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Doctor insights on: Asthma Management Nebulizer

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Asthma. Meds serevent (salmeterol) and Pulmicort helpful?

Asthma. Meds serevent (salmeterol) and Pulmicort helpful?

The combination help: Pulmicort is an inhaled steroid that reduces inflammation in the lung. Serevent (salmeterol) is a long acting bronchodilator that when used with an inhaled steroid, can help the effectivess of the inhaled steroid. Serevent (salmeterol) used without the inhaled steroid can over 1-2 weeks or more can make asthma worse. Serevent (salmeterol) with asthma should only be used with an inhaled steroid. ...Read more

Nebulizer (Definition)

A nebulizer is a machine that turns a liquid into a mist. It is usually used for medications for asthma, cystic fibrosis, and copd, so that the medications can be ...Read more


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Which is better for COPD patients, albuterol inhaler or Combivent (albuterol and ipratropium) inhaler?

Which is better for COPD patients, albuterol inhaler or Combivent (albuterol and ipratropium) inhaler?

Unknown: Longer term studies show that both drugs are quick acting and relieve acute dyspnea/shortness of breath. It appears unlikely that either drug affects the natural history of asthma/copd. Longer acting drugs called maintenance inhalers are associated with significant decreases in exacerbation (flares) of these diseases and may affect lung function longer term. ...Read more

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What conditions require xopenex (levalbuterol) hfa inhalers?

What conditions require xopenex (levalbuterol) hfa inhalers?

Bronchodilator: Xopenex/levalbuterol is useful as bronchodilator. It opens lower airways in asthma and asthma-related conditions. ...Read more

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Whats tilade (nedocromil) asthma medication?

Whats tilade (nedocromil) asthma medication?

Nedocromil: Tilade (nedocromil) is the brand name for inhaled Nedocromil which was used to treat asthma but as it was less effective than inhaled corticosteroids, e.g. Flovent, asmanex, qvar, etc. It's popularity fell and it stopped being sold in the us in june 2010. ...Read more

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Corticosteroid asthma medicine symbicort (budesonide and formoterol) or advair diskus; which is better?

Corticosteroid asthma medicine symbicort (budesonide and formoterol) or advair diskus; which is better?

Both are good: It's a matter of personal response to the medications. Symbicort (budesonide and formoterol) is an aerosol and the coordination required to inhale it is a little harder than the diskus. Symbicort (budesonide and formoterol) contains formoterol as the long-acting bronchodilator, and that works faster than the salmeterol in advair. Both come in different strengths as well. Try both and consider what each costs on your plan and the side effects you have. ...Read more

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Mild asthma, occasional nighttime wheezing given dulera (formoterol and mometasone). Put on propanolol for migraines. med interaction. a better med for longterm asthma treatment?

Mgt: You may want to consider using an inhaled steroid and the Albuterol as needed if these medications control your asthma. You can also take an oral steroid for a short period of time. The combination medication has a longer acting medication. A follow up appointment: healthtap.com/DosanjhMD Code: NCYHPZ ...Read more

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I'm 22 and hav severe asthma. I'm on combivent, albuterol inhaler and neb, spirvia and singular. Phenergan (promethazine) DM not stopping SEVERE coughing ?

I'm 22 and hav severe asthma. I'm on combivent, albuterol inhaler and neb, spirvia and  singular. Phenergan (promethazine) DM not stopping SEVERE coughing ?

Steroids and rx GERD: I agree. Treatment of your GERD which can lead to microaspiration and bronchospasm, is a high priority. You may need a course of oral steroids prior to starting inhaled steroids. I would advise pulmonary testing and follow up. ...Read more

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Is there a more powerful/effective, non-steriodal inhaler for allergic/extrinsic asthma, than ProAir HFA?

Is there a more powerful/effective, non-steriodal inhaler for allergic/extrinsic asthma, than ProAir HFA?

