What inhaler devices are currently used to deliver inhaled corticosteroids (ICSs) for pediatric asthma?

Updated: Jan 08, 2019
  • Author: Girish D Sharma, MD, FCCP, FAAP; Chief Editor: Kenan Haver, MD  more...
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Answer

In pediatric asthma, inhaled treatment is the cornerstone of asthma management. Inhaler devices currently used to deliver inhaled corticosteroids (ICSs) fall into the following 4 categories:

  • Pressurized metered dose inhaler (pMDI) - Propellant used to dispense steroid when canister is pressed manually

  • Dry powder inhaler (DPI) - Does not require hand-breath coordination to operate

  • Breath-actuated pMDI - Propellant used to dispense steroid when patient inhales

  • Nebulized solution devices

Go to Use of Metered Dose Inhalers, Spacers, and Nebulizers for complete information on this topic.

In pediatric patients, the inhaler device must be chosen on the basis of age, cost, safety, convenience, and efficacy of drug delivery. [4]


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