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Originally Posted by richtagg  I've seen much larger doses of salbutamol than this.
You need to consider what the patients treatment is for and whether they need the rest of their medications reviewed, do they need to be stepped up the BTS scale if they have asthma?
You should also talk to the patient about their inhaler technique. |
Have they developed 'test firing' paranoia?
We had one old lady who like to test fire her inhaler every half-hour or so, in order to make sure it had some left in it and that it would work. Needless to say the wholesaler delivery driver was kept busy.
Patient might also be frightened of 'steroids' having read the PIL, or has someones uncle had side effects?
How about a spacer device, an autohaler/easibreath type or a switch to dry-powder types.