Levalbuterol: Proair HFA contains a medication called albuterol. Other rescue inhalers such Proventil and ventolin also have the same medication. Xopenex HFA (is another rescue inhaler is which used for asthma and more effective in some patients levalbuterol. If a quick acting inhaler is not working, this may be a sign that you may need inhaled steroids. It is very important to followup with your doctor. ...Read more

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Best asthma medication for reactive airways Viral induced?

Best asthma medication for reactive airways
Viral induced?

Asthma?: If you have asthma, you need to address inflammation and airway reactivity hence the advice to use both a bronchodilator and an inhaled steroid. If you are having wheezing from a viral illness and the wheezing is reversed with a bronchodilator, there is a possibility that you have had mild asthma and symptoms were not enough to get your attention until the respiratory illness. ...Read more

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Can asthma inhalers help non-asthmatics breath better by relaxing muscles?

Can asthma inhalers help non-asthmatics breath better by relaxing muscles?

Not a good idea: If your lungs are normal, they maintain the appropriate balance of keeping your small airways open/closed.The mechanism is designed to keep toxic fumes/materials out of sensitive endpoints in the lung.When used without need, they increase your hearts work /rate & saturate the lungs sensors.Overstimulation can make these sensors less reliable.Any med strong enough to do good can do the opposite ...Read more

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Albuterol nebulizer or inhaler. Which is better?

Albuterol nebulizer or inhaler. Which is better?

Either one: When the inhaler is used properly with good technique, it can provide as much bronchodilation as a nebulizer dose. For those patients with poor coordination, the elderly or very young, the nebulizer may be easier to use. ...Read more

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What medications for bronchial asthma work best?

What medications for bronchial asthma work best?

CONTROLLER MEDS: In my opinion Controller meds which include inhaled Steroids with long acting Bronchodilaters also inhaled in combinations if taken correctly work best and sometimes one can add Montelucast(Singular) to that to control Asthma and reduce the incidents of acute attacks and exacerbations to minimum For acute attacks reliever meds like Albuterol or Levalbuteral are used with oral steroids sometimes ...Read more

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Is tilade (nedocromil) asthma medication?

Yes...: Tilade (nedocromil) is an asthma medication, especially effective for asthmatics with allergic triggers. ...Read more

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Does advair diskus (salmeterol and fluticasone) 500/50 prevent asthma attacks?

Does advair diskus (salmeterol and fluticasone) 500/50 prevent asthma attacks?

Yes: This is a combination "controller" medication for preventing asthma attacks and for improving overall respiration between attacks. It is for moderate to severe cases and should be used only under the guidance of a physician. ...Read more

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Pt. With severe COPD and is non - responsive to inhaled steroids. Has tried "most" of the inhaled albuterols, combivents, (albuterol and ipratropium) and anti-cholinergis. ?

Pt. With severe COPD and is non - responsive to inhaled steroids.  Has tried "most" of the inhaled albuterols,  combivents, (albuterol and ipratropium) and anti-cholinergis. ?

See below: I would recommend discussing this with your pulmonologist or if you need a second opinion, find someone on here that has a UT license and discuss it with them. It's possible you aren't on the right medication or maybe have a different diagnosis. ...Read more

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Do inhalers cure asthma?

Do inhalers cure asthma?

No: Unfortunately, the is no cure for asthma. Asthma is a chronic inflammatory lung disease that may "flare" depending upon an individual's triggers. Studies performed with disease "controllers" (oral leukotriene receptor antagonists and inhaled corticosteroids) to see if "cure" or prevention are possible. Unfortunately, any gains that are obtained while on those medications are lost when stopped. ...Read more

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Are nebulisers better than inhalers for asthma in children ?

Are nebulisers better than inhalers for asthma in children ?

Debatable: Both are about equal but age makes a big difference. However even in older children and adults the nebulizer delivers the medicine better and more efficiently. ...Read more

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Does albuterol and Pulmicort treat bronchitis and pneumonia?

Does albuterol and Pulmicort treat bronchitis and pneumonia?

