Asthma — what to take?

Medical body content is still in Romanian:

Types

Allergic (extrinsic) — triggered by allergens (pollen, dust, mites, animal dander). Non-allergic — exercise, infections, cold air, stress, medications (NSAIDs, beta-blockers).

Diagnosis

Spirometry with bronchodilator testing (reversibility >12% FEV1), variable PEF, methacholine provocation test.

Prescription treatment (control steps)

Maintenance treatment (controller):

• Inhaled corticosteroids (budesonide, fluticasone, beclomethasone).
• LABA + ICS combinations (Seretide, Symbicort, Trelegy).
• Leukotriene antagonists (montelukast).
• Anti-IgE, anti-IL5 — biologicals, for severe forms.

Rescue treatment (reliever):

• SABA — salbutamol (Ventolin), terbutaline.

OTC adjuvants

• Vitamin D3 — many asthmatics are deficient.
• Magnesium.
• Omega-3 as anti-inflammatory.
• Quercetin — a natural antihistamine.
• N-acetylcysteine — thins secretions.

Do NOT use: aspirin, NSAIDs (may trigger an attack), non-selective beta-blockers, oral decongestants.

Severe attack — warning signs

Severe dyspnoea, cyanosis, pulse >120, inability to speak complete sentences, PEF <50% predicted, no response to SABA — 112 is mandatory.

Medical disclaimer: the information in this guide is for informational purposes only and does not replace advice from a doctor or pharmacist. For diagnosis and treatment, consult a healthcare professional.