Thursday, November 8, 2007

Asthma Treatment

Definition of asthma treatment Treatment of asthma can be divided into long-term control and quick relief medicines. Description treatment of asthma A long-term control medications are taken daily to maintain control of persistent asthma. They are mainly used to control the inflammation of the airways. The rapid relief medications are taken to achieve a quick reversal of acute asthma attack by relaxing the smooth muscle of the bronchi. Many asthma medications can be administered orally or by inhalation. Inhalateurs-doseurs (MDI) is the most widely used method, dry powder inhalers, but are becoming increasingly popular. Inhalateurs-doseurs are changing the type of liquefied propelled by chlorofluorocarbons (CFCs) for a new, CFC-free delivery system (see the National Heart, Lung and Blood Institute review on the new MDI at http://www. nhlbi.nih. government / public health / lung / asthma / mdi.htm). Nébuliseur treatment is reserved for patients who are unable to use the MDI because of the difficulties of coordination. Text continued belowThe symptoms of asthma Asthma see the report. Treatment of asthma Asthma can not be cured, but it can be controlled by proper management of asthma. The first step in managing asthma is environmental control. Asthmatiques can escape to the environment, but with some modifications, they can control its impact on their health. Below is a list of ways to change the environment in order to reduce the risk of an asthma attack: Clean the house at least once a week and wear a mask while doing it Avoid fur or feathers Wash bedding (sheets, pillow cases, mattress pads) weekly in hot water Encase mattresses, box springs and pillows to the test of dust covers Replace the litter from the bottom, kapok or foam rubber with synthetic materials Consider replace upholstered furniture with leather or vinyl Consider replacing the carpeting with hardwood floors or tiles Use the air conditioner Keep the humidity in the house low The second step is to monitor lung function. Asthmatiques use a peak flow meter to measure their lung function. The lung function decreases until symptoms of an asthma attack-usually two or three days before. If the meter shows the peak flow is down 20 percent or more of your usual best effort, an asthma attack is under way. The third step in the management of asthma involves the use of medication. There are two main groups of drugs used in the control of asthma, anti-inflammatory drugs (corticosteroids) and bronchodilators. Anti-inflammatories reduce the number of inflammatory cells in the airways and prevent blood vessels leak fluid in the tissues of the respiratory tract. By reducing inflammation, it reduces spontaneous muscle spasm in the air. Anti-inflammatories are used as a preventive measure to reduce the risk of acute asthma attacks. Corticosteroids are given by inhalation in two ways: through a metered dose inhaler (MDI) or orally by pill / tablet or liquid form. Inhaled Steroids are flunisolide (AeroBid), triamcinolone (Azmacort) and beclomethasone (Beclovent and Vaceril). The oral steroids (pill / tablets) are prednisone (Deltasone, Meticorten or Paracort), methylprednisolone (Medrol) and prednisolone (Delta Cortef and Sterane). The oral steroids (liquid form) are Pedipred and Prelone. These liquid forms are used for children with asthma. Three drug, zafirlukast (Accolate), montelukast (Singulair) and zileuton (Zyflo), are part of a new class of anti-inflammatory drugs called leukotriene modifiers. Taken orally, these drugs work by inhibiting leukotrienes (fatty acids that inflammation mediator) from binding to smooth muscle cells lining the airways. They also reduce the recruitment of inflammatory cells in the respiratory tract. These drugs prevent and reduce the symptoms, and are intended for long-term use. Other inhaled anti-inflammatory drugs include cromolyn sodium (Intal) and nedrocromil (Tilade). Bronchodilators work by increasing the diameter of the airways and ease the flow of gas to and from the lungs. They are two basic forms-short-acting and long-acting. Bronchodilators short-acting are metaproterenol (Alupent, Metaprel), ephedrine, terbutaline (Brethaire) and albuterol (Proventil, Ventolin). These drugs are inhaled and are used to relieve the symptoms during acute asthma attacks. Bronchodilators long-acting are salmeterol (Serevent), metaproterenol (Alupent), and theophylline (Aerolate, Bronkodyl, Slo-phyllin, Theo-Dur to name a few). Serevent and Alupent are inhaled and theophylline is taken orally. These drugs are sometimes used to help control the symptoms in special circumstances, such as during sleep or when exposure to irritants particular intensity can be predicted (ie pollen season). Atrophine sulfate (Atrovent) is another very effective bronchodilator. The drug opens the airways by blocking reflexes through the nerves that control the muscles lung. Some people can not control the symptoms by avoiding triggers or using drugs. For these people, immunotherapy (allergy shots) may help. Immunotherapy involves the injection of extracts of allergens "desensitize" the person. The treatment begins with the injection of a