Asthma: causes, symptoms, therapy and course

Overview

Bronchial asthma is a chronic inflammatory disease of the bronchi that often develops during childhood and is associated with the onset of allergies. By contact with actually harmless environmental substances, such as pollen or animal hair, but also after exertion, there is a kind of "overreaction" of the bronchi, which convulsively constrict and form large amounts of a tough mucus. Both mechanisms lead to a significant narrowing of the respiratory tract as well as to a reduction of the respiratory flow, which may manifest in the form of shortness of breath, coughing and suffocation anxiety.

Especially children are affected

Asthma is a typical childhood respiratory disease. In Germany, about 10 out of every 100 children are affected by bronchial asthma, most of whom suffer from allergic asthma that develops from hypersensitivity. Non-allergic asthma, caused for example by analgesics or respiratory tract infection, is more likely to occur in adulthood but is less common overall.

Accurate diagnosis or clarification of the cause of asthma is very important in choosing the right treatment options. Because asthma is not the same as asthma! As part of the diagnosis, the attending physician first asks for your medical history (anamnesis) and then performs a physical examination, which focuses primarily on the lungs. Various pulmonary function tests can be used to assess how well the lungs are still working or to what extent restrictions are present. Allergy tests are used to detect allergic asthma. Only when all findings are available, the right therapy can be started.

Leading a normal life with asthma

Bronchial asthma is an incurable disease that can be controlled well with the right therapy, allowing a normal life. Basically, a distinction is made in drug therapy between on-demand and long-term medication. While on-demand medication is used in acute onset and can break it, long-term medication serves to reduce seizure frequency by relieving the chronic inflammatory process in the respiratory tract.

definition

Bronchial asthma is a chronic inflammatory disease of the bronchi that often has its origins in childhood and causes a seizure-like constriction of the airways. The ongoing process of inflammation causes the airways to become more sensitive, to cramp quickly in certain stimuli, and to tend to increase mucus production. As a result, acute shortness of breath, coughing and suffocation anxiety may occur. Depending on the triggering stimulus different types of asthma are distinguished:

  • allergic bronchial asthma: is the most common form of asthma and already occurs in children and adolescents. The cause in most cases are allergies to pollen, pet dander, house dust mites or mold fungi. A special form of allergic asthma is occupational asthma, which is triggered by allergens in the workplace and in many cases is also recognized as an occupational disease.
  • Non-allergic bronchial asthma: is an umbrella term for other types of asthma, which in most cases only occur after the age of 40. These include, among other things, infectious bronchial asthma, which often manifests itself very suddenly after a viral upper respiratory tract infection, analgesic asthma, which is caused by analgesics such as ASA or other non-steroidal anti-inflammatory drugs (NSAIDs), as well as exercise-induced asthma it comes to immediate after exercise to asthmatic complaints.
  • mixed asthma: is a combination of allergic and non-allergic asthma, which in many cases develops from allergic asthma.

frequency

Asthma is the most common chronic childhood disease. Approximately 10% are affected by chronic bronchial asthma, with the disease recovering to adulthood in about 50% of cases.

causes

The causes of the occurrence of bronchial asthma are very diverse. In most cases, the disease develops creeping from pre-existing allergies that lead to a permanent inflammatory process on the bronchi orthe bronchial mucosa. While at the beginning of the disease, especially a certain substance (such as animal hair or pollen) causes asthmatic symptoms, it comes in the course of hypersensitivity to many very unspecific stimuli (for example, cigarette smoke and cold).

Upon action of these stimuli on the bronchi, they contract convulsively and produce large quantities of glassy mucus, resulting in a sudden narrowing of the airways. As a result, less air can pass through the airways. It comes to shortness of breath, tightness in the chest and also to fear. In detail, the causes are to be distinguished according to the form of the asthma:

Allergic asthma

Allergic asthma, as the name implies, develops out of an allergy. Typical of an allergic event is that the body reacts very sensitively to substances that would normally cause no reaction. The immune system attacks harmless foreign substances (so-called allergens) such as pet dander or pollen and thus generates allergic-typical complaints such as runny nose, sneezing and itching.

In allergic asthma, similar processes occur, with the body overreacting to various allergens and symptoms manifesting primarily to the respiratory tract. Typical triggers of allergic asthma include:

  • pollen
  • House dust or house dust mites
  • animal hair
  • mold spores
  • chemical solvents
  • fragrances

A special form of allergic asthma is occupational asthma, which can develop in contact with industry-specific allergens and in most cases is recognized as an occupational disease. Classic cases are:

  • Wood dust allergy (carpenter)
  • Flour dust allergy (baker)
  • Color and solvent allergy (painter)
  • Care allergy (hairdresser)

Infectious asthma

From time to time it happens that viral infections of the respiratory tract cause chronic inflammatory processes, which in turn lead to an increased susceptibility to exogenous stimuli. While in childhood especially RS viruses (respiratory syncytial viruses) are responsible for the development of the infectious agent, in adults and pathogens play a role that can lead to very classic colds. These include, inter alia, parainfluenza, adeno and coronaviruses.

asthma medicines

In the drug asthma, unlike the other previously discussed asthma forms, there is no allergic event. However, pre-existing allergies or already diagnosed allergic asthma may lead to hypersensitivity to certain medications such as ASA or non-steroidal anti-inflammatory drugs (NSAIDs). These release more messengers when ingested, leading to a narrowing of the airway. In contrast to allergic events, it is not the immune response that is responsible for causing the symptoms, but the drug itself.

exercise-induced asthma

With existing asthma moderate to heavy exposure and cold, dry air can lead to a seizure. Stress asthma occurs especially in children and adolescents and may be an indication that the medication used is not sufficiently dosed. Contrary to suspicion, sport should not be dispensed with if a stress symptom is present. On the contrary: with the appropriate sport (in many cases swimming), the symptoms can be alleviated and the burden gradually increased.

Read also:
Important questions about the causes and risks

symptoms

The chronic inflammatory process leads to increased production of mucus in the bronchial tubes as well as an increased willingness to narrow the airways. In severe cases, even a small stimulus can lead to a narrowing of the airway and make breathing difficult. The classic asthma symptoms are therefore:

  • Shortness of breath (dyspnea), which mainly occurs at night or in the early morning hours, as well as during physical exertion or during respiratory tract infections
  • Cough, which persists for weeks to months and is mainly triggered by exhaling
  • Difficult exhalation, which may lead to a whistling sound (wheezing) and to the use of respiratory muscles

Asthma attack: fast action is required

Asthma symptoms can be mild, but also episodic. During an acute asthma attack, severe respiratory distress and tightness in the chest can occur, accompanied by suffocation or fear of death. Left untreated, an asthma attack can last for several hours, even days. However, the use of bronchodilator drugs generally provides rapid relief.

