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Nebulised therapy for use in anything other than acute asthma should only be supplied to patients who have been fully assessed by a respiratory physician.
In adult asthma patients the requirement for regular nebulised bronchodilators would be an indication for referral.
Severe cases of COPD should be reviewed regularly to ensure diagnosis correct and treatment optimised.
Further notes for COPD patients, this also includes contact details for the different services.
Children requiring long-term nebulised therapy should be under the care of a consultant paediatrician.
The provision of a home nebuliser for the management of acute asthmatic attacks is generally not recommended in children.
The use of a nebuliser in acute asthmatic attacks in children under 2 years of age may result in a marked deterioration. Large volume spacers are preferable to nebulisers, where available.