Medway Community Healthcare Medway NHS Trust Foundation Trust
Medway Clinical Commissioning Group Swale Clinical Commissioning Group

3.1.4 Corticosteroids (inhaled)

Prescribe inhalers by brand names to ensure that the correct device is dispensed to the patient.

Issue a steroid treatment card to people who are using prolonged high doses (more than 1000 micrograms beclomethasone per day, or equivalent) of inhaled corticosteroids (ICS). Also consider the use of a spacer with medium-high dose inhaled ICS (via a metered dose inhaler) for those patients at risk of developing oral candidiasis.

Note: Beclometasone inhalers should be only prescibed by brand. Qvar 100mcg per metered dose is equivalent to 200-250mcg of other Beclometasone inhalers.

                                      For instruction / demonstration on using an                                                           Easi-Breathe inhaler       OR         Pressurised Metered Dose Inhaler (pMDI)         Click Here

Pack
200 dose
Pack
200 dose
Pack
200 dose
Pack
200 dose
Pack
200 dose
Pack
200 dose
Pack
200 dose
Pack
200 dose

                                                For instruction / demonstration on using a                                                   Pressurised Metered Dose Inhaler (pMDI)     OR     NEXThaler     Click Here

Pack
120 dose
Pack
120 dose
Pack
120 dose
Pack
120 dose

Trimbow is now licensed for the treatment of asthma, but this should be specialist initiation only.

Trimbow remains available for primary care initiation for the treatment of COPD

Trimbow Nexthaler for the treatment of COPD

                                      For instruction / demonstration on using a                                                                         Pressurised Metered Dose Inhaler (pMDI)  OR     NEXThaler  Click Here

Pack
120 dose

For the Treatment Of COPD

Pack
120 dose

                                       For instruction / demonstration on using a                                                                                                Turbohaler    OR    Easyhaler    OR   Novolizer    Click Here

Pack
200 dose
Pack
100 dose
200 dose
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100 dose
200 dose
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100 dose
50 dose
Pack
20 unit dose

              For instruction / demonstration on using a                                                                                    Pressurised Metered Dose Inhaler (pMDI)     OR     Accuhaler     Click Here

Pack
120 dose
Pack
120 dose
Pack
120 dose
Pack
60 dose
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60 dose
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60 dose
Pack
60 dose

                                  For instruction / demonstration on using a                                                                        Pressurised Metered Dose Inhaler (pMDI)   OR   Accuhaler   OR   Forspiro Inhaler                                                                                               Click Here

Pack
120 dose
Pack
120 dose
Pack
120 dose
Pack
60 dose
Pack
60 dose
Pack
60 dose
Pack
120 dose
Pack
120 dose
Pack
60 dose
Use in COPD - 92/22mcg inhaler only
Use in Asthma - both strengths for initiation in patients with persistent poorly controlled asthma i.e. step 4 stage of BTS Asthma guidelines
IMPORTANT INFORMATION
Once the foil pack is opened and the desiccant removed, the product has a relatively short in-use shelf life of 6 weeks.
Patients should be counselled on the following issues:
  • Relvar ® is a preventative inhaler NOT a reliever inhaler, to be used ONCE daily
  • Relvar ® has a short in-use shelf life of 6 weeks (especially patients who keep more than one opened device in different locations)
  • Relvar ® is the brand name of the drug, Ellipta ® is the device name.

For instruction / demonstration on using an   Ellipta inhaler   Click Here

Pack
30 dose
Pack
30 dose

For the Treatment Of COPD

For instruction / demonstration on using a   Pressurised Metered Dose Inhaler  (pMDI)                    Click Here

Pack
120 dose

For specialist initiation for asthma patients ONLY

For instruction / demonstration on using a Breezhaler  Click Here

Pack
30 capsule (3 x 10 capsules + 1 sensor)
30 capsule (3 x 10 capsules)
  • First Line Choice
  • On Formulary
  • Specialist Initiation Only
  • Hospital Only
  • KMPT Initiation Only
  •