Treatments for Non-atopic asthma

Contents

Non-atopic asthma: Introduction
Treatments for Non-atopic asthma (Introduction)
Treatment list for Non-atopic asthma
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Non-atopic asthma: Introduction

Treatments for Non-atopic asthma:

Non-atopic asthma treatment: There is no cure but identifying and avoiding the triggering factors will prevent symptoms developing. Symptoms may be managed by various asthma medications such as bronchodilators, antiinflammatories and asthma inhalers. Some medications act as long-term controllers (e.g. corticosteroids, long-acting beta-2 agonists, leukotriene modifiers, Cromolyn, Nedocromil, Theophylline) whereas others offer rapid relief of symptoms (e.g. oral or IV corticosteroids, Ipratropium, short-acting beta-2 agonists. Unproven alternative therapies that some people utilize to alleviate symptoms includes: acupuncture, ayruvedic medicine, chiropractic manipulation, massage, hypnosis, exercise, herbal medicines, vitamin supplements, stress reduction and dietary changes.

Treatment List for Non-atopic asthma

The list of treatments mentioned in various sources for Non-atopic asthma includes the following list. Always seek professional medical advice about any treatment or change in treatment plans.

Medications such as bronchodilators and corticosteroids
Management of asthma, and medications used to prevent and treat symptoms depends on the frequency and severity of symptoms. Treatments for asthma include:
- Avoidance of triggers - certain medications, dust, chemical exposure
- Avoidance of cigarette smoking - smoking cessation and avoidance of others smoking
- Utilisation of an asthma action plan and self monitoring
- Reliever medications for symptomatic relief:
  - Short acting beta2 agonists - salbutamol, terbutaline
  - Ipratropium
  - Oral corticosteroids often used in short courses for moderate to severe exacerbations
- Preventer drugs:
  - Inhaled corticosteroids - beclomethasone, budesonide, ciclesonide, fluticasone
  - Long acting beta agonists - salmeterol, eformotorol - should always be used in combination with inhaled corticosteroids
  - Cromolyns - cromoglycate and nedocromil - sometimes used in children
  - Leukotriene receptor antagonists - montelukast, zafirlukast - useful for seasonal asthma and may reduce dose of inhaled steroids
  - Controlled release theophylline - sometimes used in severe persistent asthma
- Severe asthma requires hospitalisation and treatment may include:
  - Continuous high flow oxygen
  - Continuous or frequent nebulised beta agonists
  - Steroids - intravenous and oral
  - Intravenous salbutamol
  - Intravenous adrenaline
  - Intubation and ventilation - used as a last resort for exhaustion related to severe asthma, or respiratory arrest
- Alternative therapies that some people utilize to alleviate symptoms include: acupuncture, ayruvedic medicine, chiropractic manipulation, massage, hypnosis, exercise, herbal medicines, vitamin supplements, stress reduction and dietary changes
- Evidence for efficacy of these approaches is variable

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