What medications are used to treat asthma?
 
Asthma medications are vital in the control of your asthma. Knowing how your asthma medication works will help you understand the importance of why you need to take your medication regularly.


A. Types of asthma medication

There are two main categories of medication for the treatment of asthma.

  • Bronchodilators     

    Example:

    • Salbutamol
    • Terbutaline
    • Fenoterol
    • Ipratropium bromide
    • Theophyllines




    • often referred to as ‘relievers’ because they relieve the symptoms of asthma quickly
    • act by relaxing and opening up the airways
    • used mainly when symptoms occur (e.g. wheezing)
    • does not modify the underlying cause of the disease and will not prevent the next asthma attack
    • advisable to carry a reliever medication at all times since asthma attacks are unpredictable


  • Anti- inflammatories

    Example:

    • Beclomethasone
      dipropionate
    • Fluticasone
      propionate
    • Sodium
      cromoglycate
    • Leukotriene
      modifiers
    • Corticosteroids




    • often referred to as ‘controllers’ or ‘preventers’
    • makes the airways less sensitive to triggers and irritants in the environment
    • reduces the swelling in the airways and also decreases mucus production
    • does not provide immediate relief but helps prevent asthma attacks from starting
    • controllers are to be taken daily on a long-term basis to prevent frequent attacks of asthma and to control  symptoms

B. Medication delivery devices

The inhaler device is the preferred route for the delivery of asthma medication. This is because it allows direct and faster delivery of the medication into the airways compared to oral medication. The likelihood of side effects is also reduced.

Metered-dose Inhaler

The  Metered-Dose Inhaler (MDI) is a small hand-activated device that quickly delivers a specific amount of medication into the lungs when inhaled through the mouth. Correct technique usually requires good hand-breath coordination.

Some types of inhalers, the powdered inhalers (e.g. turbuhalers) are breath-activated and are easier to use without the need for hand-breath coordination.

Powdered Inhaler

Spacer Device

Older persons may find it difficult to get the correct technique while using the MDI. In these cases, special hand-held chamber devices (spacers) are needed to deliver the medication. This device can be used to trap the dispensed medication from the inhaler so that it can be breathed in slowly.