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Nebulisers

Key points about nebulisers

A nebuliser is a machine that converts liquid medication into a fine mist, which is breathed in through a mask or mouthpiece.
Nebulisers are not the preferred way for most people to take their asthma or COPD medicines. They are usually used when a handheld inhaler device is not suitable, such as for young children, or very sick people.
Find out how to use a nebuliser safely and possible side effects.

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A nebuliser is a machine that converts liquid medication into a fine mist, that you can easily breathe into your lungs. The machine has a mouthpiece or face mask that you use to breathe in the medicine for 3 to 10 minutes.

A nebuliser is no longer the recommended way for most people to take their medications.

With so many improved handheld inhaler devices there is now less need for nebulisers. In most instances a handheld inhaler device together with a spacer is just as effective as a nebuliser to get medication to your lungs.

Generally, nebulisers are not preferred because they deliver a high dose of medication which can increase the chance of side effects.
Generally, even when you're having a flare-up (exacerbation), using a spacer with your reliever medicine is as effective as, or even better than, using a nebuliser.
Nebulisers need regular maintenance to be kept thoroughly clean to prevent possible contamination. If not cleaned properly, nebulizers can harbour bacteria and fungi, leading to chest infections.

In some situations where the use of a handheld inhaler device isn't suitable, such as for young children or very sick people, using a nebuliser is an alternative. A nebuliser is mainly used for reliever medicine, but it may also be used for administering antibiotics, or hypertonic saline.

If the use of a nebuliser is recommended for a short period of time, then you may want to consider hiring one. Many pharmacies offer a nebuliser hire service, so ask your local pharmacy.

If the use of a nebuliser is recommended long-term, on an ongoing basis, then you may want to buy a nebuliser. There are different types of nebulisers on the market and the choice of nebuliser is mainly based on preference.

Some points to consider when buying a nebuliser are:

Is the nebuliser suitable for the medicine you have been prescribed? Not all medications can be used with types of nebulisers.
Your medical condition – depending on your condition you will need your nebulisation more or less often, and your nebulisation time will vary as well. Before choosing your nebuliser get advice about the one that best matches your needs.
Is it battery operated or electrical?
Is it noisy or quiet?
Do you need to carry the nebuliser everywhere, eg, if you travel a lot?
Cost.
What type of accessories does it need?

A nebuliser usually comes with detailed instructions on how to use it. Here is some general guidance:

Place the prescribed amount of medicine into the nebuliser chamber.
Connect the nebuliser to the tubing and attach it to the machine.
Attach the mouthpiece or mask to the chamber and switch on the machine.
If you're using a mouthpiece, seal your lips around it and breathe through your mouth, not your nose. If you're using a mask, place it over your mouth and nose.
Don't talk while using the nebuliser.
Keep the nebuliser upright while in use.
When you no longer see a mist, which will be after 10 to 15 minutes, the treatment is finished.