If you are able to use your
inhalers without a problem then the nebuliser does not generally add too
much. Thus, in the majority of cases
using an inhaler will deliver as much bronchodilator to the airways as does a
nebuliser. There are rare instances where
a nebuliser might be useful in dilating the airways and that is when enough
drug cannot reach the airways using an inhaler.
This may be because of poor inhaler technique or because the lungs may
be too weak to generate enough respiratory effort to get enough medication into
the airways. However, this is rare and
unless you fall into this category, using the nebuliser will not add much. It should also be remembered that the
nebuliser may have certain side effects including making one jittery and also
increasing the heart rate. This may not
be such a good thing if you have cardiovascular disease. Thus, overall nebulisers should be used with
caution and only when absolutely necessary.
One thing that might be useful to
loosen phlegm is to use hypertonic saline for nebulisation. However, be careful. It must not be “normal” saline but hypertonic
saline. Your doctor can prescribe this
for you and there are 50ml sachets that you can obtain from the pharmacy from
which you can draw up saline for nebulisation.
Use this 2 or 3 times a day and it will help with loosening up the
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