You'll find more about it here:
Questions and answers about the symptoms of asthma

diagnosis

In search of causes and triggers

To diagnose bronchial asthma, your doctor must perform various tests and examinations. A first indication of the presence of the disease provides a detailed history. The doctor asks in a thorough conversation in which situations air and coughing occur, if you are allergic known and if there are things that lead to an improvement or worsening of the symptoms. In addition, he inquires about existing stress factors such as at work (work in the paint or animal industry) or in the family.

It rattles and clatters in the lungs

Afterwards, your lungs should be thoroughly monitored. For a bronchial asthma speak dry rales and a prolonged exhalation, which can be accompanied by a whistling sound (wheezing).In severe cases, accelerated breathing (tachypnoea) as well as a weakened breath sound can be heard. Listening to the lungs requires a lot of practice and should be done by an experienced doctor.

Allergy? A blood test creates clarity

A blood analysis is particularly useful in allergic asthma, as it can be examined certain parameters that are altered in an allergy: Relevant in this context, above all, the increase in specific IgE antibodies and a certain type of white blood cells, the eosinophilic granulocytes.

But beware: After a long course, an allergy test no longer makes sense, since there are no consequences of the test more. The reason for this is that asthma attacks can be increasingly triggered by other factors independent of the allergy and a causal treatment at this stage of the disease is no longer possible.

Pulmonary function: restricted exhalation

To get information about your lung function, your doctor may perform a series of lung function tests. These give a precise insight into the nature and severity of respiratory impairment and can also be performed under stress or after provocation.

Typical findings include an increase in the airway resistance, which leads to an extension and attenuation of the exhalation (so-called reduced one-second capacity) and an improvement of the symptoms or the test values ​​by administering a bronchodilator drug (so-called bronchodilators).

What else can be behind the complaints

In order to consolidate the diagnosis, other diseases that may be associated with asthmatic symptoms should be excluded. These include:

  • acute, infection-related bronchitis
  • whooping cough
  • severe colds

In addition, with each newly diagnosed asthma an X-ray examination of the lungs is performed. In early stages, this is usually not seen on this, in late stages, over-bloating (pulmonary emphysema) and other sequelae can be seen. The X-ray image also serves to exclude other diseases of the lung such as lung tumors.

staging

A newly diagnosed bronchial asthma is assigned to one of four levels, depending on severity:

  • I. Intermittent asthma: Symptoms occur less frequently during the day than once a week and less frequently at night than twice a month.
  • II. Mildly persistent asthma: Symptoms occur less frequently during the day than once a day, but more often than once a week. Nocturnal seizures occur more frequently than twice a month.
  • III. moderate persistent asthma: Symptoms occur every day and at least once a week, even at night.
  • Severe Severe Asthma: Severe symptoms occur daily as well as many nights.

This classification also includes certain parameters of pulmonary function testing as well as limitations in daily life. A disadvantage of determining the degree of asthma is the lack of benefit. Because the choice of drugs with which the asthma is to be treated, not only depends on the severity, but especially after the asthma control, which allows a follow-up assessment of the disease taking into account the drug therapy.

The goal of asthma control is to lead a life that is free from the limitations of everyday activities and that rarely (less than once a week) during the day treatable disorders and the disease gives rest at night.

differential diagnoses

Probably the most important differential diagnosis for bronchial asthma is COPD (chronic obstructive pulmonary disease). A distinction can be made between both diseases, which can present themselves through very similar symptoms, based on a few characteristics:

While bronchial asthma usually occurs in children and adolescents and is allergic or non-allergic, COPD usually does not develop until the second half of life, from the age of 40, and is in most cases the result of chronic tobacco use. The asthma begins as an attack and runs in phases, between which the symptoms can completely regress. On the other hand, COPD progressively progresses and gradually leads to a worsening of the symptoms, especially if smoking is not abandoned.

Here you get more information:
Diagnostics and important investigations

therapy

The therapy of asthma is composed of different strategies, all of which aim to improve the symptoms or to control the disease. Because asthma is not curable.

As a first, general measure, it is important that you avoid substances or situations that can trigger seizures. In allergic asthma, these may be, for example, animals, in non-allergic asthma, certain analgesics, among others.

Although many other non-drug-based treatments for improving the condition can be carried out and heeded, treatment with medication is usually necessary to successfully treat asthma.

Demand and long-term treatment

In the treatment of asthma, a distinction is made between on-demand and long-term treatment. On-demand medication includes medications that are fast, reliable, and can be used in the acute case, but do not follow a fixed intake schedule. They must always be available and are part of every treatment scheme.

The long-term medication, however, is taken regularly and permanently, regardless of the current situation. The aim of long-term treatment is to reduce the inflammatory process in the bronchi and to prevent seizures. Any asthma sufferer in long-term treatment always has a spray for on-demand use during a seizure.

drugs

Two classes of medication are used for the symptomatic treatment of asthma:

  • Beta-2-sympathomimetics act as bronchodilators, improving respiratory flow and thus reducing respiratory distress.
  • Glucocorticoids have anti-inflammatory effects and thus reduce the bronchial secretion, which makes a decisive contribution to the increase in airway resistance.

In addition, there are a number of other drugs that can be used in treatment failure or in the context of an incompatibility with one of the mentioned drug groups.

The bronchi dilate: beta-2-sympathomimetics

Beta-2-sympathomimetics, also called bronchodilators, are drugs that have a widening effect on the constricted bronchial musculature. Especially during an asthma attack, this is of great importance, since a severe respiratory distress can be alleviated reliably and quickly in most cases by the use of this substance class.

Depending on their onset and duration of action, beta-2-sympathomimetics are divided into:

  • short-acting beta-2-sympathomimetics
  • long-acting beta-2-sympathomimetics

Quick action in an emergency

Short-acting beta-2-sympathomimetics are characterized by an onset of action within a few seconds to minutes after inhalation. However, their effects also last only for a short time, so that they can not be administered for the long-term treatment of asthma. Their field of application is on-demand treatment, which can also be regarded as an indicator of the success of a therapy: the less frequently short-acting beta-2-sympathomimetics have to be used, the better the asthma is adjusted. Short-acting substances include:

  • Salbutamol (Apsomol®, Broncho inhalant®, Bronchospasm®, Cyclocaps Salbutamol®, Epaq®, Pediamol®, Pentamole®, Salbubronch®SalbuHEXA®, Sultanol®, Ventilastin®, Volmac®)
  • Fenoterol (Berotec®, Partisans®)
  • Reproterol (bronchospasmin®)
  • Terbutaline (Aerodur®, Bricandyl®)

Long-term prophylaxis

Long-acting beta-2-sympathomimetics have a lasting effect, but with a delayed onset of action. They are used for long-term treatment in combination with anti-inflammatory drugs, if these alone could show no effect to prevent seizure. The most important substances are:

  • Formoterol (Foradil®Forair®, Formatris®Oxis®, Symbicort®)
  • Salmeterol (Aeromax®, Serevent®)

By inhalation of the bronchodilator caused in most cases, no side effects, since the drug is brought in small doses directly to its site of action and does not enter the systemic circulation. In rare cases cardiac arrhythmias, blood pressure increases, restlessness and sleep disturbances can occur.

