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Respiratory

Advancing inhaled therapy for chronic obstructive pulmonary disease: integrating clinical, economic and environmental considerations

COPD is a relatively common condition that carries a significant burden of morbidity and mortality (López-Campos et al, 2016; Safiri el al, 2022). The best estimate of diagnosed COPD prevalence in...

Reducing the environmental impact of inhalers in primary care

The primary aim of this review was to establish how to implement sustainable inhaler changes without compromising patient care and disease control in the primary care setting. This includes a review...

Children's spacers for the treatment of asthma: Top 10 tips

The purpose of the spacer device is to act as an intermediary chamber into which a pressurised metered dose inhaler (pMDI) can discharge the drug. This slows down the drug, which is propelled at force...

Maintenance And Reliever Therapy (MART) for young people with asthma

MART as a regimen works because it allows for automatic self-titration. By its very nature, the patient will take more ICS doses when they are symptomatic and default to baseline (preventer therapy...

An evidence-based guide to smoking cessation therapies

Smoking is the single most preventable cause of premature mortality (Department of Health (DH), 1998; 2000). In recent decades, the UK government has introduced a range of initiatives to reduce...

An overview of prescribing practice and non-pharmacological treatments in COPD

The main goals of COPD treatment include controlling symptoms, and improving exercise capacity and lung function, while preventing and reducing the occurrence of exacerbations, hospital admissions and...

What is bronchitis and how is it managed?

One of the primary symptoms of acute bronchitis is a cough, which can be productive or unproductive. Other symptoms or clinical signs that may suggest lower respiratory tract infection and no...

Managing smoking cessation in primary care

The revised NICE (2021) guidelines (NG209): Tobacco: preventing uptake, promoting quitting and treating dependence, recommended greater flexibility and clearer guidance in the use of nicotine...

Optimising asthma care and greener inhaler prescribing

Overreliance on short-acting bronchodilators (SABA) can indicate poor disease control. Three or more days a week with any need for SABA is a pragmatic threshold for uncontrolled asthma (NICE, 2017)....

Exercise and breathing in rehabilitating long COVID

In exploring what effective rehabilitation would look like, Cheng et al (2021) recommend a comprehensive programme encompassing the promotion of functional recovery, as they note that this has been...

Seasonal asthma: should it be managed differently?

Asthma is an inflammatory condition where the airways have become hyperreactive in response to a trigger (eg house dust mite, pollen, cats, viruses and temperature changes). The inflammatory cascade...

Prescribing for respiratory disease

This original research study, published in the journal of Clinical Infectious Diseases, aimed to provide an overview evaluation of the clinical safety of delaying antibiotic commencement for upper...

Why choose Journal of Prescribing Practice?

Journal of Prescribing Practice shares the latest clinical expertise and professional guidance for non-medical prescribers. Our goal is to provide the knowledge to help you prescribe more efficiently and effectively.

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