solution of the allergen given to five times a week, with the strength to rise gradually. Note: Asthmatics vary considerably in their responses to different types, mixtures and quantities of drugs to therapy must be carefully tailored to the individual. Even drug that may work well with some asthmatics can be effective for others. Please discuss your situation with your doctor and two of you will determine a management course that suits you best. Prevention of Asthma Periodic assessments and control of asthma are essential to determine if the treatment is appropriate. Patients need to understand how to use a peak flow meter and understand the symptoms and signs of a worsening asthma. Regular monitoring visits (at least every six months) are important to maintain asthma control and to reappraise the medicines needed. Patients with persistent asthma should be given an annual influenza vaccine.

What is Singulair?

Singulair is a leukotriene (toilet-koe-TRY-een) inhibitor. Leukotrienes are chemicals in your body produces when you breathe in allergens (such as pollen). These chemicals cause swelling of the lungs and the tightening of the muscles around your airways, which may cause symptoms of asthma. Singulair is used to prevent asthma attacks in adults and children as young as 12 months. It is also used to relieve runny nose and sneezing caused by allergies in adults and children as young as 6 months. Singulair Do not give to a child without consulting a doctor. Singulair is also used to prevent the exercise of bronchoconstriction (narrowing of the air passages in the lungs) among persons who are not already taking the drug for other conditions. If you already Singulair taken to prevent asthma or allergy symptoms, not use it for exercise-induced bronchoconstriction. Singulair can also be used for purposes other than those listed in this medication guide. What's the most important information I should know about Singulair? Do not use Singulair to treat an asthma attack that has already begun. It will not work fast enough to reverse the symptoms. Use only swift action by inhalation of medication to treat an asthma attack. Talk with your doctor if any of asthma medicines do not seem to work as well in the treatment or prevention of asthma attacks. It can take up to several weeks of using this drug before your symptoms improve. For best results, continue to use the medication as prescribed. Talk with your doctor if your symptoms do not improve after several weeks of treatment. Call your doctor immediately if you think this is not the medicine working as usual, or if it makes your condition worse. If it seems that you need to use more than one of your medication in a 24-hour period, talk to your doctor. If you already Singulair taken to prevent asthma or allergy symptoms, not use it for exercise-induced bronchoconstriction. What should I discuss with my healthcare provider before taking Singulair? Singulair Do not use if you are allergic to montelukast. Before using Singulair, talk to your doctor if you are allergic to medication (including aspirin), or if you have liver disease. You may not be able to use Singulair, or you may need dosage adjustments or special tests during treatment. The form of chewable tablet Singulair can contain up to 0.842 mg phenylalanine. Talk to your doctor before using this mode of Singulair if you phenylketonuria (PKU). FDA category B. Singulair pregnancy should not be detrimental to the unborn child. Tell your doctor if you are pregnant or planning to become pregnant during treatment. It is not known whether Singulair is excreted in human milk, or whether it could harm nursing baby. Do not use Singulair without telling your doctor if you are breast-feeding a baby. How do I take Singulair? Take Singulair exactly as it was prescribed for you. Do not take the drug in large quantities, or to take longer than recommended by your doctor. Follow the instructions on your prescription label. Singulair is usually taken once daily in the evening for the prevention of asthma or allergy symptoms. For the bronchoconstriction induced by exercise, taking a single dose at least 2 hours before exercise, and do not take another dose for at least 24 hours. Follow your doctor's instructions. For the bronchoconstriction induced by exercise, taking a single dose of Singulair at least 2 hours before exercise, and do not take another dose for at least 24 hours. If you already Singulair taken to prevent asthma or allergy symptoms, not use it for exercise-induced bronchoconstriction. Swallow the entire regular tablet with a glass of water. The chewable tablet must be chewed completely before swallowing. The oral granules can be placed directly in the mouth and swallowed, or mixed with a spoonful of applesauce, mashed carrots, rice, or ice cream. Granulated hearing may also be mixed with 1 teaspoon of baby formula or breast milk. Do not use any other kind of liquid to mix granules. Other liquids can be taken before or after dosing. After opening the mouth or mixed with granules, you still need to use within 15 minutes. Do not save a packet of drugs or mixed for later use. Do not use Singulair to treat an asthma attack that has