Respiratory

Respiratory Therapy
Nebulizer compressors are used to deliver aersol medication therapy into the lungs effectively with clinical accuracy. The availability of unit dose respiratory medications delivered to the patient's home ensures proper dosage, prescribed solution strength, and preservation of product sterility (see prescriptions on the home page). Freedom Pharmacy provides easy-to-use Nebulizer compressors, ideal for all ages.

CompMist Nebulizer Compressor

• Effective medication therapy
• Easy-to-operate, one-button design
• Complete Nebulizer kit included
• Easy carry handle
• Ideal for all ages
• Particle size range: 0.5 to 10 microns
• Approximate weight: 4.6lbs
• Approximate size: 11-7/8" X 7-1/8" X 4-1/2"
• Instructions in English and Spanish
• Easy to clean
• No water required to operate
• Five-year limited warranty

Mabis Mist II - Ultrasonic Nebulizer	Fast, quiet treatments Easy-to-operate, two-button design Lightweight (under 1 lb.), compact and portable Average particle size 1-10 microns Atomization rate 0.2-0.7 ml per minute depending on medication density Suitable for all ages 3 airflow control settings Instructions in English and Spanish Battery and adapter included
Freedom Pharmacy will assure that you receive filters, tubing, nebulizer cups, and mask monthly along with your medications. It is important to change out your supplies monthly for proper compliance.

The medications used in nebulizers help you by loosening the mucus in your lungs so it can be coughed out more easily, and by relaxing the airway muscles so that more air can move in and out of the lungs. Breathing the medication straight into the lungs works better and faster than taking the medication by mouth. Nebulizer treatments take about 15 to 20 minutes to give. Ipratropium helps relieve this tightening of the airways, which is called bronchospasm (bronk-oh-SPAZ-im). Ipratropium helps to keep the airways open. It works in 5 to 15 minutes and lasts for 4 to6 hours. This drug is short-acting. Ipratropium comes both as a metered-dose inhaler (MDI) and as a liquid for a nebulizer. Take this medicine only as directed by your doctor. Usually this means 2 puffs from your inhaler every 4 to 6 hours. Unless your doctor tells you otherwise, you should not take more than 2 puffs more than 4 to 6 times a day. Side effects may increase from too frequent use. Ipratropium is not a rescue medicine. Be sure to talk to your doctor about a treatment plan when you use ipratropium. You should not use ipratropium if you have an allergy to soy products or peanuts. Tell your doctor and pharmacist of all your allergies. Be sure to include any allergies to medicine and food. Formoterol. This beta-2 agonist is usually taken 2 times a day. It begins to work in less than 5 minutes, but it is not a rescue medicine. Do not take formoterol for an attack. It is sometimes prescribed for people who have tightening of the airways brought on by exercise. This medicine comes as a dry powder in a gelatin capsule. It is taken using a special type of inhaler that is packaged with the medicine. Possible side effects include shaking (tremors), trouble sleeping, faster heart beat, muscle cramps, and nausea. Combivent. This medicine combines albuterol and ipratropium. Combined bronchodilators often have a greater effect than either of the drugs used alone at the recommended dosage. Combivent comes as a metered-dose inhaler (MDI). It works quickly to keep the airways open and lasts up to 4 to 6 hours. The usual dosage is 2 puffs, 4 times a day, unless your doctor tells you otherwise. Do not increase the dosage or frequency without consulting your doctor. DuoNeb. This medicine also combines albu- terol and ipratropium. You take DuoNeb with a nebulizer. It gives the same benefits as Combivent, but it is in liquid (nebulizer) form.

What is Xopenex? XOPENEX is a short-acting beta-agonist used to treat and prevent bronchospasm in both children and adults. XOPENEX, like other short-acting beta-agonists, is used to relax the constricted or narrowed bronchial tubes or reduce bronchospasm in the lung. Bronchospasm occurs most commonly with asthma but can also occur with chronic obstructive pulmonary disease or COPD including chronic bronchitis and emphysema, lung infections, acute bronchitis and other medical conditions. How does Xopenex work? Medicines like XOPENEX, called bronchodilators, relax the tightened muscles around the airways in the lungs when bronchospasm occurs allowing the airways to open. Bronchospasm is the sudden tightening of the airways in the lung and is typically triggered by something you are allergic to or another trigger such as cold air or exercise. XOPENEX Inhalation Solution comes in a liquid form that is turned into a vapor-like mist in a nebulizer and then inhaled.

Metered-Dose Inhalers (MDIs) Metered-dose inhalers have grown in popularity since their introduction in the late 1950s, and they are currently used by over 25 million Americans for a variety of diseases, such as asthma, chronic obstructive pulmonary disease (COPD), and other lung diseases characterized by obstruction of airflow and shortness of breath. Metered-dose inhaler products contain therapeutically active ingredients dissolved or suspended in a propellant, a mixture of propellants, or a mixture of solvents, propellants, and/or other excipients in compact pressurized aerosol dispensers. Clinical efficacy assessment of inhalation aerosols requires consideration of several parameters, such as: Variability in the disease itself (ventilatory and anatomic or pathologic factors) Administration skills and practices, for example, breath holding and its duration, patient inspiratory flow rate, discharging either via closed lips around the mouthpiece or into the open mouth, coordination of aerosol discharge (actuate and breathe) and inhalation by the patient, add-on devices (e.g., spacers, chambers), proper priming of the valve and cleaning practices for the actuator, proper handling and fitting of the actuator to the valve stem. Presence of other drugs which may exacerbate differences between products. Drug product variability due to physical characteristics and controls of the drug substance, optimized formulation, valve and actuator design, manufacturing process and in-process controls, and so on. /ul>