HealthInfo Waitaha Canterbury
Inhalers
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People with lung problems like asthma, COPD and bronchiectasis are usually given inhalers as part of their treatment plan.
How to use an inhaler
These videos from the National Asthma Council of Australia show the right way to use several types of inhalers.
You can use many types of inhaler on their own or with a spacer that makes breathing in the medicine easier. Newer inhalers are often designed to be easy to use without a spacer.
A spacer is a plastic device that you use with an inhaler. Spacers help to deliver significantly more medicine into your lungs than using an inhaler alone. Everyone can benefit from using a spacer, not just tamariki (children).
Tamariki who are too young to use a mouthpiece use a small volume spacer with a mask.
See Using a spacer for instructions.
Types of inhalers
There are many different types of inhalers.
As well as containing different medicines, different inhalers have different ways of delivering the medicine to your lungs.
The best inhaler for you will depend on the type and severity of your lung condition and which sort of inhaler you find easiest to use.
For information about your inhaler, follow the links in the following section. Or look up the medication in Medication factsheets.
Single inhaler therapy or anti-inflammatory reliever therapy (AIR) for asthma
People used to have a reliever (blue) inhaler to use when they felt wheezy or short of breath. We now know that a combination inhaler is a better way of treating asthma. Combination inhalers contain a steroid preventer and a long-acting reliever.
The steroid part of the inhaler works by reducing the inflammation in your airways so they do not react to triggers.
The reliever part works quickly to relax the small muscles in your airways, opening them up.
You can use this inhaler every day, both as a preventer and when you need quick relief if you feel wheezy or short of breath.
Examples of inhalers that can be used in this way are Symbicort, Vannair and Duoresp Spiromax. These all contain the medications budesonide and formoterol.
Short-acting relievers
A reliever inhaler contains a medication called a bronchodilator. This relaxes the muscles in your airways. This opens them up to allow more air to flow. You usually use them when you feel wheezy or short of breath. You can also use a reliever inhaler before exercising to prevent wheezing. Examples of short-acting relievers include salbutamol (Ventolin), ipratropium bromide (Atrovent), and terbutaline (Bricanyl).
If you need to use your reliever inhaler often (most days or several times a day once or twice a week), it is important that you see your doctor to look at other treatments. You should always have your reliever inhaler with you in case of an asthma attack or COPD flare-up.
Inhaled steroid preventers
Inhaled steroid preventers reduce the inflammation in your airways and make an asthma attack less likely to happen. They are also sometimes used with COPD.
You usually take inhaled steroids preventers once or twice every day. Examples of inhaled steroid preventers include beclometasone (Beclazone or Qvar) and fluticasone (Flixotide).
Combination preventer inhalers
Combination inhalers contain a long-acting reliever and an inhaled steroid preventer. You need to use this inhaler every day. Examples of these medications include budesonide and formoterol (Symbicort or Vannair), fluticasone and salmeterol (Seretide or Rexair), and fluticasone and vilanterol (Breo).
Some of these inhalers can be used for asthma as both a reliever and preventer (AIR or single inhaler therapy).
Long-acting relievers
Long-acting relievers help to keep your airways in a relaxed open state.
There are 2 main types of long-acting relievers:
- long-acting beta agonists (LABA) such as salmeterol
- long-acting muscarinic bronchodilators (LAMA) such as tiotropium.
There are also some inhalers that combine these two types. These are known as LAMA/LABA inhalers.
HealthInfo recommends the following videos
- National Asthma Council of Australia – Using your inhaler
These videos show how to use several different types of inhalers and how to use a spacer.
- Health Literacy & Chronic Disease Management – Inhaler technique videos
This YouTube playlist has videos of inhaler techniques for several different types of inhalers. It has videos in English, Farsi, Korean, Mandarin, Cantonese and Filipino.
HealthInfo recommends the following pages
- Asthma and Respiratory Foundation – Asthma medication
This page has information about inhalers. It includes a video showing tamariki how to use their own inhaler.
Written by HealthInfo clinical advisers. Last reviewed October 2024.
SourcesReview key: HIASA-39947
