Which specialist performs inhaler therapy?

General practice is often the first place to assess cough, wheeze, chest tightness, or breathlessness and decide whether an inhaler is suitable. The doctor can select a device, explain the difference between a reliever and a preventer, check your technique, and review whether symptoms are controlled.

A pulmonologist is a respiratory specialist. Referral may be considered when symptoms remain difficult to control, the diagnosis is uncertain, breathing tests are abnormal, or treatment needs specialist adjustment. Pharmacists and nurses may also demonstrate device technique as part of a care team.

Bring every inhaler and spacer to the appointment, even if you use them only occasionally. Demonstrate how you use the device so the clinician can correct timing, breathing, and dose-delivery problems. Mention nighttime symptoms, exercise limitation, missed doses, side effects, smoking or vaping, and how often you need a reliever.

Use inhalers according to the prescribed plan and do not stop a preventer suddenly without advice. Ask how to clean the device, when to replace it, and what action plan to follow if symptoms flare.

Seek emergency help for severe breathlessness, blue or grey lips, inability to speak in full sentences, marked drowsiness, or symptoms that are rapidly worsening despite your reliever plan.

Arrange prompt clinical review when you need the reliever more often than directed, are waking with breathing symptoms, or cannot keep up with normal activities. A clinician can check whether the diagnosis, technique, triggers, or treatment plan needs review.

Ask which inhaler is for immediate relief, which is for prevention, how to use each device, how to recognise worsening control, and whether you need respiratory testing or specialist review.