Brand-Name Inhalers: How to Choose, Use, and Buy Safely

If you or someone you care for uses an inhaler, knowing the differences between brand-name options and how to use them makes a big difference. Brand-name inhalers—like Ventolin (salbutamol/albuterol), Advair/Seretide (fluticasone-salmeterol), Symbicort (budesonide-formoterol) and Spiriva (tiotropium)—come with specific delivery systems and dose counters. That affects cost, technique, and convenience.

How different inhalers work and which might fit you

Inhalers fall into two main types: pressurized metered-dose inhalers (pMDIs) and dry powder inhalers (DPIs). pMDIs need a slow, steady breath when you press the canister. DPIs require a quick, strong inhalation. If you struggle to coordinate pMDIs, a spacer makes inhaling easier and improves drug delivery.

Some inhalers combine a steroid and a long-acting bronchodilator (like Advair or Symbicort). Others are short-acting relievers (Ventolin). Your doctor picks a brand based on how severe your symptoms are, how often you’ll use it, and whether you can use the device correctly. If you’re unsure, ask for a demo in the clinic.

Practical tips: use, care, and safety

Always check the dose counter before using an inhaler. If there’s no counter, note the dispense date and follow the prescribed number of doses. Prime new pMDIs as instructed—usually a few test sprays—and clean mouthpieces weekly to prevent buildup.

After using steroid inhalers, rinse your mouth or brush your teeth to reduce the risk of oral thrush. Store inhalers at room temperature and avoid leaving them in a hot car. Dispose of expired inhalers and empty canisters safely at a pharmacy take-back if available.

Carry a spare inhaler. Many people learn the hard way when their only inhaler is out of doses. Keep one at home and one in a bag or at work.

Side effects differ by drug: short-acting bronchodilators may cause a fast heartbeat, steroids can cause hoarseness, and long-acting drugs may alter sleep in some people. Report new or worrying symptoms to your clinician.

Pay attention to insurance coverage and generic options. Generics often work the same, but the device can feel different. Ask your prescriber if a cheaper option will be equally effective for you.

Buying online? Use only licensed pharmacies that require a prescription. Avoid sites that sell prescription inhalers without one or offer unrealistically low prices. Check reviews, look for pharmacy verification seals, and keep a copy of the prescription. If a site seems shady, don’t risk it.

Traveling with inhalers? Pack them in carry-on luggage, bring a copy of your prescription, and keep inhalers in original packaging if possible. Most airlines allow medically necessary inhalers; check rules before you fly.

If technique, cost, or side effects bother you, talk to your clinician or pharmacist. A short device demo or a dose-change can often fix the issue fast.