Asthma Treatment

Asthma Treatment

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  • 1 Answer
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    A , Emergency Medicine, answered
    IL-5 (interleukin-5) antagonists are drugs that limit the production of eosinophils in the body. Eosinophils are white blood cells that trigger inflammation and asthma symptoms. IL-5 antagonists include mepolizumab (Nucala) and reslizumab (Cinqair). Mepolizumab is given once every 4 weeks by injection. Reslizumab is given once every 4 weeks by intravenous infusion.

    This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor.
  • 1 Answer
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    A , Emergency Medicine, answered
    Your doctor may need to test your blood level of alanine aminotransferase (ALT), a liver enzyme, before beginning treatment with zileuton.

    If you take zileuton, you should avoid alcohol.

    Montelukast is available in several different forms, including oral granules, chewable tablets, and oral tablets. Oral granules may be given to children as young as 12 months. Zafirlukast can be given to children as young as 5 years. Zileuton can be taken by adults and children 12 years and older.

    It is not known if montelukast is safe or effective for children under 1 year of age. It is not known if zafirlukast is safe or effective for children under 5 years of age. It is not known if zileuton is safe or effective for children under 12 years of age.

    If you have liver disease or serum aminotransferase more than three times the upper limit of normal, you should not take zileuton. Montelukast may also not be a good option for you.

    If you have phenylketonuria, montelukast chewable tablets may not be a good option for you.
     
    If you are pregnant, may be pregnant, or are planning to become pregnant, leukotriene modifiers may not be a good option for you. It is not known if they are safe for pregnant women.

    You should not take zafirlukast or zileuton if you are breastfeeding. Montelukast may not be a good option for you. It is not known if this drug can be passed into breast milk.

    This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor. 
  • 1 Answer
    A
    A , Emergency Medicine, answered
    IL-5 antagonists can reduce asthma flare-ups, improve quality of life, and allow people to reduce or stop taking corticosteroids. Reslizumab has also been shown to modestly improve lung function.

    This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor.
  • 2 Answers
    A
    A , Emergency Medicine, answered
    Inhaled corticosteroids are the most effective long-term control medications for persistent asthma. They reduce symptoms, improve lung function, and reduce the frequency and severity of asthma attacks. They can be used alone or combined with other asthma medications.

    Several inhaled corticosteroids are available in the US. These include beclomethasone (QVar), budesonide (Pulmicort), ciclesonide (Alvesco), flunisolide (AeroBid, Aerospan), fluticasone (Arnuity, Ellipta, Flovent), and mometasone (Asmanex). Some other products combine a corticosteroid with a long-acting beta-agonist bronchodilator in a single inhaler, such as Advair and Symbicort.

    Some people take inhaled corticosteroids only when they have asthma symptoms. But a review of studies found that daily use of corticosteroids provided slightly better control, more symptom-free days, and less need for reliever medications.

    Doubling the dose of an inhaled corticosteroid when symptoms worsen has not been shown to improve control. Using both a corticosteroid and a beta agonist in a single inhaler may control symptom flare-ups better than using a higher corticosteroid dose.

    This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor.
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  • 1 Answer
    A
    A , Emergency Medicine, answered
    It is not known if reslizumab is safe or effective for children under 18 years of age. It is not known if mepolizumab is safe or effective for children under 12 years of age.

    Make sure you are vaccinated against chicken pox before you start taking mepolizumab.

    You should not take an IL-5 antagonist until any helminth infection is successfully treated.

    If you are pregnant, may be pregnant, or planning a pregnancy, IL-5 antagonists may not be good options for you. It is not known if they are safe for pregnant women.

    If you are breastfeeding, IL-5 antagonists may not be good options for you. It is not known if they can be passed into breast milk.

    This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor.
  • 1 Answer
    A
    A , Emergency Medicine, answered
    Allergens are substances that trigger an allergic response. If you have allergies, your doctor may prescribe injections to gradually expose you to increasing amounts of the allergen. This can help your body make substances that block the allergen's effects. It can also help reduce your sensitivity to the allergen and improve your symptoms.

    The most common allergy shots are for allergies to dust mites, grasses, short ragweed, and cats. Treatments are also available for allergies to pollens and dogs. Treatments for allergies to cockroaches and mold have not been shown to be effective.

    Allergy shots are sometimes prescribed for people who cannot avoid exposure to their allergens, have year-round symptoms, or do not get full relief with other medications. 

    This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor.
  • 1 Answer
    A
    A , Emergency Medicine, answered
    Allergy shots that target specific allergens, such as dust mites, pollen, and animal dander, can reduce asthma symptoms and the need for asthma medication. They may be as effective as inhaled corticosteroids. 

    This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor.
  • 1 Answer
    A
    A , Emergency Medicine, answered
    Side effects of mepolizumab may include skin reactions where the drug was injected, fatigue, headaches, and back pain. Mouth and throat pain are the most common side effects of reslizumab. Some people have an allergic reaction to mepolizumab or reslizumab, which can be life-threatening. Cancer has occurred in some people taking reslizumab. Herpes zoster infections have occurred in some people taking mepolizumab.

    This answer was adapted from Sharecare's award-winning AskMD app. Start a consultation now to find out what's causing your symptoms, learn how to manage a condition, or find a doctor.
  • 1 Answer
    A
    A , Internal Medicine, answered
    Some non-drug measures to control asthma on a day-to-day basis (not during an actual attack) can be very simple-as simple as having a cup of coffee, for example. Caffeine seems to stabilize and shrink the lining of the airways to help make breathing easier.

    There are also two supplements that I recommend for people with breathing issues:

    • Magnesium is a mineral that relaxes the bronchial tubes and can help with asthma. Take 400 milligrams a day.

    • If you routinely produce mucous from your lungs (you cough it up, rather than mucous coming out when you blow your nose, which is usually from sinus conditions), consider taking N-Acetylcysteine. It's a substance that loosens mucous and boosts production a substance called glutathione, which helps prevent damage in lung tissue. I recommend 600 milligrams twice daily. (By the way, we actually use a related compound in the intensive care patients).