Order of medications

When patients have been prescribed multiple inhaled medications, to maximise their effect it is important that they are used in the correct order.

A general guide is:

Bronchodilator inhalers (e.g. Salbutamol)

Nebulised saline (isotonic / hypertonic)

Other inhaled medications (preventors)

*Nebulised antibiotics (Tobramycin, Colistin)

*The airway clearance routine should be done before inhaled antibiotics