Which delivery system is recommended for children aged 5 to 15 years?
• A pressurized metered-dose inhaler (pMDI) with a suitable spacer device is recommended for the delivery of inhaled corticosteroids. • If the child’s use of the pMDI and spacer is likely to be so poor as to undermine effective asthma control, consider alternative devices (e.g. dry-powder inhaler [DPI] or breath-actuated metered-dose inhaler [MDI]), bearing in mind the need to minimize the adverse effects of corticosteroids. • For bronchodilators, consider a wider range of devices (e.g. DPI, breath-actuated MDI), which allow for more frequent spontaneous use and greater portability.