No: Neither treat pneumonia, but in patients who have underlying obstructive lung diseases like asthma or copd, pneumonia can worsen symptoms of these diseases and the inhaled medicines you mention can help treat these problems. Albuterol helps dilate the airways and relieve shortness of breath and pulmicort helps decrease airway inflammation and may also help relive symptoms but more slowly over time. ...Read more

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In what step in asthma management would a home nebulizer be used?

Both...: ...Maintenance meds (such as budesonide) and rescue meds (such as albuterol) are available in nebulizer ampoules, and can be used by people unable to use handheld mdi's (multidose inhalers). ...Read more

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Which step in asthma management would a home nebuliser be used?

Which step in asthma management would a home nebuliser be used?

Rarely: Nebulizers allow you to take albuterol aerosolized rather than through an inhaler device. For adults, there is really no benefit to this except maybe cost. There are some other nebulized meds, but they typically have to be used more often than the meds available via other inhaler devices. They are best for children or sick elderly who can't use a more-complicated inhaler. ...Read more

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Is QVAR and effective control medication for asthma management? Side effects please?

Is QVAR and effective control medication for asthma management? Side effects please?

Yes: In general , yes but not all people with asthma responds to QVar which is an inhaled steroid. The major side effects are hoarseness and thrush at the throat area which can be mostly prevented by using an aerochamber and gargling with water after each treatment session. Large doses in young children may resulted in around 1/2 inch of loss in eventual height. ...Read more

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What types of inhalers and nebulizer medicines are best for asthma?

What types of inhalers and nebulizer medicines are best for asthma?

Variety: 2 general categories of medications: preventive (usually corticosteroids) and rescue (bronchodilators - beta 2 agonists). So, what is best for you depends on what type of asthma you may have and its severity ...Read more

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I have really bad asthma and I use a nebulizer. Do i need to use a mouthpiece as well?

I have really bad asthma and I use a nebulizer. Do i need to use a mouthpiece as well?

Asthma: You need to see your physician to discuss. If you are on a home nebulizer, you may need to be managed by a pulmonary specialist. If what you mean by 'mouthpiece' is a metered dose inhaler it is probably a good idea for acute symptoms arising when you don't have the nebulizer around. ...Read more

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Can you tell me is there any over-the-counter asthma relief medicine i can get for a steam nebulizer?

Can you tell me is there any over-the-counter asthma relief medicine i can get for a steam nebulizer?

OTC Asthma Medicine: None that is really effective that I am aware of. A form of Epinephrine nebulizer a rescue inhaler, is available. It comes with its own nebulizer. Compared to albuterol, Epinephrine is half potent. ...Read more

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I have been coughing for over 2 years. I have tried 4 inhalers and 1 nebulizer. Still not better. What could it be other than asthma?

I have been coughing for over 2 years. I have tried 4 inhalers and 1 nebulizer. Still not better. What could it be other than asthma?

Cough, chronic: There are many causes of chronic cough. It looks like you are currently under the care of a doctor but not under good control if previously diagnosed with asthma. You need to consult a chest specialist/pulmonologist for a more thorough evaluation. ...Read more

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Is there a risk in using expired albuterol in a nebulizer for asthma?

Expired meds: There is a risk they won't work, and if you are having an asthma attack, that's a big problem. Most meds will not harm you if expired, except for the fact that they may not be good for what they are intended for. You should check all the medicines in your home monthly to see if expired and/or need refills or replacements. ...Read more

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Have asthma. And it keeps getting worse no matter how much meds im on. Now my in halers don't work and have a nebulizer is this good or bad sign?

Check with lung doc: This is consistent with persistent asthma. Which can be cured. Check with your lung doc. You may need more inhaled steroids, tiotropium, laba, saba and possibly ige antagonist. Nebulizers and sprays do a similar job. Ask your doc about inhalation techniques. ...Read more

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I've had two asthma attacks in the past two days, how many times can I safely use my nebulizer a day? And if my attacks continue today what do I do?

I've had two asthma attacks in the past two days, how many times can I safely use my nebulizer a day? And if my attacks continue today what do I do?

