The National Health Service has issued a vital alert for patients using beclometasone inhalers to manage asthma or chronic obstructive pulmonary disease (COPD). This guidance clarifies who can safely use these common steroid-based 'preventer' inhalers and highlights critical precautions.
Understanding Beclometasone Inhalers and Their Use
Beclometasone inhalers are a cornerstone treatment for respiratory conditions, primarily prescribed as a preventive measure. They work by reducing inflammation and swelling in the lungs, calming the immune system's response to make breathing easier. While most recognisable in brown or beige 'puffers', they can also be found in red or pink.
According to the NHS, these inhalers are suitable for most adults with asthma or COPD. For children, most brands are approved for use, though some are specifically licensed only for children aged five and older. It is crucial to follow your doctor's or pharmacist's advice on the specific brand prescribed.
Key Warnings: Who Should Avoid These Inhalers?
The NHS guidance explicitly states that beclometasone inhalers are not suitable for everyone. Patients must inform their doctor or nurse before use if they fall into any of the following categories:
- Have a history of allergic reaction to beclometasone or any other medicine.
- Cannot consume alcohol for any reason, as some brands contain trace amounts of alcohol.
- Have ever had tuberculosis (TB).
- Are pregnant, trying to get pregnant, or breastfeeding.
Furthermore, it is essential to understand that a beclometasone inhaler is a preventer, not a reliever. It cannot treat an active asthma attack characterised by sudden coughing, breathlessness, or wheezing. For immediate symptom relief, patients are typically prescribed a separate blue 'reliever' inhaler.
Essential Usage Advice and Combination Inhalers
For the medication to be effective, consistency is key. The NHS stresses that these inhalers must be used daily, even when no symptoms are present, as they do not provide instant relief.
A critical step after each use is to rinse your mouth thoroughly or brush your teeth. This simple action helps prevent oral thrush infections and a sore mouth, common side effects of steroid inhalers.
Some inhalers combine beclometasone with other medicines like formoterol, which can act as both a preventer and a reliever. Brand names for these combination inhalers include Fostair, Luforbec, and Bibecfo.
Patients requiring high doses of beclometasone may be given a blue steroid treatment card and advised to carry a steroid emergency card. These cards alert medical professionals to your treatment in an emergency, and you can request them from your doctor or pharmacist.
This updated NHS guidance serves as an important reminder for the millions managing asthma and COPD in the UK to review their medication safety and usage habits with a healthcare professional.
