Can You Use Expired Asthma Medication? Your Options - Pulmonology

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Can expired asthma medication still be used?


I had severe asthma as a child, but I haven't had a relapse since I was about 15 years old.
In April 2019, I was hospitalized due to pulmonary edema, and at that time, pneumonia triggered my asthma.
My attending physician prescribed "Sputolysin" for me to keep on hand.
It has now expired, and during my last follow-up visit, I asked the doctor to prescribe it again, but the doctor believed I no longer needed it, so no prescription was given.
Currently, I experience shortness of breath due to fluctuating weather conditions and have visited the emergency room multiple times (at different hospitals).
Each doctor has concluded that I do not need the medication.
Can I purchase "Sputolysin" at a pharmacy, or is there another way to obtain it?

Tiffany, 20~29 year old female. Ask Date: 2020/08/04

Dr. Zhang Ziyan reply Pulmonology


Hello Tiffany, you have a history of asthma and had a recurrence in April 2019.
You have been prescribed "Salmeterol" and it should have reached the usage standard.
It is recommended that you return to the pulmonology department for further evaluation (e.g., pulmonary function tests, etc.) and medication management.
Salmeterol is a prescription medication and cannot be purchased without a prescription.
Please follow the advice of your treating physician for further details.
Changhua Hospital cares about you.

Reply Date: 2020/08/04

More Info


Using expired asthma medication, such as "使肺泰" (which is likely a brand name for a medication containing a bronchodilator), raises important considerations regarding safety and efficacy. While it may be tempting to use expired medications, especially if you have a history of asthma and are experiencing symptoms, it is crucial to understand the implications of using such medications past their expiration date.

Firstly, the expiration date on medication is determined by the manufacturer based on stability testing. This testing assesses how long the medication maintains its potency and safety. After the expiration date, the medication may not be as effective, and in some cases, it could potentially be harmful. For asthma medications, which are critical for managing acute symptoms, using an expired product could lead to inadequate relief during an asthma attack, which can be life-threatening.

In your case, since you have a history of severe asthma and have recently experienced exacerbations due to weather changes, it is essential to have effective medication on hand. If your doctor has determined that you do not currently need a prescription for "使肺泰," it may be worth discussing your ongoing symptoms with them again. Explain your recent experiences, including the emergency visits and your concerns about managing your asthma effectively. It is possible that they may reconsider their stance and provide you with a prescription or alternative medication.

If obtaining a prescription proves difficult, you might consider visiting a different healthcare provider, such as an allergist or a pulmonologist, who specializes in asthma and respiratory conditions. They can offer a more tailored approach to your treatment and may be more willing to prescribe medication based on your current symptoms.

In the meantime, if you are experiencing asthma symptoms, it is crucial to have a plan in place. Here are some strategies to consider:
1. Monitor Your Symptoms: Keep track of your asthma symptoms, including frequency and triggers. This information can be helpful for your healthcare provider.

2. Avoid Triggers: Identify and avoid known triggers, such as cold air, allergens, or respiratory infections, which can exacerbate asthma symptoms.

3. Use a Rescue Inhaler: If you have a rescue inhaler (such as albuterol) that is not expired, use it as directed during an asthma attack. This medication can provide quick relief.

4. Seek Immediate Care: If you experience severe symptoms, such as difficulty breathing, chest tightness, or wheezing that does not improve with a rescue inhaler, seek emergency medical attention.

5. Consider Over-the-Counter Options: While not a substitute for prescription medications, some over-the-counter options may help with mild symptoms. However, consult with a pharmacist or healthcare provider before using any new medication.

In conclusion, while using expired asthma medication is not recommended, it is vital to address your current symptoms with a healthcare provider. They can help you find the appropriate treatment to manage your asthma effectively and safely. Always prioritize your health and safety by seeking professional medical advice rather than relying on expired medications.

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