The inflammation throttle: glucocorticoids

Glucocorticoids are also usually used by inhalation and for the long-term treatment of bronchial asthma. Their effect is based on a suppression of the chronic inflammatory process on the bronchial mucosa, which has a decongestant effect and reduces mucus secretion. This leads to a reduction in seizure readiness or a decreasing frequency of asthma attacks. The group of glucocorticoids includes, among others:

  • Budesonide (Aquacort®, Budapp®, Budecort®, Budenobronch®, Budiair®, Cortiment®, Cyclocaps budesonide®, Novopulmon®, Pulmax®, Pulmicort®)
  • Fluticasone (Avamys®, Fluids®, Airflusal®, Seretide®, Flutiform®)
  • Mometasone (Ecural®, Asmanex®, MomeGalen®)

A disadvantage of the treatment with glucocorticoids is that the effect begins after several weeks, but then can lead to a significant relief of the symptoms. At this stage, taking the drug is often forgotten, which can have negative consequences for the long-term outcome of asthma therapy. For this reason, it is important to pay attention to a regular and stringent use of the medication even in seizure-free intervals.

More medicines in stock

In some severe cases, the combination of beta-2-sympathomimetics and glucocorticoids is not enough to get a satisfactory grip on the symptoms of asthma. Then further preparations are used in addition or as an alternative:

In case of intolerance of beta-2-sympathomimetics may affect the drug ipratropium bromide (Atrovent®, IPRAXA®, Itrop®). This has a similar mechanism to beta-2-sympathomimetics and is widely used in the treatment of COPD.

Mast cell stabilizers: only in strong allegiances

In severe allergic asthma so-called mast cell stabilizers can be used. Mast cells are critically involved in an allergic reaction as they go down and release substances responsible for the onset of asthmatic symptoms.

To stabilize these cells, nedocromil (Irtan®, Tilade®) or cromolyn sodium (Allergocrom®, Allergic oval®, Colimune®, Intal®, Lomupren®, Pediacom®, Pentatope®) are used. However, due to the rather poor benefit-side effects profile, these substances are rarely used.

The situation is similar with antileukotrienes, whose most important representative is montelukast. Montelukast is directed against certain messenger substances, so-called leukotrienes, which play a decisive role in the inflammatory process on the bronchial mucosa. Montelukast is used additively especially in severe asthma in long-term therapy, but can also be used in children to reduce glucocorticoids.

Antibody: elegant but cumbersome and expensive

In very severe cases of allergic asthma there are now new therapeutic approaches with antibodies for children from six years and for adults. These aim to bind the superfluous IgE in the body, rendering it harmless and thus alleviating the symptoms of asthma. Until now, only the antibody Omalizumab (Xoilar®). The disadvantage is

that the drug every two to three weeks by a doctor must be injected into the subcutaneous fat and is very expensive.

Stage plan for the treatment of bronchial asthma

For the long-term treatment of asthma, there is a phased plan, which includes five levels and can be an orientation aid for taking medication. Selection and dose of the drugs used depends on many factors. For example, the number of symptoms during the day and at night may be important, but also whether or not you are limited in your daily activities due to the condition, how often the emergency medication must be used, and whether pulmonary function is impaired during the medical examination.

Based on these parameters, the physician can determine if the asthma is controlled, partially controlled or uncontrolled. For example, in the case of controlled asthma over a long period of time, a dose reduction of the medication can be one level, while with frequent seizures a level in the scheme can go up. The levels do not correspond to the severity of the disease, but indicate how well the asthma can be treated by medication.

In the following, the five stages are briefly explained:

step 1 no permanent medication
Level 2 regular inhalation of a low-dose glokokortikoide
level 3 regular maintenance of a low-dose glucocorticoid and a long-acting beta-2-sympathomimetic
Level 4 regular inhalation of a medium-dose glucocorticoid and a long-acting beta-2-sympathomimetic
Level 5 regular inhalation of a high-dose glucocorticoid and a long-acting beta-2-sympathomimetic. If the symptoms can not be controlled by these measures, an antileukotriene or an antibody to IgE can be used as additional therapy.

 

At each stage, short-acting beta-2 sympathomimetics are inhaled as needed.

Treatment of asthma attack

If there is a sudden onset of an emergency, accompanied by a dry cough and suffocation anxiety, the right medication must be used quickly to break the attack and normalize the breathing.

For these cases there are emergency medications in the form of asthma sprays or capsules. These contain the bronchodilator short-acting beta-2-sympathomimetics as monotherapy or beta-2-sympathomimetics in combination with anti-inflammatory glucocorticoids, which act very fast and lead within a few minutes to improve the symptoms.

Arm yourself in advance!

In order to avoid suffocation anxiety and panic, the handling of the emergency drug should have been tried many times. It is also good if your environment knows what to do in the event of a seizure, which supporting measures can be taken, for example, to help you get the situation under control again.

In addition, it can be helpful to sit down, support your arms and consciously exhale with only slightly opened lips (so-called lip brakes). This technique increases the pressure in the oral cavity and, consequently, in the bronchi and lungs, making airway narrowing and reversely facilitating respiration.

More about this important topic can be found here:
Questions and answers about the asthma attack

Non-drug measures

So that it does not come at all to attacks or to reduce the seizure frequency, it is advisable to follow some general non-drug measures consistently. A reduction of the medication is possible in many cases.

To improve lung function, you should strictly abstain from smoking. Furthermore, regular exercise in the fresh air and normalization of body weight are crucial factors to improve respiratory function.

Targeted breathing training can also be achieved by means of physiotherapy, which should be used in symptom-free periods. In several sessions, you will learn certain breathing techniques, which are used to build up the respiratory muscles as a preventive measure and also to control breathing in the onset.

Rehabilitation: rest for you and your bronchi

If you suffer from very severe asthma, illness or frequent and serious complications despite medical treatment, a stay in a rehabilitation clinic may be suitable for you.

During such a cure, which often takes place at the seaside or in the mountains due to the favorable climatic conditions, you will learn to better recognize and control the symptoms of the disease, to deal with the prescribed medicines in a targeted and secure manner and to develop theoretical knowledge about your illness. A rehabilitation stay has, above all, the goal of improving the quality of life in the long term and of identifying alternatives that may not be possible due to the illness.

Read also:
Important questions about the treatment of asthma

course

The course of the disease is difficult to predict as it depends primarily on the frequency of acute seizures, which in turn are unpredictable. The better the asthma therapy strikes, the sooner the bronchi can recover and the fewer the seizures. In a well-adjusted therapy, the average life expectancy is not limited by the asthma.

