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Do Inhalers or Nebulizers Work Better?

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There are a lot of opinions when it comes to which works better - a nebulizer or an inhaler.   As a Certified Asthma Educator (AE-C), I have been to plenty of national asthma conferences to keep up my continuing education credits.    This topic has come up frequently.    What do the studies say?     There are studies that say that inhalers are just as effective for treating asthma as nebulizers. Researchers say if inhalers are used properly (and used with a spacer), they are a better choice for asthma attacks and asthma flares.    They also say nebulizers are big and bulky and hard to transport. (But there are small handheld units now that run on batteries. Mine is about 3 inches tall and fits in my bag.)     What do patients say?    I have had asthma for over 25 years - and I also raised three children with asthma. We have had countless asthma attacks and respiratory illnesses like pneumonia, RSV, and COVID....