Asthma Treatment with Different Inhalers
What would we say if non-standard approaches may be referred to mild asthma, but there is required necessity to take medications to arrest asthma attacks? Although self – treatment is unacceptable, everyone who is affected by this problem should at least know the general treatment principles.
In any case, in the first place is taken by the cause and significant allergen presence. As this allergen can perform almost everything that surrounds us:
- aquarium fish;
- book dust;
In order to understand, what provokes allergy it is desirable to be examined by an allergist.
The next stage is together with the attending doctor to choose the means that will effectively assist in the attack. Today, it is primarily the so-called short-acting beta-2 agonist.
Primarily these are salbutamol (Ventolin), berotec and terbutaline. The most preferred method of administration is inhalation including Serevent inhaler. But it has some drawbacks:
- the effectiveness sharply reduced in violation of technology use, a sufficiently large amount of the drug gets into the gastrointestinal tract;
- only 11-20% directly reaches the bronchial walls.
Spacers are used to reduce these shortcomings. They are necessary for children and patients suffering from nocturnal asthma and candidiasis in need of increased drug dose.
Their use does not require synchronization of inhalation. But, choosing a spacer, it is necessary to take into account – whether it is suitable for a particular inhaler or not.
Maximum efficiency of drug administration can be prepared using nebulizers. They allow you to enter the maximum dose and deliver it to the destination.
Therefore, their use is recommended in severe exacerbations of asthma, and only after the precise formulation of a clinical diagnosis. Against the background of their application it is obligatory to carry out daily peak flow measurement and regular medical supervision, as they are increasing treatment effectiveness, create overdose possibility, which can be dangerous.
Watch the video and get to know how to use Serevent Inhaler:
Despite basic therapy, there remains a need of using sometimes beta-2-agonists. These are Foradil and Serevent inhaler ordered via My Canadian Pharmacy.
But it’s not drugs for acute attacks relief. They are prescribed for long-term control of asthma symptoms, to prevent attacks of breathlessness in asthma, “physical force” and the night attacks.
In a number of cases at children and adults clenbuterol is applied, which is a stimulant of a long-acting beta-adrenergic blocking agent, and simultaneously promotes phlegm discharge.
When non-severe pathology is observed Erespal can be utilized, which has an anti-inflammatory effect on the respiratory tract mucous membrane (due to the antihistaminic activity of spasmolytic effect reducing the synthesis of various factors that increase inflammation).
In severe attacks of asthma or inability to use the beta-2-agonists it is required to use Eufilin. In severe attacks they are injected intravenously, in other cases -tableted forms are used. At adults, recent years have become Theophilus-Ling is more widely used with extended effectiveness period, particularly in patients with nocturnal asthma.
And now the most important thing is how to prevent seizures occurrence. For this purpose, the means to prevent the development of allergic inflammation are utilized. This is primarily sodium cromoglicate (Intal, Cropoz, Bromhexine et al.) and nedocromil sodium (Tilade mint, featuring a pleasant taste). Many people somehow believe that it is hormonal, but this is misleading.
In fact, their effect can be compared with the plaster on bronchial tubes walls that prevent allergens spreading. This, of course, is very vivid, but it captures processes’ essence. Moreover, Intalum must be used 4 times a day because of it short-lasting action.
These drugs are not addictive, they can be used for a long time without significant side effects.
Long-lasting bronchial mucosa protection is achieved due to this medication. The only thing you need to remember is they can not abolish or drastically forget to take, or mucous membrane protection is broken and it will bring all our actions there. But if the attack is still developed, these drugs can not enter the bronchial mucosa, and in such cases, the combined use tools such as Triametrinum plus or INTAL are applied.
Serevent inhaler controls asthma attacks occurrence and blocks the activity of the so-called leukotriene receptor.
Unfortunately, ketotifen is widely used because it is inexpensive and has a convenient application, but the effect has not sufficiently expressed, but sometimes, especially with food allergies, is very helpful.
Despite the fact that we do not appreciate hormonal medications, corticosteroids are an effective asthma treatment. And if other methods are unable to relieve the patient’s sufferings, then taking them is justified.
If desired, the withdrawal with their use is also impossible. Attack for attack causes bronchial tree change, it becomes less elastic, more “rigid” and further treatment will be difficult. In very severe cases, corticosteroids are taken orally, the rest -in the form of inhalation.