Dr Paul Ryan will discuss Formoterol Budesonide dry powder inhalers and which inhalers are currently available. He will discuss why the maximum dose is 12 puffs once daily. He will also discuss anti-inflammatory reliever therapy & MART therapy & stepping up and stepping down treatment. Finally, he will discuss the risk of osteoporosis after repeated courses of oral steroids.

Dr Paul Ryan will discuss the role of Montelukast and Tiotropium Mist Inhaler in the management of asthma.

Dr Paul Ryan will discuss the management of asthma in children as per the NICE, SIGN & BTS guidelines. He will also discuss the use of a spacer inhaler and the risk of inhaled steroids affecting growth in children. Finally, he will discuss the children who are likely to grow out of asthma and the MART action plan. 

Dr Paul Ryan will discuss influenza in children & the importance of vaccinating children against influenza. He will also discuss the live attenuated vaccine and the side effects. 

Dr Paul Ryan will discuss the efficacy of the influenza vaccination. He will also discuss antigenic drift versus antigenic shift. Finally, he will discuss the recommended groups for vaccination. 

Dr Paul Ryan will discuss the transmission of influenza, the asymptomatic spread of influenza and the affects of influenza. He will also discuss the difference between non-severe and severe influenza. 

Dr Paul Ryan will discuss the different types of influenza viruses and also how to differentiate between influenza, common cold & Covid-19. He will also discuss why rather than calling it 'flu season', it should be referred to as 'the majority of the year flu season'. 

Dr Paul Ryan will discuss the management of asthma in adults in 2025. He will discuss the use of anti-inflammatory medication rather than salbutamol and he will also discuss MART therapy.

 Dr Paul Ryan will discuss the history, symptoms & exam findings in acute bronchitis. He will also discuss the differential diagnosis & management of bronchitis. Finally, he will discuss why cough can last up to 3-4 weeks in acute bronchitis. 

Dr Paul Ryan will discuss the diagnosis of asthma in both adults & children in 2025, including the history. He will also discuss the objective test to be done and a reminder that asthma diagnosis is made by a combination of both the suggested history and an objective test.