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. 2019 Nov 7;75(1):82–84. doi: 10.1136/thoraxjnl-2019-213744

Table 1.

Contribution of phases in the life cycle of different inhaler devices to their individual carbon footprint (net kg CO2e/per pack) and annual carbon footprints of each device

RELVAR
ELLIPTA
92/22 µg
SERETIDE
ACCUHALER
50/500 µg
VENTOLIN
ACCUHALER
200 µg
SERETIDE
EVOHALER
25/250 µg
VENTOLIN
EVOHALER
100 µg
Active pharmaceutical ingredients 0.02 0.25 0.02 0.08 0.10
Manufacturing 0.73 0.46 0.42 2.12 1.11
Distribution 0.03 0.06 0.02 0.03 0.02
User phase 0.00 0.12 0.12 10.68 19.39
End of life 0.03 0.01 0.01 6.08 7.38
Net kg CO2e/pack 0.80 0.90 0.60 19.00 28.00
Net kg CO2e/year 9.5 11.0 7.3* 234.0 205.0*

*If using on average two doses per day.