While it would be absurd to suggest that family doctors should be aware of the more obscure side effects of all the drugs they prescribe, this situation is rather different. Bendroflumethiazide is one of the commoner drugs prescribed for raised blood pressure and it is well known to cause diabetes in almost 10 per cent of those taking it. So for her family doctor to fail to make the connection is definitely a bit odd. She did the sensible thing and binned her pills. Gratifyingly, her “diabetes” has since cured itself, and for good measure, her blood pressure has also remained satisfactory.
Nebulisers are machines that turn the liquid form of your short-acting bronchodilator medicines into a fine mist, like an aerosol. You breathe this in with a face mask or a mouthpiece. Nebulisers are no more effective than normal inhalers. However, they are extremely useful in people who are very tired (fatigued) with their breathing, or in people who are very breathless. Nebulisers are used mainly in hospital for severe attacks of asthma when large doses of inhaled medicines are needed. They are used less commonly than in the past, as modern spacer devices are usually just as good as nebulisers for giving large doses of inhaled medicines. You do not need any co-ordination to use a nebuliser - you just breathe in and out, and you will breathe in the medicine.