Asthma Inhalers To Go Green

John Mack, president of the five-member Police Commission, right, speaks during a news conference with city leaders and Los Angeles police Chief William J. Bratton, left, at Los Angeles City Hall Wednesday, May 2, 2007. Mack he was "deeply disturbed and very disappointed" by the images he had seen televised from MacArthur Park as police clashed with immigration protesters. AP Photo/Kevork Djansezian

Old-fashioned asthma inhalers that contain environment-harming chemicals will no longer be sold at year's end - and the U.S. government is urging patients not to wait until the last minute to switch to newer alternatives.

Patients use inhalers to dispense airway-relaxing albuterol during asthma attacks.

Chemicals called chlorofluorocarbons, or CFCs, once were widely used to propel the drug into the lungs. But CFC-containing consumer products are being phased out because CFCs damage the Earth's protective ozone layer. As of Dec. 31, asthma inhalers with CFCs can no longer be made or sold in the U.S. Inhalers instead will be powered by ozone-friendly HFAs, or hydrofluoroalkanes.

The ozone layer shields the planet from harmful ultraviolet radiation.

Patients have been warned of the change for several years, but the U.S. Food and Drug Administration issued an advisory last week saying anyone still using CFC inhalers should ask their doctor about switching now.

The FDA warns that patients will face a learning curve: HFA inhalers may taste and feel different. The spray may feel softer. Each must be primed and cleaned in a specific way to prevent clogs. And they tend to cost more.

Users will have to wash the plastic mouthpiece more frequently and dry it overnight, CBS' The Early Show medical correspondent Dr. Emily Senay said.

CFC-free albuterol inhaler options include GlaxoSmithKline's Ventolin HFA, Schering Plough's Proventil HFA and Teva Specialty Pharmaceuticals' ProAir HFA. Sepracor's Xopenex HFA is also CFC-free, but it contains levalbuterol, a similar medication.

The FDA said Armstrong Pharmaceuticals is the sole remaining maker of CFC inhalers and is expected to stop production even before the deadline. A spokesman for Armstrong's parent company would not say when production would stop, but sales of remaining inventory will continue until Dec. 31.
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