See your doc soon: Albuterol nebulizers and/or inhalers can be used every 4 to 6 hrs as needed especially during an asthma flare. See your doc soon - you may need a Prednisone treatment and long acting inhalers taken twice daily that can control your asthma better. This would lower your need for using your albuterol so much. Common side effects from albuterol are increased heart rate and temporary tremors. Best! ...Read more

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Where can I buy a nebulizer machine for a child with asthma?

Where can I buy a nebulizer machine for a child with asthma?

Health care equipmen: Stores that sell health care equipment usually also carry nebulizers. Also home health care companies will often bring the nebulizer to your home and teach you how to use it, as well as supply the medications. A prescription is required in order for your insurance to pay for it. ...Read more

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What factors should I consider when picking a nebulizer machine for a child with asthma?

What factors should I consider when picking a nebulizer machine for a child with asthma?

Portability...: You will likely be taking this machine with you at times and there are light-weight machines that work really well. The easier it is to take with you outside the home the more likely your child will be compliant with treatment. Depending on the age of the child, it may be helpful to involve the child in the selection of the machine. ...Read more

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Wildfire smoke in co is affecting my asthma. Inhalers and my nebulizer are not working. What else can I try?

Reduce exposure: Exposure to smoke will make the airway reactive and make it difficult to control. Stay indoors as much as possible. You may need treatments more frequently. ...Read more

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Is 92 BPM high for just resting? Like the only activity done today is lie in bed and use my nebulizer because my asthma is acting up today.

Heart rate: 92 is on the upper end of the normal band for heart rate. However, albuterol (in any form including nebulized) can increase heart rate as a side effect. ...Read more

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My 19mo was diagnosed with mild persistent asthma, she coughs in am, when runs, etc, does she always need nebulizer or is there inhaler/quicker way?

May need controller: She may need a controller medication to help prevent symptoms instead of a more convenient rescue med. However she may be able to use an inhaler with a spacer. ...Read more

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My nebulizer broke and I have bad asthma everyday but I have a vix humidifier that has a medicine cup is it safe to put the abuteral in the med cup?

My nebulizer broke and I have bad asthma everyday but I have a vix humidifier that has a medicine cup is it safe to put the abuteral in the med cup?

I am sorry: I spent years in the hospital treating respiratory illnesses before i became a physician and your question is the one that most worries me today. People die from asthma. You have "bad" asthma. Please get the right treatment asap if not urgently. Please page your doctor now for instructions. Stop smoking for god's sake. ...Read more

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My son was recommeded nebulizer - albuterol because of congestion. Does frequent congestion mean he could be pre- disposed to asthma?

My son was recommeded nebulizer - albuterol because of congestion. Does frequent congestion mean he could be pre- disposed to asthma?

Congestion : Congestion could be upper airway or lower airway congestion. If lower airway congestion is associated with wheezing, it could indicate later development of asthma. ...Read more

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4 years I have been on daily nebulizer occasionally high doses of steroids. What they thought is asthma and allergic to all foods. Is it laryngospasm?

4 years I have been on daily nebulizer occasionally high doses of steroids. What they thought is asthma and allergic to all foods. Is it laryngospasm?

Laryngospasm: It can be vocal cord dysfunction but you do not describe any of your symptoms. You also cannot be allergic to all foods. You really need to see an allergist to guide you with your symptoms and determine your allergies properly. ...Read more

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I am on a nebulizer and oral meds. I have been short of breath and peakflow 350 for a week. Now my cheeks are itchy. Could this be due to asthma?

I am on a nebulizer and oral meds.  I have been short of breath and peakflow 350 for a week.  Now my cheeks are itchy.  Could this be due to asthma?

Allergy: You are probably having contact dermatitis from mask. Seasonal allergies can also present like this . If you can use inhaler instead of nebuliser your condition will improve . You need to look at all the meds to make sure you did not develop drug allergy. ...Read more

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Dr. Sue Ferranti
3,040 doctors shared insights

Asthma (Definition)

A disease of the lungs caused by chronic inflammation of the airways, caused ...Read more