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TREATMENT
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There are three primary goals of an asthma treatment program. First, troublesome symptoms should be prevented to the greatest extent possible. Second, lung function should be kept as close to normal as possible. Third, patients should be able to carry out their normal activities, including those requiring special effort, such as vigorous exercise. Patients should be examined on a regular basis to make sure treatment goals are being met. Spirometer tests are an essential part of these examinations.
Drugs
The goal of drug therapy is to find medications that control the symptoms of asthma with few or no side effects.
METHYLXANTHINES. The most commonly used methylxanthine (pronounced meth-uhl-ZAN-theen) is theophylline (pronounced thee-OFF-uh-lin).
Bronchodilators are drugs that open up bronchi and bronchioles. Taken with an inhaler, they are a common treatment for asthma. (© 1993 B.S.I.P.Reproduced by permission of Custom Medical Stock Photo.)
Theophylline is used to reduce inflammation of the airways. It is especially helpful in controlling nighttime symptoms of asthma. Blood levels of the drug must be measured on a regular basis, however. If levels get too high, they can cause an abnormal heart rhythm or convulsions.
BETA-RECEPTOR AGONISTS. Beta-receptor agonists are bronchodilators (pronounced brong-ko-die-LATE-urs), drugs that open up bronchi and bronchiole. They make it easier for air to get into and out of airways. They are best used for the relief of sudden asthma attacks and to prevent exercise-induced asthma. These drugs generally start acting within minutes and last for up to six hours. They are taken by mouth, by injection, or with an inhaler.
STEROIDS. Steroids are related to natural body hormones. They reduce or prevent inflammation and are very effective in relieving the symptoms of asthma. When taken over a long period of time by inhalation, steroids can reduce the frequency of asthma attacks. They can also make airways less sensitive to allergens. For these reasons, they are the strongest and most effective methods for treating asthma. They can control even the most severe cases of the disease and maintain good lung function.
On the other hand, steroids have a number of side effects, some of which are serious. They can cause stomach bleeding, loss of calcium from bones, cataracts in the eyes, and a diabetes-like condition. Long-term use of steroids can also result in weight gain, loss of some mental function, and problems with wound healing. In children, growth may be slowed. Steroids can be taken by mouth, by injection, or by inhalation.
LEUKOTRIENE MODIFIERS. Leukotriene (pronounced lyoo-kuh-TRI-een) modifiers are drugs that interfere with changes in the bronchi and bronchioles that occur during an asthma attack. They prevent airways from narrowing and the release of mucus. They are recommended in place of steroids for older children and adults who have mild, long-lasting cases of asthma.
OTHER DRUGS. Anti-inflammatory drugs are sometimes used to prevent asthma attacks over the long term in children. Cromolyn (pronounced KRO-muh-lun) and nedocromil are two such drugs. They can also be taken before exercise or when exposure to an allergen cannot be avoided. These drugs are safe but expensive. They must be taken on a regular basis, even if the patient has no symptoms.
A class of drugs known as anti-cholinergics (pronounced ko-luh-NER-jiks) can also be used in the case of severe asthma attacks. Atropine is an example of this class of drugs. Anti-cholinergics are usually taken in combination with beta-receptor agonists. The combination helps widen airways and reduce the production of mucus.
Immunotherapy is used when a person cannot avoid exposure to an allergen. Immunotherapy is a procedure that involves a series of injections of the allergen. The series must be continued over a very long period of time, usually three to five years. During this period, the amount of allergen given in a shot is gradually increased. As more and more allergen is given, the patient's body slowly builds up an immunity (resistance) to the allergen.
Immunotherapy also has its risks. Injecting an allergen can itself cause an asthmatic attack. Studies seem to indicate, however, that the procedure can be effective against certain types of allergens, such as house-dust mites, ragweed pollen, and cat dander.
2006-06-19 19:16:38
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answer #1
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answered by mallimalar_2000 7
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I have had asthma for over 20 years. 1st/ you need a rescue inhailer to use if you have a sudden attack or to use right before exercise...I use Albuterol, its wonderful. I also take Singular once a day and in bad months I use Advair. These are all the best drugs I have ever taken. They work great. But always have a rescue inhailer with you at all times. Again, use it right before anything fun!!! Don;t wait for shortless of breath to use it. Good luck.
2006-06-20 02:09:59
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answer #2
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answered by ? 4
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There is some promising new research for asthma. One study at Duke University now is with ultrasound. Using ultrasound to ablate smooth muscle in the airways. Smooth muscle constriction is what causes the shortness of breath during an attack.
2006-06-22 09:57:37
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answer #3
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answered by Rosie 2
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There is NO known cure for asthma. Just medicines to make it LIVE ABLE!!! Ask your doctor about this. There are MANY new medications out there that can curb your asthma.
2006-06-20 02:09:12
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answer #4
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answered by jennifersuem 7
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There is no cure but there are plenty of medications you can take. I use an inhaler daily to prevent attacks, and if I do still have one, I have another fast-acting inhaler to open my airwaves.
2006-06-20 02:08:06
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answer #5
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answered by I love my husband 6
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Um, an inhaler. If you have asthma then I'm sure you have one.
2006-06-20 02:08:21
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answer #6
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answered by Me 6
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