Controlling asthma depends on how you use your medication

  The U.S. Food and Drug Administration has warned that regular use of three inhaled medications widely used by asthma patients could lead to worsening asthma or even death. Of these three drugs, one of them is one of the common drugs used to treat asthma in this country. These three medications can quickly relieve asthma symptoms, so they are used frequently by patients who have a first attack. However, clinical studies have shown that long-term use of these drugs can lead to worsening asthma, impaired lung function and even death.  Medication for asthma does have some side effects, but asthma is a stubborn disease and there is no absolute cure. Patients should listen to their doctor’s treatment plan and never stop medication at will. As long as the treatment is standardized, more than 90% of asthma can be controlled.  Effective use of medication is the key Asthma is an allergic disease of the respiratory tract, a non-specific inflammatory disease, medication is an important part of asthma treatment, and the correct and effective use of medication is the key to treatment. At present, there are a wide variety of drugs for asthma treatment, which are broadly divided into two categories: one is the drug of cure, mainly referring to hormonal aerosols. Since the spraying of aerosol can make the drug enter the airway directly, the local effect is strong, so the effect is obvious. These drugs are useful for asthma treatment because they prevent asthma attacks by inhibiting airway mucosal inflammation.  The second category is the drugs that relieve asthma attacks by treating the symptoms. They include β2 agonists, theophylline drugs, etc. In addition, there are drugs such as oral hormones and intravenous hormones. As many people have misconceptions and fears about steroids, the use of steroid-free “long-acting inhaled bronchodilator” asthma drugs has been increasing in recent years. These drugs are indeed commonly used in clinical practice, but they also have certain side effects.  There is no specific drug that can cure asthma, but a scientific system of medication can significantly improve asthma symptoms and slow down the deterioration of lung function. Therefore, patients should not adjust the dose of medication or discontinue it on their own, but should contact their primary care physician as soon as possible, since most long-acting tracheal dampers are prescribed along with anti-inflammatory medications. The consequences of a patient suddenly stopping their medication on their own can be very serious.  Most medications for asthma patients require the use of inhaler devices. This is because asthma is a bronchial disease of the lungs, which is directly connected to the outside world, so inhalation therapy can be used for local medication, and the effective medication reaches the lesion directly, requiring a small dose of medication, which is relatively fast-acting, with fewer side effects, and does not produce so-called drug dependence.  Asthma medications should not be discontinued casually. Current asthma research has confirmed that more than 95% of asthma patients can achieve complete control or good control with standardized treatment. However, there are some irregularities in the current treatment of asthma. Many patients only treat the symptoms of asthma, but not the underlying cause; patients have unwarranted fear of inhaled hormones, stop taking the medication without permission, do not obey the doctor’s treatment plan, and believe in the so-called “secret recipes and prescriptions”, etc. Therefore, the promotion of standardized treatment needs to be strengthened. Therefore, there is an urgent need to strengthen the promotion and popularization of standardized treatment.  There are two views on the treatment of asthma: one is the traditional classical method, in which drugs are chosen according to the severity of the patient’s condition. There are four levels of this treatment method. If the attack is only once a month, it is a relatively mild condition, and the medication should not be too heavy; if the attack is more frequent, the medication has to be relatively heavier, but whether the condition is mild or severe, the medication must be insisted on.  The other is to take medication as needed, but there is still some debate on this view. The so-called on-demand medication is a personalized treatment that is tailored to the patient’s specific situation. Some patients only have seasonal attacks, meaning asthma attacks to specific allergens and in specific seasons. The advantage of this treatment is that it can reduce the patient’s burden.  Learn to self-manage 1. Adherence to treatment and monitoring Regardless of the type of treatment, self-management of asthma patients is important in asthma treatment. Asthma patients and their families should know what asthma is all about, what triggers there are, signs and symptoms, evaluation of the severity of the disease and rational use of medication and other scientific knowledge.  In addition, control of asthma requires continuous long-term treatment and monitoring, which includes review of symptoms and multiple measurements of lung function. Pulmonary function test indicators can reflect the condition of asthma patients. A simple pulmonary function test instrument (peak velocity meter) that can be used at home every day is very suitable for asthma patients to self-monitor their condition, or they can go to the hospital for pulmonary function test regularly.  If the patient has no asthma symptoms for 2 to 3 months and the lung function index has reached a normal level, the original treatment plan should be adjusted at this time and the drug dose should be reduced, i.e., step-down treatment. On the contrary, if the symptoms worsen and the lung function index decreases, the treatment should be upgraded.  2.Prevalent season Pay attention to prevention The best way to stop asthma attacks is prevention, and it is winter, which is the prevalent season for asthma, so pay special attention not to catch cold and infection.  3.Identify and avoid triggers When common allergens and irritants that can trigger an asthma attack are eliminated from the patient’s living environment, asthma symptoms and hospitalizations can be prevented and medication can be reduced.  Of all indoor and outdoor environments, the most common allergens and irritants that serve as triggers are dust mites, tobacco smoke, fur-bearing animals, cockroach allergens, pollen, and molds. Other common triggers include viral respiratory infections, etc.  4. Avoid colds and infections Colds and infections can also trigger asthma. Therefore, give influenza vaccine to moderate to severe asthma patients annually; treat with short-acting inhaled beta 2 agents when early symptoms of cold appear; use oral corticosteroids or increase the dose of inhaled corticosteroids early; continuous anti-inflammatory treatment for several weeks to ensure adequate asthma control; pay attention to exercise to enhance physical fitness and minimize cold and flu.