Long-Acting Beta Agonists: Salmeterol and Formeterol

Salmeterol and Formeterol
Two long-acting ß 2 -adrenergic agonists (LABAs), salmeterol and formoterol, have been demonstrated to be safe and effective agents in children, both in terms of bronchodilation and prevention of exercise-induced bronchospasm. Their onsets of action differ, with formoterol having an onset similar to albuterol (3 minutes), while salmeterol has a slower onset of action (10–20 minutes). Following a single-dose administration, both agents demonstrate durations of action up to 12 hours. Following regular twice-daily administration, bronchodilation remains effective; however, a level of tolerance (or tachyphylaxis) (more…)

Cromolyn, Nedocromil, Theophylline: Asthma Medications

asthma medications
Cromolyn sodium and nedocromil sodium are inhaled agents that are alternatives to inhaled corticosteroids (ICS) in the management of mild persistent asthma in children. Both drugs have been shown to possess anti inflammatory properties through nonsteroidal mechanisms, although the exact mechanisms for their actions remain unclear. (more…)

Roflumilast Phosphodiesterase 4 Inhibitor, Attenuates Allergen-Induced Asthmatic Reactions

Roflumilast Phosphodiesterase
Roflumilast is an oral, once-daily inhibitor of phosphodiesterase type 4 (PDE4) that prevents the breakdown of cyclic adenosine monophosphate (cAMP) levels, leading to inhibition of pro-inflammatory signalling. This study investigated the effects of repeated doses of 250 or 500 µg of roflumilast on airway asthma responses to allergen. (more…)

Long Acting Beta-Agonist Bronchodilator Tolerance

Regular use of ß-agonists has been known to lead to tolerance to their bronchodilator effects. It is not known how quickly tolerance develops or how long it lasts after stopping ß-agonist therapy.

Bronchodilator tolerance occurs after even a single dose and reaches a maximum after 1 week of regular formoterol. Sensitivity recovers 3 days after stopping treatment. (more…)

Exercise Induced Asthma - Don’t Give Up Sports

It is widely knowt that pollen, pollution, smoke can trigger an asthma attack. But one interesting thing is exercise can also trigger asthma reactions.

Yes, because normally we breathe through the nose, where air is filtered, warmed and moistened. But when we exercise, especially if we are colds, sinusitis or allergic rhinitis have “breathe through the mouth and the air gets colder and drier the lungs and also unfiltered, so it can carry more allergens (more…)

Exercise Induced Bronchospasm and Asthma: Symptoms and Treatment

exercise induced bronchospasm
Up to 85% of asthmatics patients have symptoms of wheezing during or after exercise. Moreover, many patients diagnosed with allergies or asthma have family allergy history and bronchospasm. Bronchospasm or a bronchial spasm is a sudden constriction of the muscles in the walls of the bronchioles. Bronchospasm is one of the condition or tightness of the airways caused by exercise. (more…)

Children Asthma Statistics and Food Intolerance in Children

food allergy in children
Many children are living with asthma. Asthma is a lung disease because the constriction of small airways (bronchioles). When this happens, there is moderate to severe difficulty in breathing came with by wheezing. Even though wheezing is not always heard but most of the time it is always present. (more…)

Acute Severe Asthma Management

children acute severe asthma
How to properly make clinical diagnosis of acute severe asthma? There is little doubt of the accuracy of current asthma testing. This is because most patients had bring out an established asthma diagnosis from prior regular asthma treatment, before presenting it to Asthma Emergency Department. We can see that most of patients had physical presentation: sitting up right, had profusely diaphoretic, only manage to speak only a few words at a time, and obvious respiratory distress. We can see varying respiratory rate on most patients. Hyperventilating is common in proportion to the severity of asthma attack. On the other hand, patients with hypoventilation is an indication of impending respiratory arrest. (more…)