Infographic: Treating Acute Asthma
If you have ever had asthma, you know how important it is to prevent future attacks with asthma treatment for a long time. However, asthma is a complex condition, and there is no single treatment for people with moderate to severe symptoms.
Consider the following options for your long-term asthma treatment and discuss them with your doctor next time.
Long-acting Beta-agonists (LABAs)
LABAs work by stimulating receptors to relax the muscles of your airway. It is usually for people with severe asthma who need an additional inhaler for storage when using ICS.
They are taken every 12 hours, and only work if they are integrated with ICS. Taken on its own, LABA can cause respiratory-related problems, even death.
Inhaled corticosteroids (ICSs)
ICS is for people with moderate to moderate asthma who have persistent symptoms such as coughing and shortness of breath and who need to use their rescue inhaler several times a month. They work by reducing inflammation in the lungs, which prevents obstruction of the airways.
They work best when combined with LABA and are usually taken twice a day, but dosage and frequency depend on the type of medication. Risks include fungal infections and sore throats or dizziness after prolonged use. High doses may affect the height of some children.
ICS / LABA combination products
These combination products open your respiratory tract and reduce inflammation in people with moderate to severe asthma symptoms. They are designed for people currently taking ICS alone or taking ICS and LABA but as separate products.
They need to be taken daily, and long-term use may increase the same risks of long-term use of ICS.
Bronchodilators are for people with symptoms of mild asthma, night asthma, chronic obstructive pulmonary disease, or those taking daily medications as an adjunct to recovery. These drugs work by relaxing the respiratory tract to make it easier to breathe.
Potential dangers include heartburn and insomnia. Take bronchodilators as needed, or as recommended by your doctor.
Anti-leukotrienes / leukotriene modifiers
These medicines are for people with mild to moderate asthma symptoms, persistent and allergic reactions. They work by fighting leukotrienes in the body, causing symptoms. Anti-leukotrienes do not cure once a day, and side effects may include anxiety and insomnia.
Anti-IgE injections (“anti-allergy gun” or biologics)
If ICS / LABA combo therapy does not work for you and you have persistent asthma symptoms caused by allergies, these injections may work for you. They fight the immune system that causes symptoms of allergies. Most are taken weekly for a few months, and the risks include bumps and swelling in the injection site and anaphylaxis.
Moderate to severe, persistent asthma is best treated with long-term medication to reduce the risk of complications such as asthma attacks. But it is still important to have your rescue inhaler in hand if needed. At the same time, immediate medical treatment should not replace long-term treatment. You and your doctor will determine the right balance so that you can get better breathing over time.
4 Changes I Made To Manage My Hard Asthma Symptoms
A few years ago, my asthma specialist described my moderate asthma as “well-managed.”
After many years with the feeling that my asthma was out of control, I had finally reached the right place.
But it was not easy. It took a lot of perseverance and cooperation to make me feel like, really, living with controlled asthma. Also, my definition of control had to change from what I thought it was.
What is “the control of asthma”?
There is a standard set of criteria that doctors use to determine if a person’s asthma is controlled. The problem is that this may look different from asthma worse than it is seen in moderate to moderate asthma.
The Global Initiative Guidelines for Asthma consider asthma to be as effective as if in the last 4 weeks a person:
- you feel symptoms less than twice a week
- it does not wake up at night or very early in the morning due to the symptoms of asthma
- they do not need to use their redemption/liberation inhaler more than twice a week
Asthma is not one size fits all. Bad asthma requires different control parameters. For example, just because I need my rescue inhaler more than three times a week on average and I have a certain level of symptoms for many days, does not mean that my asthma is uncontrollable.
You and your asthma specialist will explain what control means to you. A big part of finally feeling like I was controlling my heavy chest was learning that control would look different to me than it would seem to those with mild forms of the disease.
1. Many medicine switches
For me, the most important part of controlling my asthma was finding the best combination of medications.
Everyone’s asthma is different, and everyone reacts differently to medication. But there are many medicines available, so talk to your doctor to find out which ones work for you.
You may need to give medication for a month or two to work, so the key is to persevere. Remember, your goal is to find the best combination of drugs.
I now take three to four pills a day for asthma, but it is much lower than when I was taking one or two.
2. Natural changes
Making changes in your environment can be a helpful step you can take to control your asthma.
I am lucky not to have too many allergies. I have dust allergies, however, so I have air-conditioned and air-conditioned beds in my room, including a dust-resistant mattress cover. Recently, I found hardwood flooring in my room to replace a carpet that had been around for years.
I don’t have pets, but for those who don’t get along with pets, keeping an animal out of your bedroom can help with your breathing. Washing and changing clothes when you go out can also help if you are allergic to pollen.
Mostly I have asthma, so most of the methods I deal with are lucky.
For example, I don’t feel like my asthma control level has changed drastically since I went from carpeting to wood flooring in my room. My main causes are constant odors, exercise, weather (extreme cold and humidity), colds and germs, and hormonal fluctuations. Unfortunately, there aren’t many things I can do to avoid most of these things, other than using fragrant products myself.
3. Exciting dangers towards greater control
As mentioned earlier, menopause-related hormonal imbalance is one of the causes for me to be aware of. In 2013, I was diagnosed with uterine fibroids, which I may need to take oral contraceptives in the foreseeable future.
But this has turned out to be a strangely unusual accident that comes with having many chronic health conditions. Using oral contraceptives has been good at the end of my asthma control. It is not uncommon for such small bonuses to occur.
4. Assessment, re-examination, and education
Unfortunately, severe asthma can be a tricky animal. There are many factors you may need to consider to manage your severe asthma symptoms. Here are a few topics you can discuss when talking with your doctor:
- Treatment is changing. Get new treatments that can help
you? There are some things you haven’t talked about in a long time that could be good
is it worth it now? These may include inhalation of new drugs, allergies, and experiments
with new biologic drugs.
- Confirm your diagnosis. A 2017 study found that up to a third of people diagnosed with asthma may not have a doctor.
you have asthma. In some cases, matching situations may occur, such as poor voice quality or heart problems.
- Consider some situations. Chronic conditions can cause asthma exacerbation difficult to control. Some conditions can also “mimic” asthma, including anxiety, voice dysfunction, acid reflux, and hypersensitivity pneumonitis.
In addition to confirming your asthma diagnosis, talk to your doctor about any possible conditions.
- Asthma education. Sometimes, a new set of eyes can make a big difference.
In addition to seeing your general doctor, you may benefit from it to see a certified asthma teacher. Certified asthma teachers can teach you about asthma and help, you understand your condition in different asthma.
Asthma is different for everyone, but strong asthma can be very difficult to control. The best way to manage your asthma is to get involved and do not stop pushing to get better.
Although your symptoms may be debilitating right now, it is important to make changes that can improve your quality of life with asthma. You will never know when a new treatment will come and change your life.
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