the drug is poured into the bowl of the nebulizer for the treatment of bronchial asthma, and saline is added. The maximum amount of the finished solution should not exceed 5 ml. It is recommended to inhale the medicine through the mouth using a mouthpiece. After the procedure, you should rinse your mouth with a soda solution. This procedure is done to reduce side effects. When hormonal agents are inhaled, stomatitis develops, a sore throat appears.

Metered-dose aerosol inhalers:

• Easy breath;
• Autohaler;
• Respimat.

Powder: capsule, blister, reservoir:

• Spinkhaler;
• Cyclohaler;
• Rothaler;
• Aerolizer;
• HandiHaler;
• Turbu-Haler;
• Easyhailer;
• Novolizer;
• Multidisk.

A nebulizer for bronchial asthma should be available for every patient.

Soda inhalation

Baking soda acts as an antiseptic, mucolytic. When it enters the respiratory tract, it destroys microbes, moisturizes the mucous membrane, stimulates the outflow of mucus, and stops an asthmatic attack. Inhalation can be done through steam devices, nebulizers. In the first case, 1 teaspoon of soda is added to 1 liter of boiled warm water. Inhale the vapors for 10 minutes, covering the head with a towel.

When using a compressor apparatus, a ready-made pharmaceutical solution is recommended - soda-buffer. One ampoule contains 3-5 ml. Breathing is allowed to eliminate an attack, prophylaxis under the influence of negative factors. Inhalation procedures are carried out three times a day for 10 minutes.

Inhalers for bronchial asthma: names and prices

There are medicines on sale with the same active substance, at different prices. Usually, domestic drugs are always cheaper... However, the issue of replacing one agent with another should be discussed with a specialist.

The list can be continued endlessly. The prices for metered-dose inhalers are quite high. The can contains from 50 to 200 doses. The shelf life of the medicine is 2 years from the date of manufacture, 1 year - after the first use. Store in a dry place away from direct sunlight.