POWERbreathe Medic Classic

Available on prescription


The POWERbreathe Medic Classic is a Respiratory Muscle Training device (RMT) scientifically proven to strengthen the respiratory muscles, reducing breathlessness, improving exercise tolerance and enhancing quality of life in a wide range of patients.

POWERbreathe Medic Classic Features:

  • Available for prescription in the UK
  • Pressure Threshold training
  • Mechanically adjustable variable load settings (10 - 90cmH2O)

REF: PB1000


After 20 months of rigorous assessment, the POWERbreathe Medic Classic was made available in the UK for prescription in the National Health Service (NHS) Drug Tariff: PIP 232-1040.

As well as being made available to patients on prescription, the POWERbreathe Medic is also available via pharmacy retail.

POWERbreathe Medic Classic offers an evidence-based, drug-free treatment for patients in a variety of medical conditions such as COPD, Heart Failure, Asthma, Thoracic Surgery, Ventilator Weaning, Cystic Fibrosis and Neuromuscular Disease.

POWERbreathe Medic Classic is the only Respiratory Muscle Training device available for prescription that has been used in research into the benefits of Respiratory Muscle Training for a variety of medical conditions.

POWERbreathe Medic Classic Respiratory Muscle Training is being prescribed by medical professionals as either a standalone intervention or as part of a rehabilitation programme.

Read more about Benefits For Health And Medical >

Level 1 = 10cmH2O
Level 2 = 20cmH2O
Level 3 = 30cmH2O
Level 4 = 40cmH2O
Level 5 = 50cmH2O
Level 6 = 60cmH2O
Level 7 = 70cmH2O
Level 8 = 80cmH2O
Level 9 = 90cmH2O

(Precise load settings may vary)

Medical Devices Directive 

The main purpose of the Directive is to harmonise national controls, so allowing free movement of medical devices throughout the European Union and EFTA whilst at the same time ensuring that all devices within the Union are reasonably safe in use.

The Directive covers most medical devices other than active implantable medical devices and in vitro diagnostics.

The Directive

  • Specifies “essential requirements” which must be met before any device can be placed on the market 
  • Introduces controls covering the safety, performance, specification, design, manufacture and packaging of devices 
  • Specifies requirements for assessment of clinical investigation protocols, and the evaluation of any adverse incidents that occur 
  • Introduces a system of assessment of clinical investigation protocols, which is matched to the degree of risk inherent in the device 
  • Empowers a Competent Authority to identify and designate “notified bodies” who check and verify that devices meet the relevant essential requirements 

EC Medical Devices Directives Guidance Notes for Manufacturers of Class 1 Medical Devices

ISO Certificates of approval for ‘Design & manufacture of medical devices for improvement of respiratory function'

How to use:

  1. The patient puts the nose-clip on so that it pushes their nostrils together (this is optional but prevents the patient from breathing in through their nose).
  2. The patient should then breathe in quickly and forcefully through POWERbreathe for 30 breaths twice a day (preferably morning and night to allow the inspiratory muscles time to recover in between sessions). This is the scientifially proven training regimen.
  3. As inspiratory muscle strength and stamina improve, the patient may adjust and increase the resistance.
  4. Full instructions are provided in the accompanying user manual.


  1. POWERbreathe will be exposed to saliva during use. We recommend that a few times a week POWERbreathe should be soaked in warm water for about 10 minutes ( the POWERbreathe Manual has full details).
  2. Once a week POWERbreathe should be soaked in a mild cleansing solution instead of water, using  POWERbreathe Cleansing Tablets - only 1 tablet is required each time. 

POWERbreathe is drug free, suitable for almost anyone and should cause no harmful side effects when used properly. Please read the following precautions and contraindications to ensure that POWERbreathe is used safely and appropriately.


  • The patient must not make changes to any prescribed medication or prescribed treatment programme without consulting their doctor.
  • POWERbreathe should not be used if the patient is suffering from a ruptured eardrum.
  • To prevent the potential transmission of infections, we recommend that POWERbreathe is not shared with other users, including family members.
  • This product is not intended to diagnose, treat, cure or prevent any disease.
  • POWERbreathe is designed for exercising the inspiratory muscles only. No other use is intended or implied.
  • Anyone who is under the age of 16 should only use POWERbreathe with supervision from an adult. POWERbreathe contains small parts and is not suitable for children under 7 years.
  • Whilst training with POWERbreathe the patient should feel resistance when inhaling but it should not be painful. If the patient feels pain whilst using POWERbreathe they should stop immediately and consult their doctor.
  • Some users may experience slight ear discomfort when training with POWERbreathe, especially if they are recovering from a cold. This is caused by inadequate equalisation of pressure between the mouth and ears. If symptoms persist, patients should consult their doctor.
  • If a patient is suffering from a cold, sinusitis or respiratory tract infection, we advise that they do not use POWERbreathe until symptoms have disappeared. 

