Guidelines : Asthma
Detail
Committee Recommendations
Duplicate prescribing of inhalers that contain the same medicine is a commonly reported medicines safety incident when a patient’s inhalers are changed. The “Know your inhalers” diagram shows practice staff the class of medicine in commonly prescribed inhalers and will help to identify if there is potential for a duplicate inhaler prescribing error.
The updated Primary Care Asthma Management Guidelines were approved by the APC.
The use of High Dose Inhaled Corticosteroid (ICS) Safety Cards are recommended where appropriate. Patients on very high doses should also be issued with a Steroid Emergency Card. Refer to the Steroid Card resources for guidance.
Spacer devices are recommended for use with Metered Dose Inhalation (MDI) devices.
Branded prescribing of corticosteroid inhalers is recommended following the increase in the range of inhaler devices now available. Patients should be prescribed an inhaler that meets their individual needs - where there is more than one option available, the brand with the lowest acquisition cost is recommended.
Patient education videos and instruction leaflets on the correct use of their inhaler devices can be found on PAD - search for the device by BRAND or select the device from the list of Drugs on the right of the screen. The full list of available videos and leaflets can be found here https://surreyccg.res-systems.net/pad/PatientResources?conditionid=263
Documents
Supplementary documents (CCG specific documents)
No records returned.
Drugs
Below are listed drugs that are used to treat Asthma.
- Aerivio Spiromax (Fluticasone/Salmeterol) DPI Black
- Airflusal (Salmeterol/Fluticasone) MDI Green (see narrative)
- Airflusal Forspiro (Fluticasone/Salmeterol) DPI Black
- Airomir Autohaler (salbutamol MDI) Do not initiate in new patients
- Aloflute (Salmeterol/Fluticasone) Green (see narrative)
- Aminophylline Red
- Asmanex (Mometasone furoate) DPI Do not initiate in new patients
- Atectura Breezhaler (Indacterol/Mometasone) dry powder in capsules
- Benralizumab Red
- Bricanyl Turbohaler (terbutaline) DPI Green (see narrative)
- Budelin Novolizer (budesonide) DPI Green (see narrative)
- Budesonide nebules Blue
- Clenil Modulite (beclometasone) MDI Green (see narrative)
- Combisal (Fluticasone / salmeterol) MDI Green
- DuoResp Spiromax (Budesonide and formoterol) DPI Green (see narrative)
- Dupilumab Red
- Easyhaler Beclometasone DPI Green (see narrative)
- Easyhaler Budesonide (DPI) Green (see narrative)
- Enerzair Breezhaler (Indacaterol/Mometasone/Glycopyrronium) dry powder in capsules
- Flixotide (Fluticasone) Do not initiate in new patients
- Flutiform (Fluticasone and formoterol) MDI Green (see narrative)
- Flutiform K-haler (Fluticasone/Formoterol) BA MDI Black
- Fobumix Easyhaler (budesonide and formoterol) DPI Green (see narrative)
- Fostair (Beclometasone and formoterol) MDI Green
- Fostair NEXThaler (beclometasone and formoterol) DPI Green
- Fusacomb Easyhaler (Fluticasone and salmeterol) DPI Green (see narrative)
- Kelhale (beclometasone) MDI Non Formulary
- Lebrikizumab Red
- Magnesium Red
- Mepolizumab Red
- Montelukast Green
- Omalizumab Red
- Pulmicort Turbohaler (budesonide) DPI Green (see narrative)
- Qvar (beclometasone) MDI Green (see narrative)
- Qvar Autohaler (beclometasone) breath activated MDI Do not initiate in new patients
- Qvar Easi-Breathe (beclometasone) breath actuated Green (see narrative)
- Relvar Ellipta (Fluticasone and vilanterol) DPI Green (see narrative)
- Reslizumab Red
- Salbutamol DPI Green (see narrative)
- Salbutamol INJECTION Red
- Salbutamol MDI Green (see narrative)
- Sereflo (Salmeterol/Fluticasone) MDI Green (see narrative)
- Seretide Accuhaler (Fluticasone and salmeterol) DPI Green (see narrative)
- Seretide Evohaler (Fluticasone and salmeterol) - MDI Green (see narrative)
- Sirdupla (Salmeterol/Fluticasone) MDI Green (see narrative)
- Soprobec (beclometasone) MDI Non Formulary
- Spiriva Respimat (Tiotropium bromide) Soft mist inhaler Green (see narrative)
- Symbicort Turbohaler (budesonide and formoterol) DPI Green (see narrative)
- Terbutaline sulfate Red
- Theophylline See narrative
- Tralokinumab Red
- Trimbow 172/5/9 (formoterol/beclometasone/glycopyrronium) MDI
- Trimbow 87/5/9 (formoterol/beclometasone/glycopyrronium) MDI
- Ventolin Accuhaler (salbutamol DPI) Green
- WockAIR (Budesonide and formoterol) DPI See narrative