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									<identifier>oai:www.peertechzpublications.org:10.17352/aprc.000023</identifier>
									<datestamp>2017-05-24</datestamp>
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										<dc:title>
										Effectiveness of Asthma Inhaler Pharmacotherapy must take into consideration both the device and drug and which is guided by clinically meaningful outcomes
										</dc:title><dc:creator>Elissa M McDonald</dc:creator><dc:creator>Felix SF Ram</dc:creator><dc:description>&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;The&amp;nbsp; inhalation&amp;nbsp; route&amp;nbsp; remains&amp;nbsp; the&amp;nbsp; mainstay&amp;nbsp; of&amp;nbsp; therapy&amp;nbsp; for asthma&amp;nbsp; and&amp;nbsp; chronic obstructive&amp;nbsp; pulmonary&amp;nbsp; disease&amp;nbsp; (COPD). This confers&amp;nbsp; a&amp;nbsp; number&amp;nbsp; of&amp;nbsp; advantages&amp;nbsp; such&amp;nbsp; as&amp;nbsp; delivery&amp;nbsp; of medication&amp;nbsp; directly&amp;nbsp; to&amp;nbsp; the site of&amp;nbsp; action&amp;nbsp; resulting&amp;nbsp; in&amp;nbsp; faster onset. It also allows&amp;nbsp; smaller&amp;nbsp; doses&amp;nbsp; to&amp;nbsp; be&amp;nbsp; administered&amp;nbsp; and therefore significantly reduces systemic side effects compared with oral therapy. The drug treatment regime for the majority of patients&amp;nbsp; with&amp;nbsp; asthma&amp;nbsp; and&amp;nbsp; COPD is straightforward and is documented in many guidelines [1-3]. However, the choice of which inhaler device to use is less straightforward. Rather than being spoilt for choice, we are frequently confused by the ever-increasing&amp;nbsp; number&amp;nbsp; of&amp;nbsp; devices&amp;nbsp; available.&amp;nbsp; Although&amp;nbsp; inhalation therapy&amp;nbsp; is&amp;nbsp; now&amp;nbsp; the&amp;nbsp; mainstay&amp;nbsp; of&amp;nbsp; asthma&amp;nbsp; treatment,&amp;nbsp; for&amp;nbsp; most patients&amp;nbsp; such&amp;nbsp; treatment&amp;nbsp; is&amp;nbsp; still&amp;nbsp; not&amp;nbsp; optimal.&lt;/p&gt;</dc:description>
										<dc:publisher>Archives of Pulmonology and Respiratory Care - Peertechz Publications</dc:publisher>
										<dc:date>2017-05-24</dc:date>
										<dc:type>Review Article</dc:type>
										<dc:identifier>https://doi.org/10.17352/aprc.000023</dc:identifier>
										<dc:language>en</dc:language>
										<dc:rights>Copyright © Elissa M McDonald et al.</dc:rights>
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