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COPD INHALER PRESCRIBING GUIDELINE

copd INHALER PRESCRIBING GUIDELINE Developed by the Formulary Subgroup of the Gloucestershire Respiratory Clinical Programme Group Review date: April 2022 Page 1 of 4 Offer SABA (or SAMA if SABA intolerant) to use as needed DPI option: Easyhaler salbutamol 200mcg - ONE dose when required MDI options: Salbutamol MDI 100mcg - TWO puffs when required (prescribe small volume INHALER Salamol brand) Ipratropium bromide 20mcg - TWO puffs when required up to four times daily (SAMA) If patient symptomatic and needing SABA every day or has exacerbations.

Check inhaler technique at every review and before treatment escalation. Use combination inhaler where appropriate. See information on greener inhaler prescribing on page 2. Smoking cessation - offer treatment and support to stop smoking DPI: Dry Powder Inhaler Offer pneumococcal and influenza vaccinations

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