Dr.Kamini Silvarajan MD/AAAM

Editorial Board: Dr.Kamini Silvarajan MD/AAAM


Seriously know that none of the bronchodilator medicines treats the inflammation of the bronchial tubes. The serious mistake that you can make in treating an attack of asthma is to depend solely on bronchodilators when your asthma attack is not getting better, or when it improves only briefly, then worsens again.

Subsequent medicines are needed to treat the swelling and excess mucus in the bronchial tubes — usually these are corticosteroids. Steroids will take time to act; inflammation will resolve only slowly. 
If your asthma attack is not much better after using the inhaled bronchodilators, it is a mistake to delay use of the steroids. In our opinion, this is the greatest danger from overuse of inhaled bronchodilators: delay in treatment with other needed medications.

Asthmatic patients with a mild or moderate attack who have some initial improvement from their inhaled bronchodilator may begin use or increase use of inhaled steroids.

For example, persons taking fluticasone (Flovent®) 2 puffs twice a day may increase to 4 puffs twice a day (r 2 puffs 4 times a day) until they are back to normal. 

As long as the attack remains under control (and the peak expiratory flow rate remains more than one-half of your normal or greater than 200 L/min), this strategy is acceptable, although often the improvement will be gradual.

During this time you should continue to use your bronchodilators regularly, until the steroid medication takes effect,otherwise DO NOT hesitate to consult your medical professional.