Inhaled steroids (IS) for the treatment of asthma have become a standard in the U.S. and many countries around the world. They are an essential cornerstone in the management of persistent asthma. Adverse effects of IS are minimal, but a small percentage of patients may experience dysphonia (hoarseness, weakness or loss of voice), throat irritation, cough or candida overgrowth (oral thrush).
Many patients who have hoarseness related to IS describe a subtle onset which began months or years after starting the inhaler. There is increased risk of voice change with higher doses or strengths of inhaled steroid. It’s often very frustrating when you have established a good routine of daily inhalations and have reaped the rewards of good asthma control, but later learn the wonder drug is weakening your voice.
Studies have reported between 10-50% of patients on IS experience hoarseness, although package inserts only reflect a range of 1-8%. In my practice it always seems to be a singer,...
Asthma attacks, especially severe ones, are a constant threat when you have asthma . Many asthmatics end up in the hospital at some point in their lives with asthma symptoms that are out of control. Intensive treatment that goes beyond a few extra puffs from your rescue inhaler is usually the preferred course of action. Emergency care can vary, but may include using a nebulizer with some sort of aerolized bronchodilator and an injection of steroids. If you know the panic of not being able to catch your breath, you've probably also faced the fear of returning home, not knowing if symptoms will ramp up again within a few hours or days. There may be an answer to this very real risk of exacerbation, however. According to their Web site, The Cochrane Library is "an international non-profit and independent organization, dedicated to making up-to-date, accurate information about the effects of health care readily available worldwide." One of their missions is to h...
Generic Name: DIPHENHYDRAMINE - ORAL Pronounced: (dye-fen-HI-druh-meen) Silphen Cough Oral Uses
Diphenhydramine is an antihistamine used to relieve
symptoms of allergy, hay fever and the common cold. These symptoms include
rash, itching, watery eyes, itchy eyes/nose/throat, cough, runny nose and
sneezing. It is also used to prevent and treat nausea, vomiting and dizziness
caused by motion sickness. Diphenhydramine can also be used to help you relax
and fall asleep.
This medication works by blocking a certain natural
substance (histamine) that your body makes during an allergic reaction. Its
drying effects on such symptoms as watery eyes and runny nose are caused by
blocking another natural substance made by your body
Cough-and-cold products have not been shown to be safe or
effective in children younger than 6 years. Therefore, do not use this product
to treat cold symptoms in children younger than 6 years unles...
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