TABLE 1—

Checklist for physician selection of inhalers proposed by a joint committee of the American College of Chest Physicians and American College of Asthma, Allergy and Immunology(adapted from [26] with permission from the publisher)

1In what devices is the desired drug available?
2What device is the patient likely to be able to use properly, given the patient's age and the clinical setting?
3For which device and drug combination is reimbursement available?
4Which devices are the least costly?
5Can all types of inhaled asthma/COPD drugs that are prescribed for the patient be delivered with the same type of device?
6Which devices are the most convenient for the patient, family or medical staff to use given the time required for drug administration and device cleaning, and the portability of the device?
7How durable is the device?
8Does the patient or clinician have any specific device preferences?