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erj ersjournals com content 37 6 1308--- ncbi nlm nih gov pmc articles PMC6422419With almost 30 million people under the age of 45 living with asthma in Europe, new 'smart inhalers' may provide better ways of treating the disease and help scientists understand what is driving this growing global epidemic New technology can improve the use of asthma inhalers by giving patients feedback through their mobile phone --- tandfonline com doi full 10 2147 TCRM S160365In the light of this, the European Medicines Agency issued stringent guidelines in 2009 recommending a stepwise approach to demonstrate therapeutic equivalence between two inhaled products The guidelines stipulate that the generic and reference products must have an identical dosage form containing the same active substance(s) Atectura Breezhaler is a medicine that is used to keep the airways open in adults and children aged 12 years and older whose asthma is not adequately controlled with inhaled corticosteroids and inhaled short acting beta-2 agonists Atectura Breezhaler is used for maintenance (regular) treatment The medicine contains the active substances err ersjournals com content 14 96 102It replaces the QWP Guidelines on pressurised Metered Dose Inhalation Products (pMDIs) and Dry Powder Inhalers (DPI) and is complementary to the existing Efficacy Working Party Guideline on Orally Inhaled Products (OIP) The final Guideline has been adapted to the EU template for Guidelines 7 Westferry Circus, Canary Wharf, London, E14 4HB, UK --- ema europa eu guideline-pharmaceutical-quality-inhalation-and-nasal-p --- ema europa eu en medicines human EPAR atectura-breezhalerWoolcock Institute of Medical Research, Sydney, Australia European Respiratory Review : an Official Journal of the European Respiratory Society , 06 Dec 2017, 26 (146): 170055 DOI: 10 1183 16000617 0055-2017 PMID: 29212836 Review A collaboration of multidisciplinary experts on the delivery of pharmaceutical aerosols was facilitated by the European Respiratory Society (ERS) and the International Society for Aerosols in Medicine (ISAM), in order to draw up a consensus statement with clear, up-to-date recommendations that enable the pulmonary physician to choose the type of aerosol delivery device that is most suitable projects research-and-innovation ec europa eu smart-inhaler-help-asthma-s europepmc org article MED 29212836In Europe, the most common reliever inhalers sold in 2011 were pMDIs (47 5%) followed by dry-powder inhalers (DPIs; 39 5%) and nebulisers (13%) 15 --- nature com articles s41533-023-00346-7There is a large choice of inhalers; in 2011, more than 230 different device-drug combinations were available to prescribers in Europe,5 with 48 different inhaler products in the UK alone,6 each with its own specific design characteristics 7,8 The most common device types sold in Europe in 2011 were pressurized metered-dose inhalers (pMDIs; 47 A variety of inhaler devices are available for delivering treatments to patients with chronic obstructive pulmonary disease, and new inhalers are currently being developed Each type of device has advantages and disadvantages, and the methods of preparation and use vary between them The differences in instructions for use can easily confuse patients and health providers alike, resulting in
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