The Color of Inhalers: Part 1 -

Ever discover that almost all inhalers have distinctive colours? That is truly a security mechanism so you already know what medication you’re taking. Coloration coding was created when most inhalers had been metered dose inhaler (MDI). All of them appeared about the identical. So the colour coding system was created to make them look totally different.
Primary color-coding system: The strategy behind the insanity
So, the essential coding system was like this within the early 1980’s:
Blue: Brief-Appearing Beta Agonist (SABA, Rescue Medication), resembling Albuterol (Ventolin)
Brown: Inhaled Corticosteroids (ICS, Controller Medication), resembling Beclomethasone (Vanceril*)
In fact, then there have been inhalers that did not observe the colour scheme.
Coloration codes for inhaler enhancements: They broke the colour code by communicated options
White inhaler with inexperienced and brown on label and inexperienced cap. Anticholinergic bronchodilator referred to as ipatropium bromide (Atrovent). It was usually used as a controller medication.
White. Inhaled corticosteroid Azmacort. It violated coloration code, though the inhaler had a in-built spacer and due to this fact was simply recognized.
White inhaler with blue cock. Mast cell stabilizer referred to as chromolyn (Intal). It was a controller medication. It violated the colour system. However, it was a dry powdered inhaler (DPI). So, it additionally was simply identifiable.
In 1994 Serevent was added to the market. In 1996, Flovent was added to the market.
Brown. Inhaled Corticosteroid. It was a controller medication referred to as Fluticasone (Flovent)
Inexperienced. Lengthy-Appearing Beta Adrenergic (LABA, Controller Medication), referred to as Salmeterol (Serevent). A bonus characteristic on Serevent was that it was a brief inhaler. It was half the scale of albuterol. Whereas this will appear insignificant at first, it was a neat security characteristic. It allowed you to tell apart it from Ventolin just by really feel.
By 2005, there was one other rescue inhaler in the marketplace.
Gentle Blue. Brief-acting bronchodilator (Rescue Medication), referred to as levalbuterol (Xopenex)
Greater than coloration – being attentive to the “feel” of inhalers
The one drawback with the colour system was the lights needed to be on. There have been many instances I grabbed my rescue inhaler at night time. The texture of controller inhalers was the identical. So, you needed to flip the lights on to inform the distinction.
Typically, I grabbed Vanceril as a substitute of Ventolin. In fact, this controller medication received’t provide you with your breath again. So, you needed to be cautious.
One night time I stored grabbing Serevent as a substitute of Ventolin. I had taken many puffs of it through the night time. I didn’t notice my mistake till morning. My coronary heart was pounding, however I survived. That’s after I realized to concentrate to the distinctive really feel of Serevent. You actually don’t wish to use this LABA extra 2 puffs twice a day.*
At current, there are 5 rescue inhalers. Some observe the normal coloration coding system. Some don’t.
ProAir HFA is crimson
ProAir Respiclick is white with a crimson cap and lettering
Proventil HFA is yellow with an orange cap
Ventolin is blue with a darkish blue cap
Extra colours!
This method was additionally difficult with the addition of some mixture inhalers. These had been each DPIs that contained each a LABA and an ICS.
Purple. Fluticasone/ Salmeterol (Advair), accessible as a Discus
Crimson. Budesonide/ Formoterol (Symbicort). The DPI is out there because the Turbohaler. The MDI is out there as a crimson inhaler. It appears and feels much like ProAir HFA.
So, as you’ll be able to see, prescription drugs sort of bought away from the colour coding system. The one two inhalers that comply are Ventolin and Qvar. However, there may be discuss of bringing the colour coding system again. I feel this can be a good concept. However I’d go a step additional. I’ll clarify in my subsequent submit. So, keep tuned.
Notes: *Vanceril is now referred to as Qvar. **Serevent is now one of many two parts of Advair. It’s not really helpful that asthmatics use it by itself. If wanted, most consultants agree it needs to be taken with an ICS.


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