Important: early detected and treated quickly

Especially the prognosis of childhood asthma is very good. Through consistent, early treatment and a reduction in the triggering stimuli, for example by frequent stays at the seaside or in the mountains, more than half of the children can live without complications in adulthood.

Late-onset or untreated asthma, on the other hand, often leads to complicated and serious symptoms, which in many cases can also be associated with complications such as developmental delays. Fortunately, these cases are rare.

Here you can learn more about:
Questions and answers about prognosis and course

prevention

If you have diagnosed bronchial asthma, some measures or behaviors may help reduce seizure frequency and improve quality of life in the long term:

  • Do not smoke, and be careful not to expose yourself to passive smoke. Smoke of any kind, even that of an open fireplace, irritates the bronchi and can aggravate the asthma.
  • Make sure that the room air is not too dry, because dry air can remove moisture from the bronchi and cause unnecessary irritation.
  • If your asthma is worse at home than in the fresh air, it is advisable to get special, allergy-friendly bed linen and possibly give the pet.
  • Do not use unnecessary medications such as ASA or NSAIDs; you should only take beta-blockers in consultation with a doctor.
  • If possible, spend your holidays in the mountains or by the sea. There are fewer pollutants in the air that can lead to bronchial irritation. Your respiratory tract can then go on vacation!

Here you will find more helpful information:
Frequently asked questions about everyday life with asthma

Prevent asthma: hyposensitization

As already explained, bronchial asthma can develop from an existing allergy. To avoid this, allergy sufferers can undergo about three years of therapy, which aims to overcome the allergy and thus prevent the development of asthma.

However, so-called hyposensitizations can only be used in the early stages of an allergy (duration less than 5 years) and have so far only been approved for certain pollen or wasp or bee venom. The principle of hyposensitization is the administration of very small doses of the specific allergy-inducing substance. During the course of treatment, the dose is then gradually increased, so that a habituation effect occurs. Consequently, the body no longer responds to an excess allergic reaction to pollen or insect venom, but recognizes the allergen and tolerates it.

The results of hyposensitization are very good and so far the only way to cure allergic bronchial asthma orto prevent its formation.

 

Author: Lisa Wunsch

sources

G. Herold: Internal Medicine, Herald, 2015.

A. Muntau: Intensive Pediatrics, Urban & Fischer, 2011.

National Care Guideline of the German Medical Association, Federal Association of Statutory Health Insurance Physicians, Association of the Scientific Medical Societies: http://www.awmf.org/uploads/tx_szleitlinien/nvl-002k_S3_Asthma_2013-abgelaufen.pdf, last accessed on 15.04.2017.

GEDA and Robert Koch Institute (RKI): Prevalence of bronchial asthma, http://www.rki.de/DE/Content/Gesundheitsmonitoring/Health-berichterstattung/GBEDownloadsB/Geda09/Asthma_bronchiale.pdf?__blob=publicationFile, last accessed on 15.04 .17.

Comment: The most important questions and answers

Asthma is a strange disease. On the one hand, almost everyone has heard of it before. Most of us even know somebody who has asthma because it is very common. On the other hand, few people know what asthma really is. Something about breathing is wrong - but what? Hardly anybody would be able to respond to this in a survey in the pedestrian zone. And when it comes to the causes of asthma, even the professionals end up with your Latin. Many guesses, little knowledge.

The bronchi are irritated - and whoever is irritated likes to react

Asthma (technically correct: bronchial asthma) is a chronic inflammatory disease of the respiratory tract. The bronchi are in a temporary or permanent state of hypersensitivity. This hyper-responsiveness, as the physicians call it, causes the mucous membrane of the respiratory tract to swell up to various stimuli. And as a result, the bronchi spasm. Their diameter narrows, in addition, the air flow is usually hindered by mucus secretions. This can result in shortness of breath, coughing and shortness of breath, forced by exertion. The exact cause of asthma is unknown, as I said. It is apparently an interaction of several, including genetic factors.

Asthma was less common in the GDR

Worldwide, one assumes about 235 million asthmatics. In Germany, every tenth child and one in 20 adults should be affected. The figures of different sources sometimes differ significantly. The fundamental tendency is more important, and it tends to point higher. Incidentally, more than twice as high is the prevalence among the general population in Great Britain, which leads the European statistics. The US is in between, much less common is asthma in, among others, Switzerland, Russia, Greece and Indonesia. It is not known exactly what influence regionally different asthma frequencies have on (quite apart from national differences in the recording or attribution of asthma patients). Some aspects suggest that Western lifestyle seems to favor asthma. It is not a modern phenomenon. Asthma was already known to the ancient Greeks. But it is steadily increasing in recent decades. This is especially noticeable for East Germany. There, just a few years after the reunification, the asthma rates have adjusted to the West German situation. And that despite the higher environmental impact in the former GDR.

Often everything starts with a hay fever

In most cases, asthma develops on the ground of an allergy. Often everything starts with a hay fever. The "descent" of the allergic events from the head area into the lungs is called in technical jargon "level change". However, there are also people who get asthma without any allergy. Either way, inflammatory processes take place in the asthmatic lung. Therefore, everything should be avoided or treated consistently, which could cause an additional inflammatory event. This is especially true for respiratory, dental and nasal sinus infections. Inoculations against influenza and pneumococci are recommended as a protective measure. By the way, unhealed respiratory infections are also considered to be a risk factor that can lead to the development of asthma (especially childhood).

Asthma can disappear again

Is asthma dangerous? In case of insufficient treatment or in rare bad cases yes, the answer is. Every year, several thousand people in Germany die in connection with their asthma. In an asthma attack, there is always a risk to life. So you should not underestimate or trivialize this widespread disease, which so far can not be cured medically. But there is also good news: Half of the children with asthma recover during puberty. This is especially true for boys who are more likely to have asthma than girls in childhood. By the way, the gender distribution changes, and in adulthood more women than men are affected. Even in later life, the asthma can spontaneously disappear. The probability is about 20%. A significant improvement occurs in 40% of those affected.And even if the asthma does not disappear, it can usually get so well under control that a largely normal life is possible with it. Prerequisite for this is a good, especially drug-based treatment and a controlled self-management - preferably with an (asthma) diary.

Important: avoidance of irritation and healthy life

This begins with knowing the individual triggers for your own asthma attacks and, if possible, avoiding them. Depending on the type of asthma, these can be certain allergens, for example animal hair or house dust mites, or non-specific stimuli. These include, for example, stress or cold, smoky or exhaust-laden air. In 70-80% of asthma allergic components play a contributing role. The most common are mixed forms of allergic (extrinsic) and non-allergic (intrinsic) asthma. Psychic factors can also trigger the disease. In addition to the avoidance of irritation, it is not surprising that it is also helpful in general to promote health when dealing with asthma. This concerns, for example, the reduction of obesity, a balanced diet, endurance sports as well as relaxation, breathing and mindfulness exercises.

