Health Questions: Inhaled Medication

A clear reminder of the recommended order to optimize the effectiveness of inhaled treatments and medications for people living with cystic fibrosis, from bronchodilators to antibiotics.

November 5, 2018

Health Questions: Inhaled Medication

INHALED MEDICATION

Q: What is the recommended order of taking inhaled medications and treatments?

A: Although there is still no clear consensus on the order in which inhaled medications should be taken, it is still recommended to do so as follows:

1. Bronchodilator (opening of the bronchi), e.g.: Ventolin®, Bricanyl®

2. Mucolytic (liquefaction of secretions), e.g.: Pulmozyme®, hypertonic saline

3. Respiratory physiotherapy (mobilization of secretions), e.g.: PEP, clapping

4. Other inhaled medications (anti-inflammatory or long-acting bronchodilator), e.g.: Pulmicort®, Oxeze®, Symbicort®

5. Inhaled antibiotics, e.g.: TOBI®, Cayston®, ColyMycin®

Dr Michel Ruel

Joanie Bernier Inf., B.SC

Cystic Fibrosis Clinic at the McGill University Health Center (MUHC)

Montreal (Quebec) Canada

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