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British Lung Foundation
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Have been a member of BLF for several months but this is the first time I have asked a question, I have bronchiectasis and was wondering if

any other members have been given two different brands of Inhalers 1 Ventolin 100 micrograms/dose Evohaler and 1 Salbutamol 100micrograms/dose Breath Actuated Inhaler. Both for one or two puffs to be inhaled up to four times a day when needed.

I realise that the ingredients are the same for both inhalers it's only the delivery that is different. Your comments would be appreciated.

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I have bronchiectasis although some will insist it is COPD. I have Salbutamol, Seretide and Tiotropium. Was thinking about the time whn I didn't need inhalers. SIGH. I cant offer any definite comments but I am sure someone will come forward.

Hi Pergola,

Thanks for replying. After a good 15 years I have at last seen a consultant and he has confirmed that I do have bronc. I also take Seretide 500 twice a day it's the two lots of inhalers that I'm not sure about. Fraid inhalers are probably part of our lives.

Me neither I am afraid. I have Terbutaline inhaler, Alvesco steroid inhaler, neb Terbutaline and saline 0.9% or hypertonic 7%. Hope someone comes along who can help


Hi bayleyray welcome very nice to meet you.Im a little confused do you have both of these to use at the same time ? Would seem like a lot to me on a regular basis?There are many different types of delivery for sure these days,I would advise you speak to a pro to clarify it all.BLF are available mon-fri really lovely bunch of people to talk to,or you doc or resp nurse.See you soon bayleyray . :) Janexx

I have both types of Salbutamol inhalers. The reason being that I use the Evohaler when I use a spacer to get my medication in to me (in place of a nebuliser). It isn't very often I need to do it this way - just if my breathing is really bad.

My usual inhaler is the Dry powder breath-activated one.


Thank you for your replies to my question, in fact I have not been prescribed any Ventolin inhalers since May as I had been having difficulties with it even with various spacers so have been using an Ivax Easi-Breathe inhaler, which seems to suit me. So have not had Ventolin Inhaler on my repeat records for some time. When I requested my lastest batch of repeat prescriptions from my doctor (which I do by email), instead of Ventolin Nebulisers vials I was sent an Ventolin inhaler instead. Hubby went to the surgery to make enquires why I had not been sent any vials, and was told (by the receptionist) in no uncertain terms, that as it was a ventolin product they all did the same thing so it was perfectly ok for me to have the inhaler instead of vials. And to add the final touch hey presto the option to have a Ventolin inhaler has appeared on my latest repeat prescription form again. I think a visit to the surgery to see the practice manager is on the books for next week. Thanks again for your help...

Sue (Bayley-Ray's my grandsons name)

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This has happened to me a few times - the Terbutaline inhaler is directly above the Terbutaline nebulising solution, although they are in completely different sections! I used to get them to change it whilst I was at the surgery but now I always put a note on the prescription.

It is not in the receptionist's remit to make decisions or pontificate about medications. My repeat has 'as directed by hospital' alongside the T neb solution.

I hope you get this sorted soon hun.

love cx

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As others have pointed out, it's not to the receptionist to take any decision. either get in touch with the prescriber, or better with the GP that prescribes it to you.

I had a GP who refused to prescribe Ventolin vials ("because it's just the same"). However, my consultant changed this to Bentolin vials. Now I am on Combivent, which is ipratropium bromide and albuterol sulfate. There is an inhaler and a vial. Like you, the chemist had received the inhaler persecription. A word with my GP corrected this. Persist with your request. GP is probably best since he/she prescribe it. Or telephone the consultant's secretary to have this redressed. Hope you get it right soon.

Hello Sue I love your grandsons name.Life really isnt difficult but some people organisations ,governments,doctors surgery make our little lives extremely difficult sometimes it would seem. :) Janexx

I agree with cofdrop. It is not the receptionists job to make comments about your medication. Phone your surgery and ask for a phone appointment with a GP. Then ask why you cannot have nebulised Ventolin.

I did read somewhere that research has shown that nebulised ventolin (salbutamol) is no more effective than inhaled ventalin if the inhalers are used properly. Presumably inhalers are more cost effective. Perhaps this is what she was alluding to. I wonder if GP's are being advised to stop issuing nebulised ventolin.

Hi everybody,

Thank you for your help and advice. I am pretty sure that the duplication of medication happened due to a receptionist not reading my email repeat request properly, that is why I decided to check with you first before visiting the surgery on Monday. My doctor is usually very open to requests from my consultant for changes to existing medication and has been quite happy with me having a nebuliser, unfortunately he does have some rather (how can I put it) over enthusiastic staff who perhaps make decisions on his behalf...ah well I suppose I'll have to put my bossy boots on and go and have a chat with them. Hope everybody is as well as can be and watching out for the cold weather.

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