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Budesonide/formoterol, sold under the brand name Symbicort among others, is a fixed-dose combination medication used in the management of asthma or chronic obstructive pulmonary disease (COPD). [2] It contains budesonide , a steroid ; and formoterol , a long-acting β 2 -agonist (LABA). [ 2 ]
A spacer is a device designed to make an asthma inhaler easier to use. ... ️ If you need to give another dose, wait 30 seconds, shake the inhaler again then repeat steps 4 to 7.
Bear in mind, however, that this number does not apply to children, and that it can differ depending on the patient's native result; small patient's with pulmonary fibrosis, restrictive lung disease etc. will have a measurably lower FEV1 than healthy average-sized adults. This can give a false positive result of the test.
Spacers slow down the speed of the aerosol coming from the inhaler, meaning that less of the asthma drug impacts on the back of the mouth and somewhat more may get into the lungs. [ 2 ] [ 4 ] In the case of corticosteroids , less residue in the mouth reduces the risk of developing oral candidiasis , a yeast infection.
Recent evidence shows that nebulizers are no more effective than metered-dose inhalers (MDIs) with spacers. [5] An MDI with a spacer may offer advantages to children who have acute asthma. [ 3 ] [ 6 ] [ 5 ] Those findings refer specifically to the treatment of asthma and not to the efficacy of nebulisers generally, as for COPD for example. [ 5 ]
The definition of a COPD exacerbation is commonly described as "lost in translation", [9] meaning that there is no universally accepted standard with regard to defining an acute exacerbation of COPD. Many organizations consider it a priority to create such a standard, as it would be a major step forward in the diagnosis and quality of treatment ...