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.
Progestins are steroid hormones that are typically prescribed to postpone heat cycles or alleviate false pregnancies in female dogs and treat benign prostatic hypertrophy in male dogs. They may also be used for some types of skin problems or to modify aggressive behavior. Megestrol acetate and medroxyprogesterone are the most commonly used progestins in dogs. Potential side effects include increased thirst and appetite, behavioral changes, mammary gland enlargement, and an increased likelihood of developing diabetes mellitus, acromegaly (a hormonal disease that causes enlargement of the head), Cushing’s disease, uterine infection (pyometra), reproductive disorders, and some types of cancer.