![]() ![]() ![]() Rather than getting shots, you take tiny amounts of allergen in pill form that dissolves in your mouth. Under-the-tongue (sublingual) immunotherapy tablets.Over time, you should lose your sensitivity to the allergens. In some cases, immunotherapy can be done more quickly. You generally receive injections once a week for a few months, and then once a month for 3 to 5 years. Long-term side effects can include cataracts, thinning bones (osteoporosis), muscle weakness, decreased resistance to infection, high blood pressure and reduced growth in children. Oral corticosteroids can cause bothersome short-term side effects and more-serious side effects if they're taken for a long period. These medications may be taken - usually for a limited time - to treat severe asthma attacks. Oral corticosteroids for serious asthma attacks You might need regular blood tests to make sure you're getting the correct dose. Although theophylline isn't used much anymore, it can be helpful for nighttime asthma symptoms. Theophylline (Theo-24) relaxes the airways and decreases the lungs' response to irritants. You take this bronchodilator daily in pill form to treat mild asthma. It may be used either with or instead of a SABA.Ī combination of ipratropium and albuterol (Combivent) may sometimes be used to treat asthma. Ipratropium (Atrovent HFA) is a short-acting bronchodilator that's usually prescribed for emphysema or chronic bronchitis but is sometimes used to treat asthma attacks. Talk with your provider about adjusting your therapy. If you need to use your inhaler more often than your health care provider recommends, your asthma is not under control - and you may be increasing your risk of a serious asthma attack. However, most people with persistent asthma also need an inhaled corticosteroid or other long-term control medication. If your symptoms are minor and infrequent or if you have exercise-induced asthma, you might manage your symptoms with one of these medications alone. Albuterol (ProAir HFA, Ventolin HFA, others). ![]() ![]() Possible side effects include jitteriness and a rapid heartbeat (palpitations). Some people use a quick-relief inhaler before exercise to help prevent shortness of breath and other asthma symptoms. Fluticasone and vilanterol (Breo Ellipta).Fluticasone and salmeterol (Advair Diskus, AirDuo Digihaler, others).Some inhaled asthma medication combinations contain both a corticosteroid and a bronchodilator: Combination inhalers: Corticosteroids and long-acting beta agonists The LAMA tiotropium (Spiriva Respimat) may be added to the treatment plan for severe asthma. A LAMA can also be added to a LABA and inhaled corticosteroid if better control of your asthma is needed. If an LABA cannot be used, a LAMA along with an inhaled corticosteroid can be an option. These medications are also bronchodilators. Long-acting muscarinic antagonists (LAMAs) The most commonly used LABAs for asthma are: For this reason, LABAs are taken only in combination with an inhaled corticosteroid. Although they're effective, they've been linked to severe asthma attacks. They're used on a regular schedule to control moderate to severe asthma and to prevent nighttime symptoms. These bronchodilator (brong-koh-DIE-lay-tur) medications open airways and reduce swelling for at least 12 hours. See your health care provider right away if you have any unusual reaction. In rare cases, montelukast is linked to psychological reactions, such as agitation, aggression, hallucinations, depression and suicidal thinking. Leukotriene modifiers can help prevent symptoms for up to 24 hours. These medications block the effects of leukotrienes, immune system chemicals that cause asthma symptoms. If you're using a metered dose inhaler, use a spacer and rinse your mouth with water after each use to reduce the amount of drug remaining in your mouth. When side effects occur, they can include mouth and throat irritation and oral yeast infections. Inhaled corticosteroids don't generally cause serious side effects. In children, long-term use of inhaled corticosteroids can delay growth slightly, but the benefits of using these medications to maintain good asthma control generally outweigh the risks. Regular use of inhaled corticosteroids helps keep asthma attacks and other problems linked to poorly controlled asthma in check. Fluticasone (Flovent HFA, Arnuity Ellipta, others). ![]()
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