COPD Medications: Getting the Most from your Inhalers
As a respiratory specialist, I've noticed that over 80% of my patients aren't getting the full benefit from their inhalers because of incorrect technique. Let me help you breathe easier by ensuring you're using your medications properly.

dr suman paul
Consultant Respiratory Physician
A patient's story
John P., Lancashire
"I've been using inhalers for years, but when Dr Paul checked my technique, he showed me I wasn't getting the medicine into my lungs properly. After learning the correct way, I noticed a real difference in my breathing." - John P., Lancashire
Think of your inhaler like a key to better breathing:
Many patients tell me:
During your consultation, I will:
preventers/controllers
reliever inhalers (rescue)
I will:
You might need a review if:
I understand everyone learns differently. I will:
I'll also help you:
I use:
I recommend:
Don't struggle with your inhalers. Contact me to arrange a consultation where I'll personally ensure you're getting the most from your COPD medications. Please bring:
Frequently Asked Questions About COPD Inhalers
As a respiratory specialist, these are the most common questions my patients ask about their inhalers. I'm sharing them to help you, but remember - personal instruction is key to mastering your inhaler technique.
Question:
How do I know if I'm using my inhaler correctly?
Answer:
The best way is to have your technique checked by a specialist. During your consultation, I'll personally assess your technique and ensure you're getting the medication into your lungs properly. Common signs of incorrect use include:
- Medication taste lingering in your mouth
- Not feeling any effect from your inhaler
- Frequent need for your reliever inhaler
- Persistent symptoms despite regular use
Question:
Why do I need different types of inhalers?
Answer:
Different inhalers serve different purposes:
- Preventers (usually brown, purple, or red) - reduce inflammation daily
- Relievers (usually blue) - provide quick relief when needed
- Long-acting bronchodilators - keep airways open for extended periods
I'll explain exactly how each of your inhalers works and when to use them.
Question:
How can I tell if my inhaler is empty?
Answer:
This depends on your inhaler type:
- Some have dose counters
- Others need manual tracking
I'll teach you how to monitor each of your specific inhalers.
Question:
Should I feel the medication going in?
Answer:
Not necessarily. Some inhalers have no taste or sensation. What matters is your technique, which I'll personally demonstrate and check.
Question:
Do I need to shake my inhaler?
Answer:
Some inhalers need shaking, others don't. I'll show you exactly how to prepare and use each of your specific inhalers correctly.
Question:
How long should I hold my breath after using my inhaler?
Answer:
Generally, about 5-10 seconds, but this varies by inhaler type. I'll teach you the correct technique for each of your inhalers.
Question:
What if I can't coordinate pressing and breathing?
Answer:
Don't worry - this is common. We can:
- Try different inhaler types
- Use a spacer device
- Consider breath-activated inhalers
Together, we'll find what works best for you.
Question:
Should I rinse my mouth after using my inhaler?
Answer:
Yes, for some inhalers (especially steroid preventers) to prevent side effects. I'll explain which ones need rinsing and why.
Question:
What if I accidentally take too many puffs?
Answer:
I'll provide clear instructions about what to do if this happens with your specific medications and when to seek help.
Question:
How should I store my inhalers?**
Answer:
Generally:
- Keep at room temperature
- Away from direct sunlight
- Not in humid bathrooms
- Check expiry dates
I'll give you specific guidance for your medications.
Question:
Can I use my inhaler before/after drinking or eating?
Answer:
Timing can matter. I'll create a schedule that fits your daily routine and explain any timing restrictions.
Question:
How often should I clean my inhaler?
Answer:
This varies by type. I'll show you:
- How to clean each device
- How often to clean
- What to look out for
- When to replace parts
Question:
How do I know if I need an urgent inhaler technique review?
Answer:
Book a review if:
- Your symptoms are getting worse
- You're using your reliever more often
- You're not sure if your technique is correct
- You've recently started a new inhaler
- You're experiencing side effects
Question:
What should I do if my inhaler doesn't seem to be working?
Answer:
Don't just put up with it. I can:
- Check your technique
- Assess if it's the right inhaler for you
- Consider alternative options
- Adjust your treatment plan
Question:
How do I book an inhaler technique review?
Answer:
Contact me to book an appointment. During your appointment, I will:
- Personally check your technique
- Demonstrate correct usage
- Watch you practice
- Answer all your questions
Remember: No question about your inhalers is too simple. I'm here to ensure you're getting the maximum benefit from your COPD medications.
Inhaler Troubleshooting Guide
As a respiratory specialist, I regularly help patients overcome inhaler difficulties. Here's my practical guide to common inhaler problems and their solutions.
Question:
"My inhaler doesn't seem to be working"
Answer:
Common Causes:
- Empty inhaler
- Incorrect technique
- Wrong timing of doses
- Inhaler not primed properly
- Blocked mouthpiece
Solutions I Provide:
- Check inhaler has medication left
- Demonstrate correct technique
- Create a medication schedule
- Show proper priming method
- Teach cleaning techniques
Question:
"I can't feel anything when I inhale"
Answer:
This is a Common Concern! Unlike reliever inhalers, many preventers:
- Don't give immediate sensation
- May have no taste
- Take weeks to show full benefit
What We'll Do:
- Confirm medication is being inhaled correctly
- Use a spacer if helpful
- Consider trying an inhaler with dose feedback
- Monitor your symptoms to confirm effectiveness
Question:
"I struggle to coordinate pressing and breathing"
Answer:
Solutions Available:
- Try breath-activated inhalers
- Use a spacer device
- Consider dry powder inhalers
- Practice with placebo devices
- Learn breathing control techniques
Question:
"My hands are too weak to press the inhaler"
Answer:
I Can Help By:
- Switching to easier-to-use devices
- Prescribing breath-activated inhalers
- Recommending inhaler aids
- Teaching family members to assist
- Exploring alternative options
Question:
"I get a white powder/residue in my mouth"
Answer:
This Usually Means:
- Medication isn't reaching your lungs
- Technique needs adjustment
- You might be inhaling too forcefully
Solutions:
- Adjust breathing technique
- Use a spacer if appropriate
- Rinse mouth after use
- Check inhaler position
Question:
"My inhaler makes me cough"
Answer:
Common Reasons:
- Inhaling too quickly
- Incorrect angle
- Irritation from powder
- Poor timing
We Can:
- Adjust your technique
- Try different inhaler types
- Use a spacer device
- Practice slower inhalation
Question:
"I forget to take my inhalers"
Answer:
Practical Solutions:
- Set phone reminders
- Link to daily routines
- Use medication apps
- Involve family members
Question:
"My inhaler runs out too quickly"
Answer:
This Often Means:
- Overuse of reliever
- Poor symptom control
- Technique problems
- Counting doses incorrectly
How I Help:
- Review your COPD control
- Optimize preventer use
- Teach dose counting
- Consider different devices
Question:
"The inhaler gets blocked"
Answer:
Prevention Tips:
- Regular cleaning schedule
- Proper storage
- Cap replacement
- Weekly maintenance
- Regular technique checks
Question:
"I'm not sure if I'm getting the right dose"
Answer:
Solutions Include:
- Using devices with dose counters
- Teaching proper technique
- Adding spacer devices
- Regular effectiveness checks
- Monitoring symptoms
EMERGENCY SITUATIONS
I'll help you:
I recommend:
IDuring your appointment:
Contact to arrange a comprehensive inhaler review. Remember - most inhaler problems can be solved with the right guidance and support.
Contact my secretary on (0161) 832 2111 to arrange a prompt consultation. I offer appointments at various with minimal waiting times.
next: Follow-up for COPD
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