Health Topics > Asthma

Anti-Inflammatory (corticosteroid - inhalers): These medications work by reducing and preventing airway inflammation, swelling and mucus. They have to be used on a regular basis, and do not have an immediate effect on asthma symptoms. These medications are the most effective in preventing or controlling asthma. The most common corticosteroid - inhalers are:

Steroids
• Triamcinolone acetonide (Azmacort®)
• Fluticasone (Flovent®, Flovent® Rotahaler)
• Beclomethasone (Beclovent®, Vanceril®, Vanceril DS®, Beclovent®)
• Budesonide (Pulmicort®)
• Flunisolide (Bronalide®)
Non-Steroidal
• Sodium cromoglycate (Intal®)
• Nedocromil (Tilade®)


Bronchodilators (B2 -Agonist -inhalers): These medications relax the muscles around the airways and allow breathing to become easier within minutes. They are rescue/reliever medications and provide quick relief of symptoms. B2 - Agonist inhalers are very useful with EIA when used a few minutes before exercise or before exposure to any “trigger” that worsens your asthma. The most common B2 - Agonist - inhalers are:

• Salbutamol (Ventolin®,Albuterol®,Proventil®, Proventil HFA®)
• Pirbuterol (Maxair®, Maxair ® Autoinhaler)
• Terbutaline (Bricanyl ®, Brethaire®)
• Fenoterol (Berotec®)
• Salmeterol (Serevent®, Serevent® Diskus) - This B2-Agonist differs from the others listed above in that it does not begin working immediately and has a longer duration of action. This medication is not intended for use as a “rescue” medication, but for use as a long-acting bronchodilator. When salmeterol is used, you may feel relief for a longer period of time and may require fewer treatments of your shorter-acting bronchodilator.

Leukotriene Receptor Antagonists: This is a new class of oral asthma medications. Available in tablet form, these drugs offer long-term prevention of symptoms by preventing the formation of leukotrienes (substances that contribute to airway inflammation, swelling, and tightening, as well as mucus production). These can be used as an alternative to inhaled steroids and cromolyn (Intal®) or nedocromil (Tilade®) for people with mild but persistent asthma who are at least 12 years of age.

• Montelukast sodium (Singulair®)
• Zafirlukast (Accolate)
• Zileuton (Zyflo®)

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