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The importance of good inhalation technique for effective asthma management.
A review by the Aerosol Drug Management Improvement Team (ADMIT)
G.K. Crompton, 19. April 2006

Despite the availability of efficient substances and established treatment guidelines asthma management in Europe is far from ideal. In recent years it has also been appreciated by some clinicians that many patients prescribed inhaled medications for the treatment of airways disease do not obtain full benefit from this therapy because of their inability to use the prescribed inhalation devices correctly. However, the link between poor disease control and use of inhalation devices appears to have been ignored by influential clinicians and more emphasis and energy has been concentrated on other reasons for poor compliance with therapy or even lack of therapeutic effect of drugs inhaled. Because of this it was decided that an attempt should be made to improve inhalation therapy and ADMIT was formed.

The membership of this group (ADMIT) comprises clinicians from several European countries, all of whom have a special interest and expertise in aspects of inhalation therapy, and have the desire to try to improve inhalation therapy. At ADMIT's first meeting it was unanimously agreed that one of it's first tasks had to be the documentation of the inhalation therapy problems encountered in the different European countries.

This paper contains a review of the major inhalation problems, according to published literature, in six European countries. But more importantly there is also a discussion about the ways that therapy could be improved and this includes the recommendation for new facilities and educational methods not previously contemplated. Eleven important recommendations of ADMIT are set out in Table 2 and a template for the chronic management of inhalation therapy is also included in the form of a flow chart.

English summary for translation into appropriate ADMIT languages.

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