For
UK
audiences
The professional's guide to product selection
The professional's guide to product selection
Sedating antihistamine.
By mouth for symptomatic relief of allergy such as hay fever, urticaria, food allergy, drug reactions, relief of itch associated with chickenpox.
• Child 1–23 months: 1 mg, twice daily.
• Child 2–5 years: 1 mg, every 4–6 hours, maximum 6 mg daily.
• Child 6–11 years: 2 mg, every 4–6 hours, maximum 12 mg daily.
• Over 12 years: 4 mg, every 4–6 hours, maximum 24 mg daily
• Elderly: 4 mg, every 4–6 hours, maximum 12 mg daily.
Emergency treatment of anaphylactic reactions or symptomatic relief of allergy by intramuscular injection or by intravenous injection over 1 minute.
• Child 1–5 months: 250 mcg/kg (maximum per dose 2.5 mg), max 4 doses daily
• Child 6 months–5 years: 2.5 mg, maximum 4 doses per day.
• Child 6–11 years: 5 mg, maximum 4 doses per day.
• Over 12 years: 10 mg, maximum 4 doses per day.
The device fits a wide range of finger sizes and is simple to clean with a disinfectant wipe. The soft-sprung hinged design makes them very comfortable to wear, helping to gain fast and accurate measurements from often nervous patients.
Stockists: Pulmolink
Made of porcelain, this salt pipe lasts five years. It contains 50g crystal salt. No refill is required.
Stockists: Cisca
This low range peak flow meter has a built-in one-way valve. It has an EU scale, which meets the new European standard EN13826.
The misuse of inhalers is common among people with asthma. Consequently, only small amounts of medication reach the patients’ lungs. The In-Check device helps to identify whether a patient is using their inhaler correctly by simulating the resistance of popular inhalers (MDIs and DPIs). This enables clinicians to train patients to use the optimal force to achieve optimal deposition of medication with a particular device.
Inspiratory flows in the range of 15 l/min to 120 l/ min can be measured. The In-Check device is accurate to +/- 10% or 10 l/min (whichever is greater).
The In-Check device is supplied with a sterilisable plastic mouthpiece and an adapter for a paediatric mouthpiece. A one-way disposable mouthpiece or a bacterial/viral filter can be used to minimise the risk of cross infection.
Stockists: Clement Clarke, Medisave.
Clement Clarke nebuliser kit with paediatric mouthpiece, nebuliser and tubing.
Stockists: GP Supplies.
Nebuliser kit with adult mouthpiece, nebuliser and tubing.
Stockists: Williams Medical Supplies, GP Supplies.
For prophylaxis of asthma by inhalation of aerosol
• Child 2–11 years: 100–200 mcg twice daily.
• Over 12 years: 200–400 mcg twice daily, increased if necessary up to 1 mg twice daily. Adjust according to response.
Antimuscarinic bronchodilator with short-acting selective beta2 agonist.
• Adult and child over 12 years for bronchospasm in chronic obstructive pulmonary disease: by inhalation of nebulised solution, 0.5/2.5 mg, 3–4 times daily.
Ipratropium with short-acting selective beta2 agonist.
For the treatment of bronchospasm in COPD
Adult: 0.5/2.5 mg 3–4 times a day.