This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

NICE guidance - inhaler devices for routine treatment of chronic asthma in older children (5-15 years)

Authoring team

Summary points from NICE guidance include:

When choosing inhaler devices for individual children with chronic asthma, in addition to therapeutic need, the following factors should be taken into account:

  • the child's ability to develop and maintain an effective technique
  • suitability of a device for a child's and carer's lifestyles, considering factors such as convenience and portability
  • the child's preference and willingness to use a specific device

While considering the above general guidance, the following specific guidance points were included:

  • the first-line choice for delivery of inhaled corticosteroids as the part of regular planned daily therapy is a press-and-breathe metered dose inhaler (pMDI) and suitable spacer device.(note that where clinicians believe that an individual child's adherence to the press-and-breathe pMDI and spacer combination is likely to so poor so as to undermine effective control of a child's asthma, then alternative devices should be considered)
  • in the case of other inhaled drugs, primarily bronchodilators, NICE recommend that a wider range of devices be considered to take account of their more frequent spontaneous use, the greater need for portability, and the clear feedback that symptom response provides to the device user

On NICE review (2) it has been decided that the original guidance has become static (i.e. the guidance remains valid, but does not require a scheduled review).

Reference:

  1. NICE (March 2002). Inhaler devices for routine treatment of chronic asthma in older children (aged 5-15 years). www.nice.org.uk
  2. NICE Review Decision (August 2005).Inhaler devices for routine treatment of chronic asthma in older children (aged 5-15 years). www.nice.org.uk

Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.