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 23