POWERbreathe Medic Plus

5.00 out of 5
(1 customer review)
Medic Plus offers a 1cmH2O entry load for patients in ICU, or who have severe breathing difficulties, to begin training their respiratory muscles which would otherwise be difficult to train.
The POWERbreathe Medic Plus offers the lowest starting load of all the Plus devices, 9cmH2O. This means you can begin training your respiratory muscles at a lower load, otherwise, you may find it too difficult to start training at the higher entry load of the POWERbreathe Plus (Green / LR) model. The POWERbreathe Medic Plus is designed for people who have very weak breathing muscles due to e.g. post-illness, post-hospitalisation or due to existing respiratory health conditions such as COPD and Asthma.


SKU PB2000 Category Tags ,

The Medic Plus offers the lowest entry level load of any threshold IMT device currently available.

The Medic Plus is used by medical professionals as an adjunct to pharmacological treatments. It can be used as a standalone therapy or in conjunction with pulmonary rehabilitation, with or without supervision, and can be easily used straight out of the box.

Respiratory muscle weakness is inherent in various patient groups and a major contributor to the perception of difficult or laboured breathing (dyspnoea). However, when the inspiratory muscles are ‘overloaded’ regularly using the Medic Plus, they adapt and become stronger and more resistant to fatigue. Activating stronger inspiratory muscles requires less effort during a given task, reducing dyspnoea. This has been shown to improve exercise tolerance and quality of life, particularly in patients with COPD.

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

Download the POWERbreathe Medic Plus Training Diary >

POWERbreathe Plus Medic Load Selection Range Table

Note: A load of 3cmH2O can be achieved by removing the spring and replacing the valve assembly for training (see page 10 & 11, diagram 1 – 5). In addition, a load of 1 cm H20 can be achieved when the complete valve assembly is removed and the POWERbreathe breathing indicator ball is installed (see page 10 & 11, diagram 6).

All values are at a flow rate of 1 litre a Second, consistent with other POWERbreathe models.

Precise load settings may vary marginally due to: (1) the analogue nature of the calibrated spring tensioner and the precision with which the load is selected; (2) a small effect of inspiratory flow rate upon spring compression such that high inspiratory flow rates lead to greater spring compression, and a small increase in load (Caine & McConnell, 2000). This effect is common to all spring loaded devices, and its size is magnified by increasing spring range (it is larger in a spring with a maximum range of 90cmH2O compared with one with half this range), it is also greater at lower absolute load settings (Caine & McConnell, 2000).
Caine MP & McConnell AK. (2000). Development and evaluation of a pressure threshold inspiratory muscle trainer for use in the context of sports performance. Journal of Sports Engineering 3, 149-159.

These benefits were the findings of trials and research in which the original POWERbreathe Medic was the intervention used.

  • Increase in quality of life
  • Reduction in drug intake by up to 75%
  • Non-invasive treatment
  • Drug-free with no side effects or drug interactions
  • The first non pharmacological treatment for respiratory disease
  • Clinically proven by a wealth of research
  • Continuous research leads a program of development and new products
  • Increases whole body’s capacity to undertaken activity or exercise
  • Inspiratory Muscle Training (IMT) is part of the NICE guidelines for RMT
  • Training adjunct for Pulmonary Rehab
  • Can be used straight out of the box
  1. UKCA Declaration of Conformity – Applies to UK ONLY
  2. CE Declaration of Conformity – Applies to EU ONLY

1 review for POWERbreathe Medic Plus

  1. 5 out of 5

    Gary Thornton

    I am a frontline NHS Paramedic working for the Ambulance Service and recently contracted COVID 19 whilst working . I was hospitalised and the Pneumonia affected my breathing so much I would suffer increased shortness of breath on exertion. Unable to exercise at the start without difficulty I wanted to find a way to improve my fitness . I researched and came across Powerbreathe . I contacted them and explained my history and they sent me advice on what products would be best. They also provided me with excellent research surrounding the benefits . I found it hard to use at the beginning , but kept at it twice daily. I must say my recovery has been a long slow process but feel using this has speeded it up greatly. My breathing has improved so much, I have gone from only managing a couple of miles on a bicycle to now 20 miles . I have now been able to return to work , and have been passing on positive recommendations to Asthma and COPD patients I have been treating . If you suffer from any breathing problems give this company consideration. There are cheaper alternative products around, but all I can say is my Medic pro plus unit does the job and I will be continuing to use it daily .

    • Vanessa Potter

      Gosh what an experience you’ve had with COVID-19 Gary! Thank you so much for sharing your feedback of training with the POWERbreathe Medic Plus to improve your breathing muscle strength and stamina. We’re so pleased that it’s helped you get back into your cycling again – and back to work. It’s the device combined with your perseverance of use that’s got you where you are, because you could have easily given up when it felt too hard. Like all training, it’s not meant to be easy, but sticking to the scientifically proven training regimen is what’s made the difference, so well done, and stick with it. We wish you a full recovery.

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How to use:

How to use the POWERbreathe Classic IMT Device

The benefits of using POWERbreathe IMT twice daily

Our claims are backed up by years of research papers, meta-analysis, scientific trials & review articles.

Frequently asked questions

The POWERbreathe Medic only is available in the UK for prescription in the National Health Service (NHS) Drug Tariff: PIP 232-1040. The POWERbreathe Medic and Medic Plus is also available to purchase via pharmacy retail and directly from this website.

POWERbreathe is drug free, suitable for almost anyone and should cause no harmful side effects when used properly. Please read Precautions and Contraindications.

If you have any doubts about POWERbreathe’s suitability, please consult your doctor.

If you have a medical condition, please consult your doctor and read Precautions and Contraindications. POWERbreathe is not recommended for patients with certain conditions, including:

  • Asthma patients who have low symptom perception and suffer from frequent, severe exacerbations or with an abnormally low perception of dyspnoea
  • If you are 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
  • If in doubt, consult your Healthcare Professional.

There are no safety reasons for preventing young children (above 7 years of age) from using POWERbreathe Medic/Medic Plus. However, the following factors may affect their ability to use the device effectively: 

  • They must be able to fit the mouthpiece in their mouth. The POWERbreathe Medic Plus mouthpiece is smaller and therefore more suited to children. 
  • They must be old enough to understand how to effectively perform the breathing exercises. 
  • They must have the motivation themselves or the parental encouragement to ensure that they continue to perform the exercises. 
  • They should only use the device under the supervision of an adult.