Performance of Large-Volume versus Small-Volume Holding Chambers with Chlorofluorocarbon-Albuterol and Hydrofluoroalkane-Albuterol Sulfate

BACKGROUND:The recent development of non-chlorofluorocarbon propellant formulations for pressurized metered-dose inhalers prompts the need for the comparative evaluation of dose delivery by small- versus large-volume holding chambers (HCs). The performance of 2 representative largeand small-volume HCs has been investigated with chlorofluorocarbon-formulated albuterol (Ventolin) and hydrofluoroalkane-formulated albuterol sulfate (Airomir) with the objective of studying the influence of chamber capacity on so-called “fine-particle” dose and total dose. Three AeroChamber and a similar number of Volumatic HCs were tested with each formulation. METHODS: An 8-stage Andersen cascade impactor was used to determine mass-weighted size distributions of drug delivered at the mouthpiece of each HC. The mass of albuterol (Ventolin) or albuterol sulfate (Airomir) collected in the impactor was assayed by high performance liquid chromatography with ultraviolet detection in order to measure both fine-particle dose ( 95% of fine