Nebulisers are machines that turn the liquid form of your short-acting bronchodilator medicines into a fine mist, like an aerosol. You breathe this in with a face mask or a mouthpiece. Nebulisers are no more effective than normal inhalers. However, they are extremely useful in people who are very tired (fatigued) with their breathing, or in people who are very breathless. Nebulisers are used mainly in hospital for severe attacks of asthma when large doses of inhaled medicines are needed. They are used less commonly than in the past, as modern spacer devices are usually just as good as nebulisers for giving large doses of inhaled medicines. You do not need any co-ordination to use a nebuliser - you just breathe in and out, and you will breathe in the medicine.
Do not use for an acute asthma attack . Inhaled corticosteroids work to slowly decrease airway inflammation and usually are of limited benefit during an acute attack of asthma. That is why these medications are maintenance or controller medication. They are not intended for use to treat an acute attack. Inhaled corticosteroids may decrease growth in children, so use the lowest dose possible. Inhaled corticosteroids may also increase the risk of serious or fatal infection in individuals exposed to serious viral infections like chickenpox or measles . Long-term use may cause cataracts or glaucoma (increased pressure within the eyes). These medications may increase the risk of pneumonia .
If patients wish to seek alternative medications, there are several treatments available. Other inhaled medications include long-acting beta agonists, short-acting beta agonists, and leukotriene modifiers. Allergy shots are also an option. Side effects of these medications include mouth and throat irritation, and oral yeast infections. For metered dose inhalers it is recommended a spacer is used and that the patient rinse their mouth with water after each use to reduce the amount of drug absorbed into the body (Mayo Clinic Staff, 2012).