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When using a valved holding chamber (VHC) with your inhaler, it's important to be aware of certain risks to ensure safe and effective medication delivery:

Proper Device Selection: Not all VHCs are interchangeable. Each combination of inhaler and VHC functions as a unique system. Using an incompatible chamber can lead to reduced medication delivery and diminished therapeutic effects. Always use the VHC recommended for your specific inhaler.

Electrostatic Charge: Some plastic VHCs can develop an electrostatic charge, which may cause medication particles to adhere to the chamber walls, reducing the amount reaching your lungs. To minimize this risk, consider using antistatic chambers or those made from materials less prone to static buildup. Regularly washing the chamber with a mild detergent and allowing it to air dry can also help reduce static charge.

Multiple Actuations: Actuating multiple puffs into the chamber before inhaling can decrease the amount of medication delivered to your lungs. It's recommended to inhale each puff separately to ensure optimal drug delivery.

Maintenance and Inspection: Regularly inspect your VHC for signs of wear, damage, or malfunctioning valves. A compromised chamber can affect medication delivery and pose safety risks. Follow the manufacturer's guidelines for cleaning and maintenance to keep the device in good working condition.

Proper Use with Face Masks: For infants and young children using a VHC with a face mask, ensure a tight but comfortable seal to prevent medication leakage. Leaks can significantly reduce the dose delivered to the lungs. Additionally, calming the child before administration can improve cooperation and effectiveness.

By being mindful of these factors and adhering to proper usage guidelines, you can maximize the benefits of your inhaler therapy while minimizing potential risks.

The Clever Choice Holding Chamber is a device designed to enhance the delivery of medication from metered-dose inhalers (MDIs) to the lungs. By attaching this chamber to an MDI, it helps ensure that more medication reaches the airways, reducing the amount that may otherwise be deposited in the mouth or throat.

This holding chamber is compatible with most MDIs and features low-resistance one-way inhalation and exhalation valves. It includes a soft mask tailored to its size, with a comforting cartoon design to help relax the patient. The device is also anti-static and valved, which aids in effective medication delivery.

Using a holding chamber like the Clever Choice can be particularly beneficial for individuals who have difficulty coordinating the actuation of their inhaler with inhalation. It allows the medication to be suspended momentarily, giving the user more time to inhale the dose properly. This can lead to improved asthma control and a reduction in side effects associated with improper inhaler use.

Regular cleaning of the holding chamber is important to maintain its effectiveness and prevent contamination. It's recommended to wash the device at least once a week if used daily, following the manufacturer's instructions. Some models are dishwasher safe, but it's essential to verify this before cleaning.

While some insurance plans may cover the cost of holding chambers, others might not. However, these devices are generally affordable, with prices around $10-15 each. They are durable and can last for a significant period, making them a cost-effective addition to asthma management.