already begun. It will not work fast enough to reverse the symptoms. Use only swift action by inhalation of medication to treat an asthma attack. Talk with your doctor if any of asthma medicines do not seem to work as well in the treatment or prevention of asthma attacks. It can take up to several weeks of using this drug before your symptoms improve. For best results, continue to use the medication as prescribed. Talk with your doctor if your symptoms do not improve after several weeks of treatment. Asthma is usually treated with a combination of different drugs. To better address your condition, the use of all your medicines as directed by your doctor. Be sure to read the guide drug or patient instructions that come with each of your medications. Do not change your dose or medication schedule without advice from your doctor, even if you have no symptoms of asthma. If you also take a steroid asthma medicine, do not stop using it suddenly without first talking to your doctor. You may need less and less before stopping the drug. Call your doctor immediately if you think this is not the medicine working as usual, or if it makes your condition worse. If it seems that you need to use more than one of your medication in a 24-hour period, talk to your doctor. Singulair store at room temperature away from moisture and heat. Do not open a packet of oral granules until you are ready to use medicine. What happens if I miss a dose? Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take medicine regularly at your next scheduled time. Do not take additional medicines to compensate for the missed doses. What happens if I overdose? Search emergency physician if you think you have used too much of this product. Singulair symptoms of overdose are not known. What should I avoid while taking Singulair? Avoid situations or activities that may trigger an asthma attack. Singulair side effects Obtain an ambulance if you have any of these signs of an allergic reaction: hives, difficulty breathing, swelling of the face, lips, or throat. Call your doctor immediately if you have any of these serious side effects: Rash, bruises, severe tingling, numbness, pain, muscle weakness; Severe sinus pain, swelling or irritation, or Aggravation of asthma symptoms. Less serious side effects may be more likely to occur, such as: Stomach Pain, nausea, diarrhea; Mouth pain; Feeling fatigue; Dizziness, headaches; Pain throat, cough, or hoarseness Nasal Obstruction. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs affect Singulair? Before using Singulair, talk to your doctor if you are using any of the following medicines: Phenobarbital (Luminal, Solfoton), or Rifampicin (Rifadin, Rifater, Rifamate, Rimactane). If you use any of these medications, you may not be able to use Singulair, or you may need dosage adjustments or special tests during treatment. There may be other drugs not listed that may affect Singulair. Tell your doctor about all other prescription and non-prescription drugs you are using. This includes vitamins, minerals, products made from plants, and medications prescribed by other doctors. Do not start using a new drug without telling your doctor. Where can I get more information? Your pharmacist has information on Singulair written for health professionals which can be viewed. What does my medication looks? Montélukast is available with a prescription under the brand name Singulair. Other brand or generic formulations may also be available. Ask your pharmacist your questions about Singulair, especially if it is new to you. Singulair 4 mg chewable tablets, pink, oval tablets Singulair 5 mg chewable tablets, pink, round tablets Singulair 10 mg to beige, round, square shaped, film coated tablets Oral Singulair granules 4 mg, granulated white Remember, keep this and all medicines out of reach of children, never share your medications with others, and use Singulair only for the particular required. Every effort has been made to ensure that the information provided by Cerner Multum, Inc ( "Multum ') is accurate, current and complete, but no guarantee is made to that effect. Drug information contained herein may be sensitive. Multum information has been compiled for use by practitioners and health care consumers in the United States and therefore Multum does not guarantee that the use outside the United States are appropriate, unless otherwise noted. Multum Information on drugs does not endorse drugs, diagnose patients or recommend therapy. Multum drug information is an information resource designed to help health practitioners allowed to care for their patients and / or serve consumers viewing this service as a complement, not replace, expertise , the skills, knowledge and judgment of health care practitioners. The absence of a warning for a drug or drug combination in no way should be interpreted to indicate that the drug or drug combination is safe, effective or appropriate for the same patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information provided Multum. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions or side effects. If you have any questions about the medications you are taking, check with your doctor, nurse or pharmacist.

