3.1.1.2 Long-acting beta-2 agonists (LABA) [COPD only]

Prescribe an inhaler with a lower carbon impact where possible – resources can be found here.


Choice	Drug	Carbon Footprint	Dose Counter Present (D)
NB – For COPD only. In asthma (or in asthma+COPD), LABAs should not be used without ICS. Combination devices should be used
Formulary choices	Formoterol DPI
		Formoterol Easyhaler® 12micrograms/dose		D
		If a MDI is required:
		Formoterol fumarate MDI 12micrograms/metered inhalation
		Salmeterol DPI
		Serevent® (salmeterol) 50micrograms/dose Accuhaler DPI		D
		If a MDI is required:
		Salmeterol MDI 25micrograms/metered inhalation


Symbol	Carbon indicator
	Low Carbon Footprint (<2kg CO2e per inhaler)
	High Carbon Footprint (6-20kg CO2e per inhaler)
	Highest Carbon Footprint (>34kg CO2e per inhaler)