Get Asthma Medications Addictive online quotes
Many patients fear they will become addicted to their asthma medications and be unable to stop their use. This may partly be due to dependence on medication for the relief of symptoms and attacks. This fear of addiction may explain why some patients do not take their medications. There is no evidence of the development of addiction to asthma medications. When good control of asthma is achieved, it is often possible to reduce or discontinue medication that is no longer needed. However, good control must come first since withdrawal of medication may result in increased frequency of attacks.
In the case of systemic corticosteroids, the management of reduction and withdrawal of these agents must be closely supervised in view of possible adrenal insufficiency. Patients with severe asthma may become “steroid dependent” for control of their disease, but that does not represent an addiction to medication.
Are There Delayed Effects of Asthma Medications?
Patients may be concerned whether long-term use of asthma drugs will have serious adverse effects, another reason why patients may reduce or eliminate medications on their own.
Long-term use in adults of the B agonist, theophylline, cromolyn sodium, and inhaled corticosteroids have not shown any evidence of delayed adverse effects. In children, inhaled corticosteroids may have adverse effects on growth and bone development. These agents may still be necessary, however, when the risk of severe, uncontrolled asthma out-weighs the possible detrimental effects on bone growth. Nedocromil and ipratropium bromide are still relatively new and long-term experience with these agents is forthcoming. At this time there is no evidence of possible delayed adverse effects of these agents.
In both children and adults, long-term effects of the oral corticosteroids must be anticipated. These effects are outlined above and must be weighed against the dangers of uncontrolled asthma. Once systemic steroids are required there should be frequent review of their necessity with the goal of reducing dosage or withdrawal if possible. Alternate-day administration should always be considered if patients must remain on oral corticosteroids.
How Should Asthma Drugs Be Used?
In this chapter specific asthma medications have been discussed. As their number and effectiveness increase, confusion has also increased as to how these medications should be taken. Patients are often given several different medications and may find it difficult to use them all. Many patients complain they are “over medicated” and stop medications on their own. Chapter 5 provides a strategy for using asthma medications effectively.
Asthma Medications guide to using Asthma Spacer
Medicine to treat asthma can be delivered in several ways inhaled or in pill or liquid form. The Asthma spacer plays good role in health terms. The one you’re probably most familiar with is the metered dose inhaler (MDI) with a spacer (also called a “holding chamber”) attached as a delivery device.
- Who should use an Asthma spacer?
All children who take asthma medications with MDIs should use spacers. They come with face masks for babies and toddlers or a mouth-piece for older children.
- Why does a child need a spacer?
A spacer helps the medicine get deep into the lungs where it needs to go to work on swollen, squeezed, and inflamed airways. MDIs deliver medicine in an aerosol spray that comes out very fast. The attached spacer holds the spray so a child can inhale it slowly and get it deep down into the lungs. With a spacer, less medicine stays in the mouth and throat.
- How do I get a spacer?
Ask your child’s nurse practitioner or doctor for a prescription. Most pharmacies carry spacers. Some health insurance plans cover the cost of spacers, and others don’t. Call your health care plan provider to find out if spacers are covered and where to get them.
- How should a spacer be cleaned?
Instructions for cleaning should be enclosed in the box with the spacer. Don’t put a spacer in the dishwasher. Most spacers should be washed once a week with dish washing soap, rinsed well, and allowed to air-dry.
- How can a parent be sure a child is using a spacer the right way?
At your next medical appointment, ask your child’s doctor or nurse to demonstrate the correct technique and give you written instructions to take home. At each visit, take your spacer and inhaler along and ask the doctor or nurse to watch your child demonstrate how he uses his MDI/spacer. If he’s using it incorrectly, he can be re instructed; this will help you supervise its proper use at home.
How to use a metered dose inhaler (MDI) with a spacer
Get your MDI and spacer and check your asthma management plan for instructions about when to take medicine. Is the MDI running low? Call for refills before running out.
- Get your MDI and spacer and check your asthma management plan for instructions about when to take medicine. Is the MDI running low? Call for refills before running out.
- Check the spacer: Is it clean, cracked, or broken?
Make sure it’s empty and no foreign objects are inside.
- Remove the caps from both the MDI and the spacer. Put the MDI in the soft rubber ring of the spacer. Shake the MDI and spacer four or five times.
- Take one breath in and one breath out.
- Place the spacer mouth piece in your mouth with the MDI canister pointing upward.
- Push the MDI down so one puff of medicine is sprayed into the spacer.
- Take one slow, deep breath in. (If you hear a whistle, you are inhaling too fast.) Hold the breath for ten seconds.
- If two puffs of medicine have been prescribed, repeat steps 3 through.
- Keep the spacer clean. Most spacers should be washed once a week with dish washing soap, rinsed, and air-dried. Check the manufacturer’s directions for more information.