Non steroid asthma treatment

As I mentioned in an earlier post, I get severe Air-Trapping, usually after excercise but not continually, it appears for several weeks and then for no apparent reason disappears for several weeks and then the cycle starts again . What I have found that helps to “Burp” it out is Pursed Lipped breathing whilst leaning forward from the hips and holding onto the back of the sofa whilst exhaling for as long as possible each time . Also if this doesn’t shift it all then leaning back in the chair 20 degrees or so past vertical and exhaling hard also helps and try to make the Burp as loud as possible as this seems to get more out each time . I hope this helps as it usually gives me relief each time .

If you are looking for a generic inhaler because your brand name inhaler is too expensive, there are several ways you may be able to get a cheaper prescription. Ask your doctor if they have any samples or manufacturers' coupon that can bring you co-pay down. You can also call your insurance company and ask for the prices of other rescue inhalers or control medications. If your insurance has a medication they prefer you use, ask your doctor if your prescription can be changed to the lower-priced drug. You can also look at the website of the pharmaceutical company that makes the inhaler and see if they offer a savings plan or discounts to those who cannot afford the prescription or do not have adequate insurance coverage. 

Perioperatively drugs used to treat asthma should be continued, sometimes in a different format (see table).  Patients taking more than 10mg of  prednisolone daily will require steroid supplementation perioperatively, and may require IV maintenance doses until absorbing drugs. 

Perioperative recommendations for asthma medications      
Class of drug Examples Perioperative recommendation  Notes ß2 agonists  Salbutamol, terbutaline, salmeterol  Convert to nebulised form High doses may lower K + . Causes tachycardia and tremor Anticholinergic drugs 
Ipratropium 
Convert to nebulised form    Inhaled steroids 
Beclomethasone, budesonide, fluticasone  Continue inhaled formulation 
If patient on >1500 mcg/day of beclomethasone, adrenal suppression may be present  
Oral steroids   
Prednisolone Continue as IV hydrocortisone until taking orally (1 mg prednisolone equivalent to 5 mg hydrocortisone) 
If >10 mg/day, adrenal suppression likely Leukotriene inhibitor (anti-inflammatory effect) 
Montelukast, zafirlukast 
Restart when taking oral medications    Mast cell stabilizer 
Disodium cromoglycate 
Continue by inhaler    Phosphodiesterase inhibitor 
Aminophylline 
Continue where possible  Effectiveness in asthma debated. In severe asthma consider converting to an infusion perioperatively (checking levels 12-hrly)

“% of patients with bronchial asthma said they benefited from chiropractic treatment. Peak flow rate and vital capacity increased after the third treatment. Significantly lower quality of life impairment rating scores were reported for % of children after 60 days of chiropractic care. During this same time period the average number of asthma attacks decreased an average of %, and asthma medication usage was decreased an average of %. Among parents of asthmatic children who had received chiropractic treatment, 92% considered this treatment beneficial.”

Non steroid asthma treatment

non steroid asthma treatment

“% of patients with bronchial asthma said they benefited from chiropractic treatment. Peak flow rate and vital capacity increased after the third treatment. Significantly lower quality of life impairment rating scores were reported for % of children after 60 days of chiropractic care. During this same time period the average number of asthma attacks decreased an average of %, and asthma medication usage was decreased an average of %. Among parents of asthmatic children who had received chiropractic treatment, 92% considered this treatment beneficial.”

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