Asthma training conveys necessary knowledge

Special asthma training teaches proper breathing techniques and knowledge about asthma attack behavior, the use of the peak flow meter for self-monitoring, and the use of medications-in most cases, sprays. Of these, there are some for regular treatment (controllers, especially glucocorticoids such as cortisone) to suppress the inflammatory and remodeling processes in the lungs. And others for short-term use for the relief of acute complaints (Reliever, including betamimetics such as salbutamol). It is also important to know which medicines require increased caution for asthmatics, e.g. Acetylsalicylic acid (aspirin) and similar analgesics, ACE inhibitors and beta-blockers.

Author: Dr. Hubertus Glaser

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Often, an asthma attack is pre-announced by "warning symptoms" before it really starts. If you have a sensitivity for that ...
What is the driver's seat for the asthma attack?
The coachman's seat is a breathing technique that helps you to calm your breathing during an asthma attack. The method is simple:
Can one become hoarse from asthma?
Not from the asthma itself, but from the asthma spray. Among the side effects of cortisone sprays, which are often used in the long-term treatment of asthma ...
What are the conditions associated with coughing and dyspnoea and are sometimes mistaken for asthma?
Both pneumonia of all kinds as well as a heart failure can come at first glance just like a bronchial asthma: with ...
What does "gimmick" really mean?
People with asthma often hear whistling sounds during exhalation. It is created because the compressed air in the smaller ...
What are typical symptoms of asthma?
The symptoms of asthma are individually very different, depending on the severity and severity of the disease. Typical symptoms are:
What does a peak flow value of 80 percent and above mean?
That everything is fine and your asthma medication is well adjusted. In the traffic light system of peak flow measurement, a value above 80% means "green".
What does a peak flow value of 60 to 80 percent mean?
If everything is ok, your peak flow value will be over 80%. A value of 60 to 80 percent indicates a deterioration in lung function. The...
What does a peak flow value of less than 60 percent mean?
Such a peak flow value is an alarm signal. It indicates a marked deterioration in lung function and may mean that you are about to ...
Do good peak flow values ​​mean that the asthma medication can be reduced or discontinued?
No. But they mean that your asthma is kept very well in check with the current medication.
Why can it be that the peak flow value is slowly getting worse?
If the peak flow decreases, this indicates a worsening of lung function. Maybe it's just because you have your ...
How often do you have to measure your peak flow value?
After determining your personal best, most doctors recommend monitoring the peak flow once a day. All values ​​from 80% ...
How high must my peak flow value be?
This question can only be answered individually. Usually at the beginning of the regular peak flow measurements in consultation with the doctor the ...
What exactly is measured with the peak flow meter?
The peak flow meter is used to measure the exhalation force. When measuring, you breathe so hard you can, and the device then measures the ...
What is a peak flow meter for?
A peak flow meter is a meter that determines the power of exhalation. It is an indispensable aid for people with ...
How do I find asthma training?
Many hospitals, rehabilitation clinics, pulmonary specialists or self-help groups carry out patient training. Besides the quality of the training ...
How can I tell if an offered asthma training is good?
Quite simply that is not in advance. Of course, the best recommendations are always from friends or from your doctor. Otherwise it helps, on ...
Should I join an asthma school?
This is definitely recommended. Scientists have shown that asthmatics who have participated in patient education have less ...
What does "asthma self-management" mean?
To get the asthma under control, it helps enormously if you learn to "manage yourself". This means:
Why is asthma training good?
In the asthma training, you will learn how to help yourself in an asthma attack. You learn how to treat an asthma attack early ...
What is a bronchospasmolysis test?
The bronchospasmolysis test detects asthma or similar diseases. He is also sometimes called reversibility test, what you ...
How do I know which asthma severity level I have?
The severity of your asthma is determined by the doctor based on your symptoms and the examination results. He will ask you in detail which ...
What is a stress test for?
During sports, climbing stairs or other physical exertion many asthmatics get bad air - especially in cold and ...
What does a provocation test look like?
In the provocation test you inhale certain irritants (for example, methacholine or histamine). If you have asthma, it will give you a ...
What is a reversibility test?
If your doctor detects in spirometry that your airways are narrowed, he may do a reversibility test. Here ...
Why should x-ray be used if asthma is suspected?
It does not have to. However, an X-ray of the upper body (medical jargon: chest X-ray) sometimes makes sense to other causes ...
What does "measuring blood gases" mean?
The so-called blood gases are all those blood values ​​that say something about the oxygen content in the blood. These include first of all oxygen (O2) ...
What is meant by Residual Volume?
Residual volume is a parameter of pulmonary function examination. He describes the amount of air that is still in the lungs after maximum exhalation ...
What is the Tiffeneau test?
The Tiffeneau test is just another term for the one-second capacity. This is a parameter of pulmonary function testing in which one ...
What is one-second capacity?
The one-second capacity is a measure which, among many others, describes the lung function. It corresponds to the amount of air that one ...
Whitish deposits on the tongue and oral mucosa: What can it be?
If you use a cortisone spray, it is probably a fungal infection. We are talking about the so-called Mundsoor. This fortunately ...
What long-term side effects do you have to expect when you inhale cortisone sprays for years against your asthma?
With cortisone one must distinguish strictly between the use as tablet and the use as spray, ointment or eye drops. For the...
What is the great benefit of cortisone compared to other asthma medications?
Cortisone has a kind of double effect in asthma: It has anti-inflammatory effects in the irritated bronchi. And it also improves the long-term ...
Why is it better to inhale cortisone than to take it in tablet form?
The cortisone comes in spray form directly and very quickly into the bronchi, where it is supposed to work. For tablets, however, it must be a detour via ...
How to prevent fungal infections in the mouth with the cortisone spray?
It is best to brush your teeth after inhaling. If this is not possible, it also helps to rinse your mouth or something ...
What side effects can a cortisone spray have?
Because the cortisone from the asthma sprays mainly in the respiratory tract its effect, it usually causes no serious ...
How fast do cortisone sprays work?
While the so-called need sprays work immediately, cortisone sprays often take several weeks to get an effect. That depends on the ...
How do cortisone sprays work?
The inhalation of cortisone inhibits the inflammatory response in the bronchi. This reduces, among other things, the production of mucus, which ...
What is cortisone?
Cortisone is a collective term for a group of very similar substances called glucocorticoids or steroids. These...
Is it true that cortisone can reduce erectile dysfunction?
Yes. Rarely, treatment with cortisone may cause erectile dysfunction. Whether that happens depends, among other things, on ...
Can the prick test cause side effects or complications?
