I would like to have a nebuliser at home, but my doctors won’t let me have one. Why?
Nebulisers for home use are not available on the NHS in many parts of the UK. They are used mostly in hospital or GP surgeries to treat acute asthma attacks and also for COPD flare-ups. They provide higher doses of medicine than a standard inhaler, and are easier to use if a person’s very weak or in the middle of an asthma attack. However, doctors have found that in many cases a spacer device is just as effective. A spacer is a simple plastic chamber that attaches to your inhaler. You spray the medicine into the spacer and then inhale it using normal tidal breathing – there’s no need to time your breathing with each puff from the inhaler. A spacer is also much easier to keep clean than a nebuliser. If you use a dirty nebuliser you risk taking germs straight down into your lungs. For these reasons nebulisers are now not recommended for most everyday asthma or COPD care. Occasionally, people who have lots of severe asthma attacks may benefit from home nebulisers for acute use. This is pa
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