Children's Hospital Colorado

Our experts treat respiratory and sleep disorders from the common to the complex, helping children and families breathe easier.

Best Children's Hospital by U.S. News & World Report Pulmonology 2021-2 Badge


If your child has asthma, the pediatric asthma experts at Children’s Hospital Colorado may recommend using a Twisthaler® to control the symptoms.

Does my child need a Twisthaler?

Children with asthma need ongoing treatment to control their symptoms and prevent other medical problems from developing. Effectively managing asthma helps your child avoid visiting the emergency department or urgent care, stay in school and just enjoy being a kid.

Every case of asthma is unique. Our pediatric asthma experts meet with you to assess your child’s unique triggers and symptoms, make a diagnosis and discuss treatments. A Twisthaler is one of several treatment options that we may suggest for your child.

How does a Twisthaler work?

A Twisthaler is a small hand-held device that sends a dry powder steroid medication (mometasone) into your child’s lungs. This medication relieves inflammation (swelling) in your child’s airways to reduce asthma symptoms like wheezing and coughing.

The medicine in the Twisthaler doesn’t work quickly, so your child should not use it during sudden asthma attacks or flare-ups. If your child is having an asthma attack, use a quick-relief inhaler, like albuterol.

How to use a Twisthaler

It’s important for you and your child to learn how to use the Twisthaler correctly. The device is easy to use, but it takes a bit of practice.

The asthma specialists at Children’s Colorado will teach you and your child how to use it.

Watch the video or download instructions on how to use a Twisthaler (.pdf).

About the Asthma Program at Children’s Colorado

If your child has asthma, we’re here to support your family every step of the way. Turn to the Asthma Program at Children’s Colorado for asthma diagnosis, education and treatment, all tailored to your child’s needs.

Our pediatric asthma experts are part of Children’s Colorado’s Breathing Institute, the nation’s largest program focusing on children’s lung health. The asthma program at Children’s Colorado is accredited by the American Association for Respiratory Care’s Asthma Self-Management Education Program.

Contact the Asthma Program at Children’s Colorado

To learn more or schedule an appointment, call 720-777-6181 or schedule an appointment online.

Get to know our pediatric experts.

Gwendolyn Kerby, MD

Gwendolyn Kerby, MD

Pulmonology - Pediatric

Jordana Hoppe, MD

Jordana Hoppe, MD

Pulmonology - Pediatric, Pediatrics

Heather Moore, CPNP-PC

Heather Moore, CPNP-PC

Certified Pediatric Nurse Practitioner

Edith Zemanick, MD

Edith Zemanick, MD

Pulmonology - Pediatric

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Children's Colorado in the news

  • U.S. News & World Report
    Pediatric Pulmonology Clinic in our Breathing Institute ranked no. 5 in the nation
    June 15, 2021

    Our successful management of asthma, cystic fibrosis and muscular dystrophy in addition to our leading participation in clinical research contributed to our top U.S. News & World Report ranking.

  • CBS4
    Impact of child and teen vaping in Colorado
    August 29, 2019

    Public health agencies have identified hundreds of vaping-related respiratory illnesses across the country. Pediatric pulmonologist Robin Deterding, MD, explains the common symptoms in these cases and what all kids should know about the risks of e-cigarettes.

  • The New York Times
    The correct use of an asthma inhaler
    March 11, 2019

    William Anderson, MD, and co-director of the Multidisciplinary Asthma Clinic authored an innovative study on the correct use of an asthma inhaler. Incorporating seven critical steps, this study is one of the first of its kind.