As a rule, the prick test is tolerated without problems. The redness or swelling at the puncture sites, if they have ever occurred, ...
Is the prick test painful?
Only minimal. In the prick test possible triggers of allergy (allergens) are applied dropwise to the skin on the back or forearm ...
What to look for before performing a prick test?
The intake of anti-allergic drugs (especially antihistamines) can weaken the reaction during the prick test and thus a wrong result ...
How to recognize after a prick test, if there is an allergy?
If you are allergic to any of the tested substances, pronounced signs are formed at the injection site within the first quarter of ...
When is a blood test made to clarify allergic asthma?
A blood test is often done in small children with suspected allergic asthma. Because a skin test is difficult at this age.
What does an allergy test look like?
Usually, the doctor performs a skin test, the so-called prick test. Here, usually on the forearm, a drop of various possible ...
When is an allergy test done?
If your doctor suspects that you may have allergic asthma. With the allergy test, he searches for the substances that ...
When do we speak of controlled asthma?
Asthma control is an important parameter for finding the right treatment and questioning it over and over again. Because the ...
Asthma Therapy: What are Relievers?
Unlike the controllers, the relievers are used only temporarily in the treatment of asthma. For acute complaints they help ...
What to think about a psychosomatic treatment approach in asthma?
Psychosomatics is a very good approach that should apply to most, especially chronic, diseases! Because the ...
When can the dose of my asthma medication be reduced?
In principle, a dose reduction is possible if, with the current amount of medication, you have your asthma under control for at least three months ...
Diagnosis Asthma: Do I need a long-term treatment?
Only your doctor can decide that. Basically, however: If only occasionally or rarely respiratory problems occur, is usually no ...
Asthma Therapy: What are Controllers?
Controllers are drugs for the long-term treatment of asthma. They should keep the asthma disease permanently in check.
Do I have to take medication with asthma every day?
That depends on the severity of your illness. In moderate and severe asthma, a long-term treatment is necessary. But that does not mean...
No asthma symptoms: why then the spray?
If the asthma symptoms subside in certain times, for example, outside the pollen season, then the temptation is great, on the annoying ...
What is Level 1 in asthma step therapy?
The treatment of asthma is based on a step pattern, which is adapted to the respective complaints. In level 1, often enough, a ...
What is Level 2 in asthma step therapy?
In stage 2 of the asthma treatment, you will regularly receive a medication for inhalation as well as a spray that will help you to treat acute complaints.
image Can you get asthma by smoking?
Yes. At least, smoking increases the likelihood of getting asthma. It starts during pregnancy and lactation ....
Is it true that antihypertensives from the group of ACE inhibitors can trigger asthmatic complaints?
Taking ACE inhibitors may cause respiratory irritation. This can cause chronic cough, but rarely asthma and ...
What causes asthma attacks often?
The list of possible triggers of asthma attacks is endless, but there are some that are particularly common:
Is it true that women with an early first menstrual period are more likely to have asthma?
At least one study suggests that. Thus, women who had their first menstruation already at the age of ten or even earlier have a ...
Protects dirt from allergies and asthma?
This has been a hot topic for years. It is clear that children who grow up in rather unhygienic environment, rarely allergies and ...
How does non-allergic asthma develop?
In non-allergic asthma, as the name implies, there are no allergens that keep the bronchi permanently on alert. Trigger...
Is asthma inherited?
In most cases, the development of asthma is based on an allergy. Even airborne pollutants can be involved in the onset of asthma ...
Are more men or more women getting asthma?
In adulthood, women are more likely to become ill than men, whereas children are more boys than girls in childhood. Why this is so is not clear ...
Does breastfeeding reduce asthma risk?
Yes, scientists have since proven that breastfed infants are less likely to have asthma later on. There are also (as usual) ...
Is asthma always associated with an allergy?
No, but in most cases. About 70-80% of people with asthma also have an allergy. This is also referred to as ...
What to do if my child gets an asthma attack during exercise?
First, keep calm. Your child should then inhale two puffs of his emergency medication.
What does the physical education teacher of my child need to know?
Inform the PE teacher about the severity of your child's asthma. He should also know if your child is ...
My child has asthma. Should it even participate in school sports?
Absolutely. Your child trains his breathing, increases physical performance and strengthens the body's defenses. Besides, it gets ...
Should I warm up before the sport?
Absolutely. You should warm up for about 15 minutes before getting started. Because with a "cold start", the bronchi can be extremely ...
Can you do any sport with asthma?
In principle yes. But the best thing is endurance sports, such as swimming, cycling, jogging or even dancing and hiking. Are rather unfavorable ...
When do I have to call the emergency doctor for my asthmatic child?
If your child suffers from severe shortness of breath, may be unable to speak or even has bluish discolored lips, then it has a ...
Is it true that cortisone sprays can slow children's growth?
Yes. Children with asthma who inhale long-term cortisone sprays often grow more slowly than their peers. It seems a ...
My child often resists inhaling the asthma spray. What should I do?
Coercion is wrong, yielding too. Sometimes a bit more self-reliance helps: If your child is even smaller, then leave it for example ...
How do you recognize an asthma attack in a child?
When a child develops asthma, it is not always easy for the parent to recognize. Often the respiratory distress over a longer time than ...
Why do fat children get more asthma?
Nobody knows that exactly. However, researchers suspect that certain inflammatory substances that are produced in adipose tissue, ...
Is it true that too much hygiene can promote asthma?
Apparently yes. Studies have shown that children who grow up on the farm are less likely to experience hay fever and asthma than children from ...
What does pediatric asthma grade 4 mean?
Grade 4 asthma in children is referred to by physicians with persistent, severe symptoms, the so-called persistently persistent ...
What does pediatric asthma grade 3 mean?
Grade 3 asthma in children is referred to by physicians with almost continuous symptoms, the so-called mediocre ...
What does "grade 2" asthma mean in children?
Grade 2 pediatric asthma is more likely to be associated with mild but recurring episodes of difficulty breathing. In the...
What does pediatric asthma grade 1 mean?
In pediatric asthma, physicians speak of mild and occasional symptoms. When they are among themselves (or ...
How do doctors classify the severity of childhood asthma?
Physicians also divide asthma into four levels of severity in children and adolescents. However, not exactly the same criteria as ...
Can my child's allergic asthma disappear again?
Although there is no cure for asthma, it is quite possible that your child will no longer have any symptoms later on.
How is asthma expressed in children?
In older children, the disease is mainly due to dry cough and attacks of respiratory distress noticeable. Many asthmatic children cough ...
Allergic Asthma: Which are the best vacation destinations?
This is not just a matter of preference, but also of the climate, the season and the accommodation. As a rule of thumb: Near the sea and in the mountains ...
