Selection in the diversity of inhalers: A pocket upgrade

Abstract

Today, the administration of inhaled medications represents the route of choice for applying drugs aimed at respiratory disorders. For the correct application of inhaled drug treatment, the proper selection of the device for each patient is essential, as well as the review of the administration technique. There are different considerations that must be taken into account to ensure that the inhaled therapy is optimal; To know in depth the available devices, their peculiarities and administration technique, as well as to take into account the clinical characteristics, comorbidities, age, inhalation capacity of the patient. There are inhales that require a high inspiratory flow to perform a rapid and deep inhalation, there are others where a slow and constant inhalation must be performed since they do not require a high flow. The goal of this narrative is to review the different inhalers currently available, with the presentation of the types of devices, doses and trade names in our country to facilitate daily practice when prescribing them. In the same way, it reminds the pulmonologist of the importance of knowing the characteristics of each one; and the importance of understanding the needs and capacities of the patient to be able to correctly choose the ideal device.