Managing Discomfort from Long-Acting Asthma Inhalers: Tips and Insights - Pulmonology

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How to alleviate discomfort from using long-acting asthma inhalers?


We are using long-acting bronchodilators (which are said to contain steroids) due to our medical condition.
However, after using them in the morning and evening, we experience a significant increase in heart rate and slight trembling in our hands.
These symptoms last for about 1-2 hours, making it difficult to rest.
We have previously adjusted the dosage to 2 doses per use due to breathing difficulties, but unfortunately, the discomfort has worsened.
We have heard that these long-acting inhalers need to be used for an extended period, but the side effects make us hesitant.
Therefore, we are raising this question in hopes of alleviating our concerns.

syndrome.tw, 20~29 year old female. Ask Date: 2005/11/10

Dr. Qu Changke reply Pulmonology


Hello, syndrome.tw: Here is the response: Although inhaled bronchodilators can cause side effects such as increased heart rate and hand tremors, they are usually not severe and are generally within tolerable limits.
Are you currently using any other medications? It is recommended that you continue to follow up at the pulmonary medicine outpatient clinic.
Wishing you a speedy recovery.
Dr.
Qu Chang.

Reply Date: 2005/11/10

More Info


Managing discomfort from long-acting asthma inhalers can be a challenging experience, especially when side effects such as increased heart rate and tremors occur. It is essential to understand the nature of these medications, their side effects, and how to manage them effectively.

Long-acting beta-agonists (LABAs) are commonly used in asthma management to help relax the muscles around the airways, making it easier to breathe. These medications are often combined with inhaled corticosteroids (ICS) to provide both immediate relief and long-term control of asthma symptoms. While these medications are effective for many patients, they can also lead to side effects, particularly when not used as prescribed.

In your case, experiencing an increased heart rate and tremors after using your inhaler may be a sign of overuse or sensitivity to the medication. It is crucial to adhere to the prescribed dosage, as taking more than recommended can exacerbate side effects. The typical recommendation is to use LABAs twice daily, and exceeding this can lead to increased side effects without providing additional benefits.

Here are some tips to manage discomfort associated with long-acting asthma inhalers:
1. Consult Your Doctor: If you are experiencing significant side effects, it is essential to discuss this with your healthcare provider. They may consider adjusting your dosage or switching you to a different medication that may be better tolerated.

2. Use the Inhaler Correctly: Ensure you are using your inhaler correctly. Improper technique can lead to inadequate medication delivery and increased side effects. Your doctor or a respiratory therapist can provide guidance on the correct technique.

3. Monitor Your Symptoms: Keep a diary of your symptoms, including when you use your inhaler and any side effects you experience. This information can help your healthcare provider make informed decisions about your treatment plan.

4. Consider Alternative Medications: If LABAs are causing significant discomfort, your doctor may suggest alternative medications or a different combination of treatments. For instance, some patients may benefit from using a different inhaled corticosteroid or a leukotriene receptor antagonist.

5. Lifestyle Modifications: Incorporating lifestyle changes can also help manage asthma symptoms. This includes avoiding known triggers, maintaining a healthy weight, and engaging in regular physical activity, which can improve overall lung function.

6. Stay Informed: Educate yourself about asthma and its management. Understanding your condition can empower you to make informed decisions about your treatment and advocate for your health.

7. Emergency Plan: Have an action plan in place for asthma attacks or severe side effects. This plan should include when to seek emergency medical help and how to use a rescue inhaler effectively.

8. Regular Follow-ups: Schedule regular follow-up appointments with your healthcare provider to monitor your asthma control and medication side effects. This ongoing communication is vital for adjusting your treatment as needed.

In summary, while long-acting asthma inhalers are essential for managing asthma, they can come with side effects that may be concerning. It is crucial to use these medications as prescribed and to communicate openly with your healthcare provider about any discomfort you experience. With the right management strategies, you can effectively control your asthma while minimizing side effects.

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