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Respiratory Leaders Urge Medical Community to Educate Patients Transitioning CFC to HFA Inhalers
Date:11/10/2008

dent and founder of AANMA. "Patients and physicians need to know that inhalers are changing, these changes are mandatory, and there are important decisions to make about treatment options that require thoughtful consideration of the patient's medical history and current respiratory health status."

Both ACAAI and AANMA urge patients and physicians to be aware that the new HFA propelled inhalers are different than what most patients may be used to, and, as such, education is required. Some differences include:

-- Since there are only branded products available, prescriptions and

patient instructions should be appropriate to each product.

-- The propelled spray (plume) with HFA propelled inhalers is softer than

CFC propellants and patients need to be reassured that they will be

receiving the correct dose of active ingredient.

-- HFA MDIs have different cleaning requirements. HFA MDIs need to be

cleaned more frequently than CFC MDIs. The HFA medication tends to clog

the exit port of the plastic actuator more quickly than CFCs. This

prevents medication from reaching patient's airways, which may

explain why patients sometimes report HFA inhalers aren't working.

-- HFA MDIs have different priming requirements. Priming (spraying multiple

doses into the air) loads the correct dose of medication inside the

inhaler. Each HFA inhaler has different priming instructions - how many

sprays are needed and exactly when the medication requires priming -

which can be quite different from CFC priming.

-- There may be price differences among the branded HFA products and they

will cost more than the soon to be discontinued CFC products, which

included some generic choices.

"As CFC inhalers are phased out, patients must be prepared for changes to their usual medications," said Dennis Spangler, MD, Atlanta A
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SOURCE Allergy and Asthma Network/Mothers of Asthmatics
Copyright©2008 PR Newswire.
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