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Previous Volume 330:1690-1691 June 9, 1994 Number 23 Next

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To the Editor: Incorrect use of metered-dose inhalers continues to be a problem in clinical practice. Although misuse is commonly related to poor coordination between actuation and inhalation, failure to inhale slowly, or inadequate holding of breath, patients occasionally misuse their inhalers in unusual ways. The following cases are examples.

Patient 1 was a 62-year-old man with a recent diagnosis of chronic obstructive lung disease who came to our clinic reporting shortness of breath and lack of effect of his -adrenergic-receptor agonist metered-dose inhaler. He stated that he had been given the inhaler for the first time two weeks earlier . . . [Full Text of this Article]

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