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. 2022 Jun 8;40(1):16–21. doi: 10.5114/ada.2022.117039

Table 4.

Feedback systems in multi-dose DPIs – inhalers are listed in alphabetical order [33, 35, 36, 4042]

Inhaler Counter type Signal indicating the dose dispensed Signal to confirm inhalation System indicating a correct inhalation (inspiratory flow ≥ minimum value) Possible digital DPI
Visual Auditory Visual Auditory Gustatory
AirMaster® U + +
Diskus®a U + + + +
Easyhaler® D + +
Ellipta® U + + + +
Genuair® Db +c + +e + + +g
Forspiro® U +d + +
NEXThaler® Ub + +f + + +h +
Novolizer® Db +c + +e + + +g
Spiromax® U + + + +
Turbuhaler® D + +
Twisthaler® U + + +

U – unit dose counter, D – decimal dose counter.

a

Also the so-called disc-like DPI (G7, Diamond),

b

the dose counter activates (dispenses) only after an effective inhalation has been carried out,

c

the control window changes its colour (from red to green),

d

the empty blister coming out of the inhaler,

e

the control window changes its colour (from green to red),

f

doses are measured on the dose counter after the mouthpiece has been closed,

g

a click and the control window changing its colour (from green to red),

h

a click and measuring on the dose counter after the mouthpiece has been closed.