Intended for healthcare professionals

Letters A more sustainable NHS

Switching to greener inhalers would be costly for NHS

BMJ 2019; 367 doi: (Published 30 October 2019) Cite this as: BMJ 2019;367:l6221
  1. Andrew D Martin, strategic medicines optimisation pharmacist
  1. Greater Manchester Joint Commissioning Team, Ellen House, Oldham OL9 6EE, UK
  1. andrew.martin8{at}

Van Hove and Leng say that metered dose inhalers are a similar price to dry powder inhalers.1 This might be true for some inhalers, but because of the far greater use of plain …

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