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Questions and Answers

what drugs should be given to a patient for bronchial asthma, with hypertention stage 2 and diabetes mellitus? I thought of adding atrovent, its an exam question, glucocorticoids are contraindicated, can someone just mention the possible combinations of the various groups available, condition of pation is medium not severe.

gift_of_encouragement replied: "Ask your doctor or pharmacists."

Dr. K replied: "Consult with your doctor. He/she will recommend the appropriate medications for those conditions and what is suitable for the patient's health."

T.C. M replied: "Is this asthma due to COPD, allergies, URI?? Depends on the receptor sites and if you want to decrease the SNS or increase the PNS......... also you have to consider what other meds this parson is on, their renal function, age, ethnicity........call your MD"

dremadagwa replied: "aminophylline could be taken safely and aerosol of salmetrol could be used"

Which is more dangerous with Asthma: bronchial constriction, or the inflammation? I'm not sure which is more deadly, I do know that both combined is what causes the attack and it can be life-threatening and dangerous. However, what's more dangerous, the actual constriction or the inflammation. The inflammation really cannot be brought down by the emergency inhalers, and it can only be controlled with the long-term maintenance drugs. However, wouldn't the inflammation really be the key cause of Asthma and the most dangerous aspect of it? Being that it is responsible for being ultra-sensitive to anything and everything including triggers? The bronchospasms and constriction would be to me a secondary reaction to the asthma, and can easily be reversed by medication, whereas the inflammation is harder and more long-term to treat. What's your take? Also which drugs are more effective on the inflammation, and which drugs on the bronchoconstriction? I'd assume prednisone would work better for the inflammation and albuterol for the constriction.

amy baby replied: "huh?"

bundygil replied: "Well the salbuternol is a reliever brochodialator. I take predisone for rhinitis and salbuternol and Qvar (HFA beclomethasone dipropionate) for asthma. Prednisone doesn't seem to do much for my asthma, only the salbuternol and Qvar. Qvar is a steroid with localised delivery via the puffer which is much more available than prednisone for control. Depends also on the person and their problem. What works for me or not is probably not applicable to you. You really have to find out what works for you. My opinion is that if you can get long term relief with a preventer puffer in place of the prednisone it is much preferable as prednisone often has long term problems. I'm lucky, I don't get many problems with prednisone, but most people do."

Prophet replied: "I dont realy know enough about that to tell you. But my sister have asthma and i see a lot of both, bronchial and inflammation problems that she go through. IT MAKES ME SAD TO SEE HER SUFFER,BUT THINK GOD she is tuff-stuff. I will pray for your STABILITY."

cryptoxmit replied: "Luke, Asthma is a very complex condition that has many triggers. These triggers may be bronchospastic in nature or inflammatory. The tricky thing about bronchospastic episodes is finding the trigger ... is it intrinsic (within the body via various pathways) or extrinsic (via allergies ... cold air ... exercise ... etc.). Thus the huge range of drugs offered. Obviously, inflammatory response is going to be controlled by a steroid such as fluticasone, beclomethasone, etc. This is usually considered a maintenance drug and must be taken as prescribed. It will not give you relief on an emergency basis. If you have a severe inflammatory response ... off to the hospital and IV steroids will be necessry. If you have a good response to your bronchodilators ... you most likely have an bronchospastic component ... not inflammatory (key word most likely) ... this is called reactive airways disease .... I like Xopenex for bronchodilation and Ipratropium Bromide (Atrovent) ... There are a few new steroids on the market that I havent used ... so my experience for inflammatory response is Flovent (Fluticasone) .... I work strictly with neonates now so I am unaware of the efficacy of the new steroids .. If you have repeatedly dosed yourself with the resue inhaler ... and no response .. go to the ER .... Asthma can be DEADLY!"

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