Evaluation of Different Doses in Inhaled Therapy: A Comprehensive Analysis

Background. Currently, there is a considerable degree of confusion over the dosage of inhaled medications. Here, we carried out a review of all the doses used for the devices used in inhalation therapy. Methods. We first performed a systematic search of the different inhalation devices included on t...

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Main Authors: José Luis Lopez-Campos, Rocio Reinoso-Arija, Marta Ferrer Galván, Auxiliadora Romero Falcón, Francisco J. Alvarez-Gutiérrez, Francisco Ortega-Ruiz, Esther Quintana-Gallego
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/15/9/2206
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author José Luis Lopez-Campos
Rocio Reinoso-Arija
Marta Ferrer Galván
Auxiliadora Romero Falcón
Francisco J. Alvarez-Gutiérrez
Francisco Ortega-Ruiz
Esther Quintana-Gallego
author_facet José Luis Lopez-Campos
Rocio Reinoso-Arija
Marta Ferrer Galván
Auxiliadora Romero Falcón
Francisco J. Alvarez-Gutiérrez
Francisco Ortega-Ruiz
Esther Quintana-Gallego
author_sort José Luis Lopez-Campos
collection DOAJ
description Background. Currently, there is a considerable degree of confusion over the dosage of inhaled medications. Here, we carried out a review of all the doses used for the devices used in inhalation therapy. Methods. We first performed a systematic search of the different inhalation devices included on the July 2023 Spanish Ministry of Health Billing List. We then consulted the Spanish Agency for Medicines and Health Products to find the updated official label and to obtain the information on the exact composition. Results. We identified 90 unique products, of which 22 were long-acting bronchodilators (and combinations thereof) and 68 were products containing inhaled corticosteroids (ICS). Overall, 10 products with bronchodilators and 40 with ICS were marketed with the metered dose, while 11 with bronchodilators and 28 with ICS were marketed with the delivered dose. In addition, in some bronchodilators, the drug was referred to as a type of salt, whereas in others the information referred to the drug itself. Conclusions. Our data show that for each inhaled drug there may be up to four different doses and that the marketed name may refer to any of these. Clinicians must be aware of these different dosages when prescribing inhaled medications.
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spelling doaj.art-1b3357db61ae430c8f50bf6e052dd45a2023-11-19T12:26:28ZengMDPI AGPharmaceutics1999-49232023-08-01159220610.3390/pharmaceutics15092206Evaluation of Different Doses in Inhaled Therapy: A Comprehensive AnalysisJosé Luis Lopez-Campos0Rocio Reinoso-Arija1Marta Ferrer Galván2Auxiliadora Romero Falcón3Francisco J. Alvarez-Gutiérrez4Francisco Ortega-Ruiz5Esther Quintana-Gallego6Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla, IBiS, Hospital Universitario Virgen del Rocío, CSIC, Universidad de Sevilla, 41013 Seville, SpainUnidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla, IBiS, Hospital Universitario Virgen del Rocío, CSIC, Universidad de Sevilla, 41013 Seville, SpainUnidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla, IBiS, Hospital Universitario Virgen del Rocío, CSIC, Universidad de Sevilla, 41013 Seville, SpainUnidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla, IBiS, Hospital Universitario Virgen del Rocío, CSIC, Universidad de Sevilla, 41013 Seville, SpainUnidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla, IBiS, Hospital Universitario Virgen del Rocío, CSIC, Universidad de Sevilla, 41013 Seville, SpainUnidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla, IBiS, Hospital Universitario Virgen del Rocío, CSIC, Universidad de Sevilla, 41013 Seville, SpainUnidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla, IBiS, Hospital Universitario Virgen del Rocío, CSIC, Universidad de Sevilla, 41013 Seville, SpainBackground. Currently, there is a considerable degree of confusion over the dosage of inhaled medications. Here, we carried out a review of all the doses used for the devices used in inhalation therapy. Methods. We first performed a systematic search of the different inhalation devices included on the July 2023 Spanish Ministry of Health Billing List. We then consulted the Spanish Agency for Medicines and Health Products to find the updated official label and to obtain the information on the exact composition. Results. We identified 90 unique products, of which 22 were long-acting bronchodilators (and combinations thereof) and 68 were products containing inhaled corticosteroids (ICS). Overall, 10 products with bronchodilators and 40 with ICS were marketed with the metered dose, while 11 with bronchodilators and 28 with ICS were marketed with the delivered dose. In addition, in some bronchodilators, the drug was referred to as a type of salt, whereas in others the information referred to the drug itself. Conclusions. Our data show that for each inhaled drug there may be up to four different doses and that the marketed name may refer to any of these. Clinicians must be aware of these different dosages when prescribing inhaled medications.https://www.mdpi.com/1999-4923/15/9/2206inhaled drugsCOPDasthmadoseinhalers
spellingShingle José Luis Lopez-Campos
Rocio Reinoso-Arija
Marta Ferrer Galván
Auxiliadora Romero Falcón
Francisco J. Alvarez-Gutiérrez
Francisco Ortega-Ruiz
Esther Quintana-Gallego
Evaluation of Different Doses in Inhaled Therapy: A Comprehensive Analysis
Pharmaceutics
inhaled drugs
COPD
asthma
dose
inhalers
title Evaluation of Different Doses in Inhaled Therapy: A Comprehensive Analysis
title_full Evaluation of Different Doses in Inhaled Therapy: A Comprehensive Analysis
title_fullStr Evaluation of Different Doses in Inhaled Therapy: A Comprehensive Analysis
title_full_unstemmed Evaluation of Different Doses in Inhaled Therapy: A Comprehensive Analysis
title_short Evaluation of Different Doses in Inhaled Therapy: A Comprehensive Analysis
title_sort evaluation of different doses in inhaled therapy a comprehensive analysis
topic inhaled drugs
COPD
asthma
dose
inhalers
url https://www.mdpi.com/1999-4923/15/9/2206
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