Klinik Respirasi Malang Klinik Respirasi Malang Whatsapp Klinik Respirasi Malang Registrasi Klinik Respirasi malang Peta Lokasi Klinik
Galeri Foto
Berita Kesehatan

Minimising the environmental impact of inhaled therapies

Lauri Lehtimäki, Unnur Björnsdóttir, Christer Janson, Tari Haahtela

European Respiratory Journal 2020 55: 2000721; DOI: 10.1183/13993003.00721-2020


We read with interest the recent editorial by Keeley et al. on the timely topic of changing pressurised metered dose inhalers (pMDIs) to dry powder inhalers (DPIs) due to the much higher carbon footprint of pMDIs. We agree with the authors that global warming cannot be tackled only by focusing on inhaler devices, but as long as we can provide safe and effective treatment to our patients, we cannot overlook environmental facts either. We feel that Keeley et al. gave an unjustified negative impression on the performance of DPIs. They imply that DPIs are more expensive than pMDIs, that switching from pMDI to DPI leads to poorer asthma control, and that patients using DPIs should have a pMDI+spacer rescue pack since DPIs cannot be relied on as rescue medication. However, we feel that these misleading claims are based on wrong interpretations of the publications they cite, or on opinions without any supporting data. Since in many countries, like in Finland and Sweden, good control of asthma and COPD is achieved at a national level while the majority of patients using inhaled therapies are treated with DPIs, (56% in Finland and 71% in Sweden, according to IQVIA standard units volume data for 2019), we think it is worth correcting these wrong impressions.

Environmental burden of inhaled therapies needs to be considered, as long as treatment efficacy and safety are secured https://bit.ly/3bRSl07


  • Conflict of interest: L. Lehtimäki reports personal fees from AstraZeneca, Boehringer Ingelheim, Chiesi, Circassia, GSK, Novartis, Mundipharma, Orion Pharma, Sanofi and Teva, outside the submitted work.

  • Conflict of interest: U. Björnsdóttir reports personal fees from AstraZeneca, Novartis and Sanofi, outside the submitted work.

  • Conflict of interest: C. Janson reports personal fees for educational activities from AstraZeneca, Chiesi, Boehringer Ingelheim, GlaxoSmithKline, Novartis and Teva, outside the submitted work.

  • Conflict of interest: T. Haahtela reports personal fees for lectures from GSK, Mundipharma and Orion Pharma, during the conduct of the study.

  • Received March 17, 2020.
  • Accepted March 29, 2020.
  • Copyright ©ERS 2020

sumber : https://erj.ersjournals.com/content/55/5/2000721


RS Panti Waluya / RKZ Sawahan, Lt II-B1
, Dr Koentjahja, SpP
Nusakambangan 56, Malang 65117
08113777488 / 362017 ext. 88.23
Pukul 18.00 - 20.00, kec. Sabtu, Minggu / Libur

, Dr Koentjahja, SpP
Wilis Indah A-6, Malang 65115
0818568711 / 0341-568711
Senin - Sabtu Pukul 09.00-10.00,
kec. Minggu / Libur


Peta Lokasi

Update COVID-19 Malang
Jajak Pendapat

Apa saja gejala COVID-19?

Sakit Tenggorok
Sesak/Nyeri dada

 koentjahja.com  |
 nathaliamayasarisa.com  |
 klinikrespirasimalang.com  |
 drgevitaindiani.com  |
 drgleonyindriati.com  |