“…Similar studies have showed similar levels of willingness to switch to lower carbon alternatives (60% of MDI users). 21 , 22 , 23 D'Ancona et al found that a large proportion (65% of patients/carers surveyed) were unaware of the environmental impact of inhalers. 23 These findings together highlight the importance of including information about the environmental impact of inhalers when discussing treatment options with patients as outlined in NICE's patient decision making aid.…”