Green Inhaler Prescribing Environmental Impact of Inhalers Switching Inhaler Eco Inhalers

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Get your FREE 1 page Green Inhaler Checklist! • https://winning-trader-3594.ck.page/e... • • This is the second of 3 videos starting with the climate crisis explained by a general practitioner, going into more detail about green inhaler prescribing and the environmental impact of inhalers. Switching your inhalers to an eco inhalers - which is a dry powder inhaler, can have a massive impact on reducing your carbon footprint! • TIMESTAMPS • 0:00 - 0. Welcome • 0:36 - 1. MDIs Versus DPIs • 2:07 - 2. Open Prescribing • 3:20 - 3. P - Practice • 3:47 - 4. P - Patients • 6:09 - 5. P - disPosal • • WHO AM I: • I'm Mike, a general practitioner working in Greater Manchester, UK. I'm also a music producer and medical university tutor. I make videos about medicine and productivity and I am the author of the now sold out medical audiobook CSA On The Move: A Practical Audio Guide to the Clinical Management of Common RCGP CSA Scenarios and the available second edition GP On The Move . • 💌 Sign up to my monthly email newsletter - https://winning-trader-3594.ck.page/e... • 🌍 My website - https://www.gponthemove.com • 🐦 Twitter - / gponthemoveuk • 📸 Instagram - / gponthemoveuk • Script - Dr Katherine Cohen • Additional Script Editing - Dr David McKelvey • Supported through Salford CCG Innovation and Research Fund • • When most of us reach for a first-line inhaler, we go for a metered dose inhaler or MDI. These deliver a mist of medications from a pressurised container using aerosol propellants called HFCs. Unfortunately, these are powerful greenhouse gases that contribute to global warming. • In England alone, we prescribe around 50 million inhalers per year and 70% of these are MDIs. In fact, our addiction to MDIs is puffing out 3%-4% of the NHS carbon footprint and 15% of the Primary Care carbon footprint. This is so significant that reducing MDI use is a key part of the NHS net zero plan. • So what’s the alternative? • Enter, dry powder inhalers or DPIs! Without propellants, DPIs have a carbon equivalent impact that is around 10 to even 30 times less than MDIs. Plus, DPIs are often a viable alternative for many of our patients and in the right situation can represent a treatment that is best for both the patient and the planet. • Firstly, what inhalers are your practice prescribing? You can run analyses of your prescribing via your electronic patient record system, but if you are in England, you also have access to a lot of nifty data using openprescribing.net • https://openprescribing.net/ • Think how as a practice you are going to tackle this? E.g. call in those on the really nasty MDI Flutiform Symbicort first and try to switch them. Next those on multiple SABAs per year – showing poor control. Next those on mixed MDI and DPI and move to one type only? You have quite a lot of options here. • So to sum up, MDIs are really bad for the environment but in the UK we prescribe lots of them. As prescribers, we have the power to change this. Work out your prescribing habits as a practice, identify suitable patients for potential switches, counsel them well and then enlist the help of your friendly pharmacist to aid with disposal. • • The information contained within this publication was obtained from sources believed to be reliable. Whilst every effort has been made to ensure the accuracy of the material, no responsibility for loss, injury or failure whatsoever occasioned to any person acting or refraining from action as a result of information contained herein can be accepted by the author. • Although every effort has been make to ensure that all owners of copyright material have been acknowledged in the publication, we would be pleased to acknowledge in subsequent reprints or editions any omissions brought to our attention. • All readers should be aware that medical sciences are constantly changing and evolving and whilst the author has checked all dosages and guidance are based upon current indications, there may be specific practices and procedures that differ between localities, countries and nations. You should always follow the guidelines laid down by the manufacturers of specific products and the relevant authorities in the country in which you are practicing. • • #generalpractice #greeninhalers #ecofriendly

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