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There are significant differences in the carbon footprint of some of the MART MDI inhalers due to the differences in propellant gases. Some of these have been included below to illustrate options. ) /Pg 7 0 R /K [5] >> endobj 119 0 obj << /Type /StructElem /S /P /E (For more detailed inhaler carbon footprints by brand, we recommend the Presquipp pdf and excel documents and the Yew Makers Medicine Carbon Footprint Formulary. We would also recommend adding this link to any local guidelines to help inform clinical choices. ) /Pg 7 0 R /K [6 7 8] >> endobj 120 0 obj << /Type /StructElem /S /H2 /T (< 35 g CO2e per puff) /E (< 35 g CO2e per puff) /Pg 7 0 R /K [10] >> endobj 121 0 obj << /Type /StructElem /S /H2 /T /E /Pg 7 0 R /K [11] >> endobj 122 0 obj << /Type /StructElem /S /H2 /T /E /Pg 7 0 R /K [12] >> endobj 123 0 obj << /Type /StructElem /S /H2 /T /E /Pg 7 0 R /K [13] >> endobj 124 0 obj << /Type /StructElem /S /P /E (*Where a range of carbon footprints spreads across a category the best available is indicated. In cases where the difference is greater than 30gCO2e brand names of the lowest carbon option are indicated. ) /Pg 7 0 R /K [9] >> endobj 125 0 obj << /Type /StructElem /S /P /E (Page 1 of 3 \(2025\)) /Pg 7 0 R /K [14] >> endobj 126 0 obj << /Type /StructElem /S /P /E (Low dose) /Pg 8 0 R /K [31] >> endobj 127 0 obj << /Type /StructElem /S /P /E (Moderate dose) /Pg 8 0 R /K [32] >> endobj 128 0 obj << /Type /StructElem /S /P /E (High dose) /Pg 8 0 R /K [33] >> endobj 129 0 obj << /Type /StructElem /S /H2 /T (ICS dosages for people aged 12 years and over) /E (ICS dosages for people aged 12 years and over) /Pg 8 0 R /K [34] >> endobj 130 0 obj << /Type /StructElem /S /H2 /T (Beclometasone dipropionate ) /E (Beclometasone dipropionate ) /Pg 8 0 R /K [0] >> endobj 131 0 obj << /Type /StructElem /S /P /E (Standard particle metered dose inhalers \(MDI\) ) /Pg 8 0 R /K [21 22] >> endobj 132 0 obj << /Type /StructElem /S /P /E (200 to 500 mg per day in 2 divided doses ) /Pg 8 0 R /K [23] >> endobj 133 0 obj << /Type /StructElem /S /P /E (600 to 800 mg per day in 2 divided doses) /Pg 8 0 R /K [24] >> endobj 134 0 obj << /Type /StructElem /S /P /E (1000 to 2000 mg per day in 2 divided doses ) /Pg 8 0 R /K [25] >> endobj 135 0 obj << /Type /StructElem /S /P /E (Dry powder inhalers \(DPI\) ) /Pg 8 0 R /K [26 27] >> endobj 136 0 obj << /Type /StructElem /S /P /E (200 to 500 mg per day in 2 divided doses ) /Pg 8 0 R /K [28] >> endobj 137 0 obj << /Type /StructElem /S /P /E (600 to 800 mg per day in 2 divided doses) /Pg 8 0 R /K [29] >> endobj 138 0 obj << /Type /StructElem /S /P /E (1000 to 2000 mg per day in 2 divided doses ) /Pg 8 0 R /K [30] >> endobj 139 0 obj << /Type /StructElem /S /P /E (Extra-fine particle MDI \(Qvar\)* ) /Pg 8 0 R /K [1 2] >> endobj 140 0 obj << /Type /StructElem /S /P /E (100 to 200 mg per day in 2 divided doses ) /Pg 8 0 R /K [3] >> endobj 141 0 obj << /Type /StructElem /S /P /E (300 to 400 mg per day in 2 divided doses ) /Pg 8 0 R /K [4] >> endobj 142 0 obj << /Type /StructElem /S /P /E (500 to 800 mg per day in 2 divided doses ) /Pg 8 0 R /K [5] >> endobj 143 0 obj << /Type /StructElem /S /H2 /T (Budesonide ) /E (Budesonide ) /Pg 8 0 R /K [6] >> endobj 144 0 obj << /Type /StructElem /S /P /E (MDI + formoterol 2.25mg ) /Pg 8 0 R /K [7] >> endobj 145 0 obj << /Type /StructElem /S /P /E (\(Symbicort\) ) /Pg 8 0 R /K [8] >> endobj 146 0 obj << /Type /StructElem /S /P /E (200 to 400 mg per day as a single dose or in 2 divided doses ) /Pg 8 0 R /K [9] >> endobj 147 0 obj << /Type /StructElem /S /P /E (600 to 800 mg per day as a single dose or in 2 divided doses ) /Pg 8 0 R /K [10] >> endobj 148 0 obj << /Type /StructElem /S /P /E (1,000 to 1,600 mg per day as a single dose or in 2 divided doses ) /Pg 8 0 R /K [11] >> endobj 149 0 obj << /Type /StructElem /S /H3 /T (DPI ) /E (DPI ) /Pg 8 0 R /K [12] >> endobj 150 0 obj << /Type /StructElem /S /P /E (200 to 400 mg per day as a single dose or in 2 divided doses ) /Pg 8 0 R /K [13] >> endobj 151 0 obj << /Type /StructElem /S /P /E (600 to 800 mg per day as a single dose or in 2 divided doses ) /Pg 8 0 R /K [14] >> endobj 152 0 obj << /Type /StructElem /S /P /E (1,000 to 1,600 mg per day as a single dose or in 2 divided doses ) /Pg 8 0 R /K [15] >> endobj 153 0 obj << /Type /StructElem /S /H2 /T (Ciclesonide ) /E (Ciclesonide ) /Pg 8 0 R /K [16] >> endobj 154 0 obj << /Type /StructElem /S /H1 /T (MDI ) /E (MDI ) /Pg 8 0 R /K [17] >> endobj 155 0 obj << /Type /StructElem /S /P /E (80 to 160 mg per day as a single dose ) /Pg 8 0 R /K [18] >> endobj 156 0 obj << /Type /StructElem /S /P /E (240 to 320 mg per day as a single dose or in 2 divided doses ) /Pg 8 0 R /K [19] >> endobj 157 0 obj << /Type /StructElem /S /P /E (400 to 640 mg per day in 2 divided doses ) /Pg 8 0 R /K [20] >> endobj 158 0 obj << /Type /StructElem /S /P /E (* Higher potency delivery means fewer puffs required for each dose - thus although the CO2e for Qvar is 101 compared to Clenil at 82 it would be better to use one puff of Qvar than two puffs of Clenil, and the clinical efficacy would be the same. ) /Pg 8 0 R /K [37] >> endobj 159 0 obj << /Type /StructElem /S /Figure /P 112 0 R /Pg 8 0 R /K [35] >> endobj 160 0 obj << /Type /StructElem /S /P /E (Page 2 of 3 \(2025\)) /Pg 8 0 R /K [36] >> endobj 161 0 obj << /Type /StructElem /S /H1 /T (ICS dosages for people aged 12 years and over) /E (ICS dosages for people aged 12 years and over) /Pg 9 0 R /K [33] >> endobj 162 0 obj << /Type /StructElem /S /H3 /T (Low dose) /E (Low dose) /Pg 9 0 R /K [30] >> endobj 163 0 obj << /Type /StructElem /S /H3 /T (Moderate dose) /E (Moderate dose) /Pg 9 0 R /K [31] >> endobj 164 0 obj << /Type /StructElem /S /H3 /T (High dose) /E (High dose) /Pg 9 0 R /K [32] >> endobj 165 0 obj << /Type /StructElem /S /H1 /T (Fluticasone propionate ) /E (Fluticasone propionate ) /Pg 9 0 R /K [0] >> endobj 166 0 obj << /Type /StructElem /S /H2 /T (DPI) /E (DPI) /Pg 9 0 R /K [7] >> endobj 167 0 obj << /Type /StructElem /S /H3 /T (100 to 250 mg per day in 2 divided doses ) /E (100 to 250 mg per day in 2 divided doses ) /Pg 9 0 R /K [3] >> endobj 168 0 obj << /Type /StructElem /S /H3 /T (300 to 500 mg per day in 2 divided doses) /E (300 to 500 mg per day in 2 divided doses) /Pg 9 0 R /K [4] >> endobj 169 0 obj << /Type /StructElem /S /H3 /T (600 to 1,000 mg per day in 2 divided doses ) /E (600 to 1,000 mg per day in 2 divided doses ) /Pg 9 0 R /K [5 6] >> endobj 170 0 obj << /Type /StructElem /S /H2 /T (MDI) /E (MDI) /Pg 9 0 R /K [16] >> endobj 171 0 obj << /Type /StructElem /S /H3 /T (100 to 250 mg per day in 2 divided doses ) /E (100 to 250 mg per day in 2 divided doses ) /Pg 9 0 R /K [17] >> endobj 172 0 obj << /Type /StructElem /S /H3 /T (300 to 500 mg per day in 2 divided doses) /E (300 to 500 mg per day in 2 divided doses) /Pg 9 0 R /K [18] >> endobj 173 0 obj << /Type /StructElem /S /H3 /T (600 to 1,000 mg per day in 2 divided doses ) /E (600 to 1,000 mg per day in 2 divided doses ) /Pg 9 0 R /K [19] >> endobj 174 0 obj << /Type /StructElem /S /H3 /T (MDI + Salmeterol 25 mg Sereflow and Combisal 30gCO2e more than other current options ) /E (MDI + Salmeterol 25 mg Sereflow and Combisal 30gCO2e more than other current options ) /Pg 9 0 R /K [20] >> endobj 175 0 obj << /Type /StructElem /S /H3 /T (100 to 250 mg per day in 2 divided doses ) /E (100 to 250 mg per day in 2 divided doses ) /Pg 9 0 R /K [21 22] >> endobj 176 0 obj << /Type /StructElem /S /H3 /T (300 to 500 mg per day in 2 divided doses) /E (300 to 500 mg per day in 2 divided doses) /Pg 9 0 R /K [23] >> endobj 177 0 obj << /Type /StructElem /S /H3 /T (600 to 1,000 mg per day in 2 divided doses ) /E (600 to 1,000 mg per day in 2 divided doses ) /Pg 9 0 R /K [24 25] >> endobj 178 0 obj << /Type /StructElem /S /H3 /T (MDI + Formoterol 5 mg \(Flutiform\) ) /E (MDI + Formoterol 5 mg \(Flutiform\) ) /Pg 9 0 R /K [26] >> endobj 179 0 obj << /Type /StructElem /S /H3 /T (100 to 250 mg per day in 2 divided doses ) /E (100 to 250 mg per day in 2 divided doses ) /Pg 9 0 R /K [27] >> endobj 180 0 obj << /Type /StructElem /S /H3 /T (300 to 500 mg per day in 2 divided doses) /E (300 to 500 mg per day in 2 divided doses) /Pg 9 0 R /K [28] >> endobj 181 0 obj << /Type /StructElem /S /H3 /T (600 to 1,000 mg per day in 2 divided doses ) /E (600 to 1,000 mg per day in 2 divided doses ) /Pg 9 0 R /K [29] >> endobj 182 0 obj << /Type /StructElem /S /H1 /T (Fluticasone furoate ) /E (Fluticasone furoate ) /Pg 9 0 R /K [1] >> endobj 183 0 obj << /Type /StructElem /S /H3 /T (DPI \(only available as a combined product with vilanterol\) ) /E (DPI \(only available as a combined product with vilanterol\) ) /Pg 9 0 R /K [11] >> endobj 184 0 obj << /Type /StructElem /S /P /E (Not available) /Pg 9 0 R /K [8] >> endobj 185 0 obj << /Type /StructElem /S /P /E (100 mg per day as a single dose) /Pg 9 0 R /K [9] >> endobj 186 0 obj << /Type /StructElem /S /P /E (200 mg per day as a single dose) /Pg 9 0 R /K [10] >> endobj 187 0 obj << /Type /StructElem /S /H1 /T (Mometasone furoate ) /E (Mometasone furoate ) /Pg 9 0 R /K [2] >> endobj 188 0 obj << /Type /StructElem /S /H2 /T (DPI) /E (DPI) /Pg 9 0 R /K [15] >> endobj 189 0 obj << /Type /StructElem /S /P /E (200 mg per day as a single dose.) /Pg 9 0 R /K [12] >> endobj 190 0 obj << /Type /StructElem /S /P /E (400 mg per day as a single dose or in 2 divided doses) /Pg 9 0 R /K [13] >> endobj 191 0 obj << /Type /StructElem /S /P /E (600 to 800 mg per day in 2 divided doses) /Pg 9 0 R /K [14] >> endobj 192 0 obj << /Type /StructElem /S /Figure /P 113 0 R /Pg 9 0 R /K [34] >> endobj 193 0 obj << /Type /StructElem /S /H3 /T (Page 3 of 3 \(2025\)) /E (Page 3 of 3 \(2025\)) /Pg 9 0 R /K [35] >> endobj 194 0 obj << /ca 1 /BM /Normal >> endobj 195 0 obj << /G3 194 0 R >> endobj 196 0 obj << /Type /Group /S /Transparency /I true >> endobj 197 0 obj << /G3 194 0 R >> endobj 198 0 obj << /Type /Group /S /Transparency /I true >> endobj 199 0 obj << /Length 293 /N 3 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