Farewell 2011. So long Primatene® Mist! As of Dec. 31, the FDA has banned this over-the-counter epinephrine inhaler used by so many to treat asthma. I remember watching the TV ads as a young boy, so this stuff has been around a long time. Hitting the market in 1963, in many ways it was a pioneer in the treatment of patients with bronchospasm and a predecessor of the modern day metered dose inhaler. It was portable, accessible, affordable and easy to use. Many of my patients have pulled it from their purses and pockets over the years. Now, due to its use of CFC’s, it has gone the way of many other medical dinosaurs and will soon be a fossil in annals of medical history. Many will say; “good riddance” and rightly so. There is such a variety of better pharmaceuticals for the treatment of asthma today. I daresay many, however, who relied on this “old clunker”, and who could not easily afford the more racy alternatives, will mourn its passing. As respiratory therapist we must be ready to help our Primatene® patient’s make this transition by instructing them in the use of better treatment regimens and advocating on their behalf for affordable access to the medicines they need. Happy New Year to all! Breathe easy!