What Is Asthma?

Asthme (Az - muh) est une maladie chronique qui affecte vos voies respiratoires. Les voies respiratoires sont les tubes qui transportent l'air dans et hors de vos poumons. Si vous avez l'asthme, les murs de vos voies respiratoires sont enflammées (gonflement). Inflammation (EN MAI de fla -- bouder) rend les voies respiratoires très sensibles, et ils ont tendance à réagir fermement à des choses que vous êtes allergique à trouver ou irritantes. Lorsque les voies respiratoires réagir, ils obtiennent plus étroite et moins courant d'air par le biais de votre tissu pulmonaire. Cela cause des symptômes comme des sifflements (un sifflement strident lorsque vous respirer), toux, oppression thoracique et difficulté à respirer, surtout la nuit et en début de matinée. L'asthme ne peuvent pas être guéries, mais la plupart des personnes souffrant d'asthme peuvent contrôler, de sorte qu'ils ont peu de symptômes, et peut vivre une vie active. Lorsque vos symptômes de l'asthme pire que d'habitude, il est demandé un épisode d'asthme ou d'une attaque. Pendant une crise d'asthme, les muscles autour des voies aériennes resserrer, rendant les voies aériennes étroites, moins circulant dans l'air. L'inflammation augmente, et les voies respiratoires deviennent enflés et étroites. Cellules dans les voies aériennes peuvent aussi faire plus de mucus que d'habitude. Cet excès de mucus aussi restreindre les voies respiratoires. Ces changements rendent plus difficile la respiration. Les crises d'asthme ne sont pas tous les mêmes: certains sont pires que d'autres. Dans une grave crise d'asthme, les voies aériennes peuvent être fermées de ne pas recevoir suffisamment d'oxygène aux organes vitaux. Cette condition est une urgence médicale. Les gens peuvent mourir de graves crises d'asthme. Donc, si vous avez l'asthme, vous devez consulter votre médecin régulièrement. Vous avez besoin d'apprendre ce que les choses causer des symptômes de l'asthme et comment les éviter. Le médecin peut également prescrire des médicaments pour garder votre asthme sous contrôle. Prendre soin de votre asthme est une partie importante de votre vie. Le contrôle que veut travailler en étroite collaboration avec votre médecin pour savoir ce qu'il faut faire, restant loin de choses qui dérange vos voies respiratoires, qui prennent des médicaments comme indiqué par votre médecin, et de surveiller votre asthme à répondre premiers signes d'une attaque. En contrôlant votre asthme tous les jours, vous pouvez prévenir de graves symptômes et de prendre part à toutes les activités. Si votre asthme n'est pas bien contrôlé, vous pourriez avoir des symptômes qui peut vous faire manquer l'école ou au travail, et vous fais ce que vous aimez. L'asthme est la principale cause des enfants manquant l'école.