Asthma Medicine

Medicines play a key role in controlling asthma. Some help prevent asthma symptoms from getting worse or prevent flare-ups. Others treat symptoms when they occur. Always take your medicine as prescribed. And use the correct method. Know the names of your medicines. And know how and when to use them. If you have any questions about your medicines, talk with your doctor or pharmacist. Be sure to go to all of your appointments with your asthma doctor.

Quick-relief (also called rescue) medicines relax the muscles around the airways. This helps ease symptoms, such as coughing, wheezing, and shortness of breath. Keep your quick-relief inhaler with you at all times. These medicines:

• Are inhaled when needed and only when needed. Use this medicine when you first notice your asthma is getting worse.
• Start to open the airways a few minutes after you use them.
• Can help stop a flare-up once it has begun.
• May be used before exercise as directed by your doctor.

Long-term control (or controller) medicines help reduce airway swelling and inflammation. Some keep the muscles around your airways relaxed. This makes the airways less sensitive to triggers. Then, they're less likely to flare up. These medicines:

• Are taken on a schedule. For most people, this is every day. They're taken even when you feel fine.
• Help keep asthma under control. So you're less likely to have symptoms.
• Will not stop a flare-up once it has begun.

Some people are prescribed single maintenance and reliever therapy (SMART) or anti-inflammatory reliever (AIR) therapy. This means they use two medicines together: an inhaled corticosteroid and a bronchodilator called formoterol. The medicines may be combined in the same inhaler. The medicines open up the airways and reduce swelling. Using both medicines helps prevent asthma attacks and relieve symptoms.

AIR therapy is used for mild asthma to treat symptoms as needed. SMART is used as a daily controller medicine plus extra doses when needed to treat symptoms. SMART and AIR therapy are only advised in certain situations. Your doctor can tell you if this is a choice for you.

This is for people with moderate to severe asthma that isn't controlled with other medicines.

• Biologics target certain molecules in the body that cause inflammation and asthma symptoms.
• People treated with biologics may have fewer asthma attacks, hospital stays, and emergency room visits. And they may have a better quality of life.
• Biologics are often given by injection or infusion several weeks apart. Your doctor will likely have you take this medicine for at least a few months to see how well it works.

Side effects may include:

• Soreness at the injection site.
• Headache.
• Sore throat.
• Tiredness.

Some biologics are approved for use in children. Others are only approved for adults. Your doctor can help you know if biologics are right for you and what to expect with your specific medicine.

These medicines are generally safe for long-term use. They often don't cause serious side effects. That's because they're inhaled directly into the bronchial tubes in your lungs to open the airways. The chance of minor side effects can be lowered even more if you:

• Use a spacer with your inhaler. Ask your doctor or pharmacist about using a spacer if you don't currently use one.
• Rinse your mouth, gargle, and spit out the water after using your inhaled corticosteroid medicine.
• Follow all instructions for cleaning inhalers and spacers.
• Work with your doctor to find the lowest dose that controls your asthma.

Remembering to take medicine each day can be hard for anyone. It can be even harder to remember when you don't have symptoms. Try these tips.

• Create a routine. For instance, take long-term controllers as part of getting ready for bed. Or take them before you brush your teeth in the morning. Or take them at both times.
• Make sure you understand what long-term controllers do and don't do.
• Refill your prescriptions on time. Or refill them ahead of time. This is so you don't run out.
• Carry your quick-relief medicine with you. If you can, keep a spare quick-relief inhaler at work, at school, or in your gym bag.
• When you travel, make sure you have enough medicine for your whole trip.
• When traveling by air, keep your medicines with you. Don't pack them in your luggage.
• Make sure you know how to tell if your inhaler is empty. Ask your doctor or pharmacist. Or check the instructions that come with your inhaler.

By working with your dctor, you can get the most benefit from your medicine. Talk with your doctor about:

• Getting the right dose. Over time, your doctor may raise or lower the dose of your controller medicine. The goal is to find the amount of medicine to keep asthma in control, without taking more than is needed.
• Finding the right medicines for you. Each person is unique. It may take a few tries to find the right medicine or combination of medicines for you. If one medicine doesn't work well for you, another may work better.
• Reducing side effects. If you have side effects, don't just stop taking your medicine. Instead, call your doctor. A new medicine or change in the amount of medicine may solve the problem.