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A dry-powder inhaler (DPI) is a device that delivers medication to the lungs in the form of a dry powder. DPIs are commonly used to treat respiratory diseases such as asthma, bronchitis, emphysema and COPD although DPIs (such as inhalable insulin) have also been used in the treatment of diabetes mellitus. [1]
Low-dose inhaled corticosteroids and formoterol maintenance therapy; Step 4: Daily symptoms, or waking with asthma once a week or more, and low lung function . Medium dose inhaled corticosteroids and formoterol maintenance therapy; Short-course oral corticosteroids when required in severely uncontrolled asthma
There is tentative evidence that typical doses of inhaled steroids and LABAs are safe in pregnancy. [9] Both formoterol and budesonide are excreted in breast-milk. [1] Budesonide/formoterol was approved for medical use in the United States in 2006. [2] [10] It is on the World Health Organization's List of Essential Medicines.
Fluticasone propionate, sold under the brand names Flovent and Flonase among others, is a glucocorticoid steroid medication. [8] When inhaled it is used for the long term management of asthma and COPD. [8] In the nose it is used for hay fever and nasal polyps. [9] [10] It can also be used for mouth ulcers. [11] It works by decreasing inflammation.
There were no asthma-related deaths and few asthma-related serious adverse events when salmeterol is used with an inhaled steroid. [5] [6] At least with formoterol, an increased risk appears to be present even when steroids are used [7] and this risk has not been ruled out for salmeterol. [8]
Inhalers: Fluticasone furoate is commonly available in the form of a dry powder inhaler (DPI) for inhalation. This inhaler is used for the maintenance treatment of asthma in patients aged 12 years and older. It delivers the medication directly to the lungs, where it acts to reduce inflammation and improve asthma symptoms. [15]
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