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Palliative cancer care - dyspnoea - Management
Short-acting beta2-agonists: inhalers

Age from 16 years onwards
Salbutamol 100mcg MDI: 1 to 2 puffs up to 4 times a day
Salbutamol 100micrograms/actuation inhaler CFC free
Inhale one to two puffs up to four times a day, when required to relieve breathlessness.
Supply 1 200 dose inhaler.
Age: from 16 years onwards
NHS cost: £3.19
Licensed use: no - off-label indication
Patient information: It is important to clean the plastic casing of your inhaler once a week to prevent blockage. Follow the instructions in the patient information leaflet carefully.
Airomir 100mcg MDI: 1 to 2 puffs up to 4 times a day
Airomir 100micrograms/actuation inhaler
Inhale one to two puffs up to four times a day, when required to relieve breathlessness.
Supply 1 200 dose inhaler.
Age: from 16 years onwards
NHS cost: £1.97
Licensed use: no - off-label indication
Patient information: It is important to clean the plastic casing of your inhaler once a week to prevent blockage. Follow the instructions in the patient information leaflet carefully.
Ventolin 100mcg MDI: 1 to 2 puffs up to 4 times a day
Ventolin Evohaler 100micrograms/actuation
Inhale one to two puffs up to four times a day, when required to relieve breathlessness.
Supply 1 200 dose inhaler.
Age: from 16 years onwards
NHS cost: £1.50
Licensed use: yes
Patient information: It is important to clean the plastic casing of your inhaler once a week to prevent blockage. Follow the instructions in the patient information leaflet carefully.
Multi-therapy: Airomir 100mcg MDI + AeroChamber Plus
Airomir 100mcg MDI: 1 to 2 puffs up to 4 times a day
Airomir 100micrograms/actuation inhaler
Inhale one to two puffs up to four times a day using the spacer, when required to relieve breathlessness.
Supply 1 200 dose inhaler.
Age: from 16 years onwards
NHS cost: £1.97
Licensed use: yes
Patient information: It is important to clean the plastic casing of your inhaler once a week to prevent blockage. Follow the instructions in the patient information leaflet carefully.
AeroChamber Plus spacer device
AeroChamber Plus
Use to aid inhalation.
Supply 1 spacer.
Age: from 16 years onwards
NHS cost: £4.53
Licensed use: no - misc item available on the NHS
Patient information: Once a month wash device thoroughly with dilute washing up liquid, do not rinse and leave to air dry. Replace device every 6 to 12 months.
Multi-therapy: Ventolin 100mcg MDI + Volumatic
Ventolin 100mcg MDI: 1 to 2 puffs up to 4 times a day
Ventolin Evohaler 100micrograms/actuation
Inhale one to two puffs up to four times a day using the spacer, when required to relieve breathlessness.
Supply 1 200 dose inhaler.
Age: from 16 years onwards
NHS cost: £1.50
Licensed use: no - off-label indication
Patient information: It is important to clean the plastic casing of your inhaler once a week to prevent blockage. Follow the instructions in the patient information leaflet carefully.
Volumatic spacer device
Volumatic
Use to aid inhalation.
Supply 1 spacer.
Age: from 16 years onwards
NHS cost: £2.81
OTC cost: £4.96
Licensed use: no - misc item available on the NHS
Patient information: Wash your spacer device regularly according to the instructions in the patient information leaflet. Replace spacer device every 6 to 12 months.

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