Can I get an asthma attack on very long flights?
It depends. At a normal altitude of about 10,000 meters, the oxygen concentration of the air decreases. The cabin interior pressure ...
Can I fly with asthma?
If your asthma is stable, there is no danger. Take your medication as usual.
May I take my asthma spray with me in my hand luggage when traveling by air?
Of course, you can take medicines that you need during the flight into the cabin. You must, however, at the ...
House dust and mold increase my discomfort. What can I do against it?
Dust mites and molds are among the most common asthma triggers. If you have been diagnosed with allergies, ...
During the pollen high season in spring and summer, I suffer more from shortness of breath. How can I prevent this?
The best way to avoid the pollen - as far as it is possible. The following tips can help:
What is pulmonary emphysema?
Pulmonary emphysema is, in the broadest sense, an over-inflated lung. Numerous air chambers have formed on the ...
What makes keeping a diary so valuable in asthma?
With the diary and asthma, it is like "And always greets the marmot": Almost every doctor recommends leading a newly discovered asthma ...
Do you have to take the asthma medication for life?
Often yes. Because the hypersensitivity of the respiratory tract usually remains lifelong. Exceptions exist especially in children with ...
How often should I go to the doctor for my asthma?
That depends on her complaints. If you suffer more and more from your illness, then you should go more often once ....
How many people die from asthma?
Fortunately, very few: In Germany, 4 to 8 out of every 100,000 people die of asthma each year.
Does asthma affect the chances of fulfilling the desire to have a baby?
Usually not. Most women with asthma can fulfill their desire to have children. Even for the child then exists during the ...
May I continue a specific immunotherapy against my allergy when I am pregnant?
In hyposensitization (also called specific immunotherapy) is the foreign substance against which one is allergic, as long as in mini doses ...
Does my treatment change during pregnancy?
Depending on whether your asthma improves or worsens during pregnancy, your pulmonologist (pulmonologist) will have the treatment plan ...
Am I allowed to breastfeed when taking asthma medication?
In general, yes. This tends to do something good for your child. Children of mothers with asthma statistically have a three times higher ...
I'm pregnant. Does the asthma medication harm my child?
Fortunately, there is no reason to worry about it: studies of thousands of pregnant women and nursing mothers have shown that most ...
Does my asthma change during pregnancy?
Not infrequently, asthma improves during pregnancy. However, there is no guarantee.There are also cases where ...
How should I behave in ozone warnings?
If you suffer from shortness of breath at elevated ozone levels, you should not spend much time outside in the afternoons and certainly not in sports ...
Why do many asthmatics are particularly sensitive to ozone?
Ozone additionally irritates the respiratory tract. Most of the inhaled ozone marches straight into the lungs.
Is ozone particularly dangerous if you have asthma?
People with asthma - both small and large - suffer from ozone alarm more often in summer than they would otherwise from shortness of breath and asthma attacks.
Why are my complaints getting worse in autumn and winter?
Fast and significant temperature changes can irritate the respiratory system - especially if you want to move from cuddly warm rooms into the cold air before ...
Should I get vaccinated against pneumococcus or flu?
Hardly any topic is discussed as emotionally as the pros and cons of vaccination. At least the Standing Vaccination Commission recommends people with asthma, ...
Which home remedies can additionally relieve my asthma symptoms?
The following home remedies can alleviate asthma symptoms:
What do Quark wrappers do in asthma?
Breast wraps with quark support the decongestion of the bronchial tubes, have an expectorant effect and thus relieve the discomfort. That's how it's done:
How can I practice abdominal breathing?
On every occasion, sitting, standing, lying or walking: put your hands on your stomach and consciously breathe against your hands. At the...
Which breathing is best?
The healthiest thing is the deep abdominal breathing. In doing so, a lot of air gets into the lungs, and the body is supplied with enough oxygen.
Which muscles are used for breathing?
Our most important respiratory muscle is the diaphragm, which "works" during inhalation. The intercostal muscles and individual muscles of the ...
Gymnastics for Asthma: What is a Half Moon Storage?
The crescent moon is an exercise in breathing gymnastics. It serves to stretch the respiratory muscles - this facilitates breathing.
What is the back end position? And how does it work?
The back end posture is a specific exercise in breathing gymnastics and helps with asthma. You twist the upper body against the lower body. So...
What is a breathing gym for?
This will train your respiratory muscles. The breathing exercises increase the volume of the chest and thus the lungs. You can...
What is meant by "bronchial toilet"?
A bronchial toilet is a treatment intended to remove mucus from the bronchi. Because this strengthens the respiratory distress ...
What is goalkeeping for?
Goalkeeping is one of the many postures that can help you improve your breathing in asthmatic conditions. She supports...
Does it make sense to additionally take certain vitamins?
According to studies, vitamin B6 can reduce asthma symptoms and reduce the severity of asthma attacks. The best source is the natural: ...
Which tea is good for asthma?
Have an asthma tea mixed in the pharmacy: 30 grams of ribwort leaves, thyme herb, mullein flowers and ten grams each ...
Do I have to quit smoking if I have asthma?
Absolutely. The tobacco smoke irritates and damages the affected bronchial mucosa additionally. In addition, some asthma medications work in ...
Helps lose weight against asthma?
Yes, at least in women, there seems to be an association between body weight and asthma symptoms.
What is the difference between cortisone sprays and on-demand sprays with salbutamol, fenoterol or formoterol?
The cortisone sprays are aimed at asthma against the chronic inflammation of the bronchi. They do not work against acute asthma symptoms, but ...
When is a spacer necessary?
Spacers are used as inhalation aids in dosing sprays, facilitating coordination between the spray and inhalation. It deals...
Why do I sometimes have palpitations after using my emergency spray?
This is a side effect of the so-called beta-2-sympathomimetics (betamimetics), which are included in most of the asthma-need sprays (e.g.
Can the body get used to the emergency spray?
That is quite possible. If you use your emergency spray with a short-acting beta-2-sympathomimetic (eg salbutamol) very often, the ...
Asthma Therapy: What are Relievers?
Relievers are the emergency or emergency medications for asthma. Usually these are sprays. Often physicians prescribe to this ...
Does the spacer need to be cleaned?
Yes. But it is enough to clean it once a week with warm water and a drop of detergent. Let it dry or blow dry ...
How often do I have to clean my metered dose inhaler?
At least once a week. To do this, pull the metal container out of the plastic housing.
What is a "spacer" for?
Inhaling wants to be learned: If you inhale with a dosing aerosol and you often go a lot wrong or much of the drug in the ...
How do I inhale properly?
In order for the ingredients of the asthma spray to reach the inflamed respiratory tract in the optimum amount, one must give some tips and ...
What is a metered dose inhaler?
In a dosing aerosol, the drug is released by means of propellant gas. That sounds dangerous, but it is harmless. The spray ...
When is Spiriva (tiotropium) useful in asthma?
