Side effects include headache, infection, nausea, diarrhea Selectively and reversibly inhibits the 5-lipoxygenase pathway Triamcinolone acetonide (Azmacort): 100 μg per puffĬromolyn sodium MDI (Intal), 800 mg per puff nebulizer, 20 mg per 2-mL ampuleĪdults: 6 puffs or 3 ampules in three divided dosesĪdults: 9 to 12 puffs in three divided dosesĪdults: 16 puffs in three divided doses or 4 ampules in four divided dosesĬhildren: 3 puffs or 3 ampules in three divided dosesĬhildren: 8 puffs or 4 ampules in four divided dosesĪdults: 4 to 6 puffs in two to three divided dosesĪdults: 9 to 12 puffs in two to three divided dosesĬhildren: 2 to 3 puffs in two to three divided dosesĬhildren: 4 to 6 puffs in two to three divided dosesīlocks the cysteinyl leukotrienes LTD 4 and LTE 4 at the CsyLT 1 receptor Smoke from wood-burning stoves, fireplaces and other sourcesīeclomethasone (Beclovent, Vanceril): 42 and 84 μg per puffĪdults: 4 to 12 puffs at 42 μg per puff or 2 to 6 puffs at 84 μg per puffĪdults: 12 to 20 puffs at 42 μg per puff or 6 to 10 puffs at 84 μg per puffĪdults: more than 20 puffs at 42 μg per puff or more than 10 puffs at 84 μg per puffĬhildren: 8 to 16 puffs at 42 μg per puffĬhildren: more than 16 puffs at 42 μg per puffįluticasone (Flovent): 44 μg, 110 μg and 220 μg per puffĪdults: 2 to 6 puffs at 44 μg per puff or 2 puffs at 110 μg per puffĪdults: more than 6 puffs at 110 μg per puff or more than 3 puffs at 220 μg per puffĬhildren: 4 to 10 puffs at 44 μg per puff or 2 to 4 puffs at 110 μg per puffĬhildren: more than 4 puffs at 110 μg per puff Maintain good ventilation in bathroom and kitchen. Use home and auto air conditioners (with closed vents) during allergy season.įor outdoor mold, stay indoors and keep windows closed.įor indoor mold, use dehumidifier in basement and air conditioners, especially in bedroom and family room. Remain indoors as much as possible during times of increased pollen levels. When removal is not possible, confine the animal to carpet-free areas outside the bedroom and use a high-efficiency particulate air filter. Remove animal from the home, if possible (cat allergens remain in the home for up to six months after the animal is removed). Remove bedroom and family room carpeting (small, washable area rugs are an alternative).Ĭockroach extermination, preferably by professional exterminators. Use air filtering devices, especially in bedroom and family room. Reduce humidity levels with air conditioner and/or dehumidifier. Wash all bedding in hot water (54.4☌ ) every 10 to 14 days. In this approach, therapy is instituted at a step higher than the patient's current level of asthma severity, with a gradual “step down” in therapy once control is achieved.Ĭover pillows, mattresses and box springs with zippered cases. New guidelines from the National Asthma Education and Prevention Program Expert Panel II recommend an aggressive “step-care” approach. The frequent use of quick-relief medications indicates poor asthma control and the need for larger doses of medications that provide long-term control of asthma. Quick-relief medications include short-acting beta 2 agonists, anticholinergics and systemic corticosteroids. Inhaled corticosteroids remain the most effective anti-inflammatory medications in the treatment of asthma. Medications for long-term control of asthma include inhaled corticosteroids, cromolyn, nedocromil, leukotriene modifiers and long-acting bronchodilators. Patients with persistent asthma require medications that provide long-term control of their disease and medications that provide quick relief of symptoms. Asthma, a common chronic inflammatory disease of the airways, may be classified as mild intermittent or mild, moderate, or severe persistent.
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