Golden Box Book Publishing Asthma Relief with Grandmas Remedies | Page 22
Asthma Medications
Medications used to treat asthma are divided into two general
classes: quick-relief medications used to treat acute symptoms; and
long-term control medications used to prevent further exacerbation.
Fast acting
Salbutamol metered dose inhaler commonly used to treat asthma
attacks. Short-acting beta2-adrenoceptor agonists (SABA), such as
salbutamol (albuterol USAN), are the first line treatment for asthma
symptoms.
Anticholinergic medications, such as ipratropium bromide,
provide additional benefit when used in combination with SABA in
those with moderate or severe symptoms. Anticholinergic
bronchodilators can also be used if a person cannot tolerate a SABA.
Older, less selective adrenergic agonists, such as inhaled
epinephrine, have similar efficacy to SABAs. They are, however, not
recommended due to concerns regarding excessive cardiac
stimulation.
Long term control
Fluticasone propionate metered dose inhalers are commonly used for
long term control. Glucocorticoids are the most effective treatment
available for long term control. Inhaled forms are usually used
except in the case of severe persistent disease, in which oral steroids
may be needed. Inhaled formulations may be used once or twice
daily, depending on the severity of symptoms.
Long-acting beta-adrenoceptor agonists (LABA) have at least a 12-
hour effect. They are, however, not to be used without a steroid due
to an increased risk of severe symptoms.
Leukotriene antagonists (such as zafirlukast) are an alternative to
inhaled glucocorticoids, but are not preferred. They may also be used
in addition to inhaled glucocorticoids, but in this role is second line
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