Effective Treatment Strategies for Asthma and Bronchial Disorders

Correct Treatment for Asthma

I have asthma and bronchial dilation issues.
When I first experienced asthma, my doctor prescribed bronchodilator medications, which were effective.
After several consultations, the doctor prescribed a bronchodilator inhaler (Berotec 200) and advised me to use it during an attack, stating that I could avoid going to the hospital as long as the symptoms were not too severe.
Since the ingredients are the same, I have been using it for several years without any major issues.
However, over the past year, I feel that its effectiveness has been decreasing (the duration of relief has shortened).

chan, 40~49 year old female. Ask Date: 2000/12/25

Dr. Jiang Zhenyuan reply Pulmonology

(1) The English term for asthma is Bronchial asthma, and translating it as bronchial asthma can help avoid misunderstandings.
The treatment approach depends on the severity of the condition.
For the mild intermittent asthma, which occurs less than once a week and has nighttime symptoms less than twice a month, using the Breotec inhaler during episodes is sufficient.
For mild persistent asthma, where symptoms occur more than once a week, the addition of inhaled corticosteroids is recommended.
If symptoms persist...

Reply Date: 2000/12/25

More Info

Effective treatment strategies for asthma and bronchial disorders involve a multifaceted approach that includes medication management, lifestyle modifications, and regular monitoring. Asthma is a chronic inflammatory disease of the airways that can lead to wheezing, shortness of breath, chest tightness, and coughing. Bronchial disorders, such as chronic bronchitis and bronchiectasis, can also significantly impact respiratory function. Here’s a comprehensive overview of effective treatment strategies:

1. Medication Management
Bronchodilators: These are the cornerstone of asthma treatment. Short-acting bronchodilators (like albuterol) provide quick relief during an asthma attack by relaxing the muscles around the airways. Long-acting bronchodilators (LABAs) are used for maintenance therapy and can help control symptoms over a longer period. Your experience with Berotec (which contains fenoterol, a short-acting beta-agonist) is consistent with standard practice. However, if you notice a decrease in effectiveness, it may be time to reassess your treatment plan with your healthcare provider.

Inhaled Corticosteroids (ICS): These are anti-inflammatory medications that help reduce airway inflammation and prevent asthma symptoms. They are often used as a first-line treatment for persistent asthma. Regular use of ICS can significantly improve asthma control and reduce the frequency of exacerbations.

Leukotriene Modifiers: Medications like montelukast can be used as an adjunct to ICS or as an alternative for patients who cannot tolerate inhaled corticosteroids. They work by blocking the action of leukotrienes, which are inflammatory chemicals in the body.

Combination Inhalers: These contain both a long-acting bronchodilator and an inhaled corticosteroid, providing both immediate relief and long-term control. Examples include Advair (fluticasone/salmeterol) and Symbicort (budesonide/formoterol).

2. Monitoring and Action Plans
Asthma Action Plan: It’s crucial to have a personalized asthma action plan that outlines how to manage your asthma on a daily basis and how to respond to worsening symptoms. This plan should include information on medication use, triggers to avoid, and when to seek emergency care.

Regular Monitoring: Keeping track of your symptoms, peak flow measurements, and medication usage can help you and your healthcare provider identify patterns and make necessary adjustments to your treatment plan.

3. Lifestyle Modifications
Avoiding Triggers: Identifying and avoiding triggers that exacerbate your asthma is essential. Common triggers include allergens (like pollen, dust mites, and pet dander), smoke, strong odors, cold air, and respiratory infections.

Smoking Cessation: If you smoke, quitting is one of the most important steps you can take to improve your lung health and reduce asthma symptoms.

Physical Activity: Regular exercise can improve overall lung function and fitness. However, it’s important to manage exercise-induced bronchoconstriction by using bronchodilators before physical activity if necessary.

4. Education and Support
Patient Education: Understanding your condition, how to use inhalers correctly, and recognizing early signs of an asthma attack can empower you to manage your asthma effectively.

Support Groups: Joining a support group or working with a respiratory therapist can provide additional resources and encouragement.

Conclusion
If you are experiencing a decrease in the effectiveness of your current treatment, it’s essential to consult with your healthcare provider. They may consider adjusting your medication regimen, exploring alternative therapies, or investigating other underlying conditions that may be contributing to your symptoms. Asthma management is highly individualized, and what works for one person may not work for another. Regular follow-ups and open communication with your healthcare team are key to achieving optimal control of asthma and bronchial disorders.

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