Treatment with tiotropium (Spiriva®) may be useful in adults who have asthma under certain conditions. That's before ...
What side effects can occur with Singulair®?
Overall, the compatibility of Singulair® (active ingredient: montelukast) according to previous data is comparatively good (compared to other ...
Can Montelukast (Singulair®) also help with asthma attack?
Clear no. On the contrary: Right then the remedy should rather not be taken. Because montelukast acts on the inflammatory reaction ...
How does Singulair® work against asthma?
Singulair® contains the active ingredient montelukast. This is a leukotriene inhibitor, the agent blocks so the body's messengers from the ...
How does montelukast work against asthma?
Montelukast has been on the market under the trade name Singulair® since 1998 and is still regarded as a relatively new substance in asthma therapy ...
May my asthmatic child go on a class trip?
If it is treated properly and the asthma is stable, nothing speaks against it. On the contrary, for your child it is very important to have a completely ...
Can my child play a wind instrument despite asthma?
It should even, if it enjoys it. Studies have shown that straight oboe, trumpet and clarinet strengthen the lungs.
Is it true that even physical stress can trigger an asthma attack?
Yes. Not only pollen or other allergy substances can trigger an asthma attack. For some people, physical effort can also be ...
What does "long-term therapy" mean in specific immunotherapy?
Hyposensitization treatment (specific immunotherapy) distinguishes between two methods: short-term therapy and ...
When should specific immunotherapy not be used?
There are a number of situations or pre-existing conditions where hyposensitization (specific immunotherapy) is not allowed. To...
Is the efficacy of specific immunotherapy proven in asthma?
Yes, as far as allergic asthma is concerned and in this case IgE-mediated allergies. These include pollen allergies, ...
Which professions are not suitable for asthmatics?
Occupational profiles related to (allergy-causing) vapors, types of dust and solvents are not for people with allergic asthma ...
Why is an allergic reaction actually producing histamine?
In an allergic reaction, the body's own defense cells, usually the so-called IgE antibodies, rush to the actually harmless ...
What is an allergic type I reaction?
A total of four different types of allergic reactions are distinguished (type I-IV). The most common and best known is type I.
How does Pulmidur® work against asthma?
Pulmidur® contains the active substance theophylline in the form of sustained release (delayed release) capsules. Manufacturer is the company AstraZeneca. It...
How does Pulmo-Timelets® work against asthma?
Pulmo-Timelets® contains the active substance theophylline in the form of sustained release (delayed release) capsules. Manufacturer is the company Temmler ...
How does Theolair® work against asthma?
Theolair® contains the active substance theophylline in the form of sustained release (delayed release) capsules. Manufacturer is the company 3M Medica. There are...
How does Aerobin® work against asthma?
Aerobin® contains the active substance theophylline in the form of sustained release (delayed release) capsules. Manufacturer is the company Farmasan ...
How does Bronchoretard® work against asthma?
Bronchoretard® contains the active substance theophylline in the form of sustained release (delayed release) capsules. Manufacturer is the company Astellas ...
How does Tromphyllin® work against asthma?
Tromphyllin® contains the active substance theophylline in the form of sustained release (delayed release) capsules. Manufacturer is the company Trommsdorff ...
How does Euphylong® work against asthma?
Euphylong® contains the active substance theophylline in the form of sustained release (delayed release) or effervescent tablets. Manufacturer is the ...
How does Uniphyllin® work against asthma?
Uniphyllin® contains the active substance theophylline in the form of prolonged-release (delayed release) capsules. Manufacturer is the company Mundipharma. It...
How does Solosin® work against asthma?
Solosin® contains the active substance theophylline in the form of prolonged release (delayed release) or drop. Manufacturer is the company ...
How does Afonilum® work against asthma?
Afonilum® contains the active substance theophylline in the form of prolonged-release (delayed-release) capsules or drops. Manufacturer is the company ...
What side effects can occur with Viani?
More than one in ten using Viani® complains of headache at the beginning of treatment. These should become more common in the course of further application ...
How does Symbicort work against asthma and COPD? What side effects occur?
Symbicort® contains the active ingredients formoterol and budesonide. Formoterol is a betamimetic and extends the respiratory tract. Budesonide is a ...
How does Foradil work in asthma?
Foradil® contains the bronchodilator formoterol. This substance leads after inhalation to a longer-lasting ...
How does Alvesco work in asthma?
Alvesco® contains the active substance ciclesonide. It is a cortisone spray that, like other cortisone sprays, is also used as a daily ...
How does Viani work in asthma?
Viani® contains the two active ingredients salmeterol and fluticasone. Salmeterol is a so-called betamimetic, that is, a ...
What side effects can occur with salbutamol and similar asthma sprays?
Salbutamol is usually used as a spray in asthma and is usually well tolerated in this form. Side effects are rather the exception ....
How does Salbutamol Spray work against asthma?
An asthma spray with the active ingredient salbutamol expands the airways in the short term. This improves the air flow, especially the exhalation ...
What are betamimetics? And why are they called that?
Betamimetics are one of the most important drug building blocks in asthma treatment. Both as a "need spray" (relief of acute ...
Asthma - When breathing becomes agony
In asthma, the bronchial mucosa forms too much mucus. The reason for this is usually a chronic inflammation, which is common (especially in allergies) ...
Overdose of flutiform is threatened by potassium deficiency
If you have been prescribed for your Asthma Flutiform®, be sure to spray it exactly as recommended by your doctor ...
High-fat meal optimizes effect of Mucosolvan
So that the mucus and cough remover Mucosolvan® works optimally, you should take the drug at the same time with some high-fat food ....
Budiair and Co: Do ​​not be afraid of cortisone spray in children
Asthma is the most common chronic disease in childhood. About 10% of all children are affected. With good medicines, the disease can ...
Formatris may show positive result in doping test
Thanks to modern medicines, people with asthma today can not only do sport without problems, but often also competitive sports and ...
If overdose with Spiriva, take note of the following symptoms
If you have been prescribed Spiriva® for your asthma condition, please take it as your doctor told you to ....
Beware of mix of Symbicort and allergy remedy Terfenadin
Anyone who uses bronchial Symbicort® to control their asthma should be aware of the following: Some medications may be used in combination with ...
Berodual: pay special attention to the eyes
If you are using Berodual® N Dosing Aerosol, please make sure that the medication does not get into your eyes ....
Oxis is not an asthma emergency medication
When you use the Oxis® Asthma Spray, there are two things you should be aware of: Oxis® is not specifically indicated for acute asthma attacks. You're welcome...
Concomitant symptoms with spasmo-mucosolvan therapy soon disappear
If you take the medicine Spasmo-Mucosolvan® for the first time, you will be relatively often symptoms such as muscle tremors, headache, restlessness or ...
No intake of diclofenac in asthma
Diclofenac (e.g., Voltaren®, Diclofenac-ratiopharm® tablets) is a commonly used drug from the group of analgesics. He will be ...