Healthcare Professional should take into consideration the following conditions before patients use POWERbreathe:

  1. A history of spontaneous pneumothorax (a collapsed lung that was not due to traumatic injury e.g. broken rib), as it may lead to a recurrence of the condition.
  2. Pulmonary hypertension or large bullae on chest x-ray
  3. Marked osteoporosis with history of rib fractures
  4. Desaturation during or following IMT (<94%)


Inspiratory muscle training, such as training with POWERbreathe, is not recommended for patients with certain conditions, including the following:

  • Asthma patients who have low symptom perception and suffer from frequent, severe exacerbations or with an abnormally low perception of dyspnoea
  • If a patient is suffering from a ruptured eardrum or any other condition of the ear
  • Patients with marked elevated left ventricular end-diastolic volume and pressure
  • Patients with worsening heart failure signs and symptoms after RMT / IMT
  • POWERbreathe IMT device
  • Mouthpiece (PVC - not made with natural rubber latex or and phthalates)
  • Nose clip
  • Storage pouch
  • 4 cleansing tablets
  • User manual

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Filter Reviews by Product use
POWERbreathe training with a cancer patient
Review by Senior Physiotherapist at The Royal Wolverhampton
Posted 2 December 2015
The doctors were really pleased with his repeat lung function tests, some of the values had improved considerably, they felt we've given him the best chance possible to making it through his transplant, and feel the Powerbreathe device has been a contributing factor to this despite us only having a small window of time to work with it.

He was using it daily from the day you dropped it off to the day he was transferred to Birmingham, and I’m confident he was going to continue with it after he left us. We had also managed to increase it up to number 4 from 1 in the few weeks he was using it.

If he comes back to us post transplant (which I have a feeling he may) I will keep you updated on his progress and possibly we may be able to arrange a review? Although this will depend very much on if he returns to us or goes straight home.
Many thanks for everything you did to help us in his management.
this device is great for people with lung disorders
Review by P. Parsons
Posted 2 June 2014
This device is great for people with lung disorders like emphysema it assists with the enlargement of the lungs when the sacks are blistered or burst it can assist with the exercise program that has been set out as a task for repair of the damaged lung.
The benefits of training the lungs in this way is immeasurable
Review by Jude
Posted 11 September 2013
When I informed my consultants/doctors that I had purchased one they were pleased and spoke of the benefits of using it. However, they did not offer to prescribe. There needs to be a bigger campaign to bring Powerbreathe equipment and training to the health industry. My awareness of it was only because of my involvement in the fitness industry. The benefits of training the lungs in this way is immeasurable! I have found excellent results and recommend it to anyone who has breathing difficulties or those who wish to increase their lung capacity for sport or fitness. Let's get Powerbreathe equipment/training recognised and widely available in treatment plans for people who struggle to breathe!!
Product use: Endurance training
It's fab for asthma but device can break
Review by Bartlebe
Posted 22 May 2013
Wonderful for asthma, has really helped me improve my peak flow levels and coupled with physio helps get air into my lungs more, improving bronchiectasis and asthma. Every asthmatic should have one, and the NHS should be ashamed of themselves for not advertising its availability more. I have though been using mine for 3/4 months and the product is very plastic, the valve sticks and gives different resistances depending on how you hold it, which means I have no idea what level I'm on (I'm supposed to be on level 5) but the resistance changes every time I touch it! Still despite that, it's well worth having. I'm just gutted I can't afford a digital one as I should imagine they are far more reliable.

Note from POWERbreathe Admin:
Thank you Bartlebe for your feedback and we’re delighted the POWERbreathe Medic has helped you with your asthma. We were sorry to hear though of your experience with the valve sticking. Obviously we value your feedback, and as it’s not a problem that we’ve heard of before, we wondered if you would mind getting in touch with us at [email protected] so that we may help. We’ll look forward to hearing from you Bartlebe, POWERbreathe.
Our patients have found it to be of great benefit
Review by Emma Hamilton, West Cumbria Respiratory Team
Posted 16 October 2012
We have been using the POWERbreathe Medic for over a year as part of the pulmonary rehab programme and our patients have found it to be of great benefit and enjoy using it. We have good compliance and have found an improvement in patients’ fitness. We will continue to use the POWERbreathe Medic as an adjunct to our programme.
Emma Hamilton, West Cumbria Respiratory Team, Workington Community Hospital.