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Latest by Frederic Little, M.D.

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The Difference Between Adult Onset Asthma and Childhood Asthma

Asthma that comes when you’re an adult In response to reader inquiries, I would like to address the somewhat puzzling fact that some individuals develop asthma in adulthood. For many, this seems unusual as we all have acquaintances (family or other) ...

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Asthma and Food Allergies -- What You Should Know

Asthma and food allergy In this entry, I would like to review the increase in food allergies and discuss the connection between asthma and food allergies. Food allergies For those of us 35 years old or older, we seem to be faced with an epidemic of f...

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Theophylline: Revisiting An Old Asthma Treatment

In this entry, I would like to discuss the use of theophylline for asthma both in the past and present. While this medication has fallen out of favor as a first line medication in the treatment of asthma, it should not be overlooked as an option for ...

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Are HFA-propelled quick relief inhalers effective?

In response to reader concerns, I would like to revisit the issue of the efficacy of the new, ‘environmentally friendly’ hydrofluoroalkane (HFA) propelled quick relief inhalers, especially albuterol. In accordance with the Montreal Protocol, all chlo...

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Quick-relief inhalers II: Prescription medications

Readers of this site have asked several important questions about the use of quick relief medications - both over-the-counter (OTC) and prescription. This entry follows the previous entry on OTC quick relief medications to address this question: When ...

Inhalers.

Quick-relief inhalers I: Over the counter (OTC) medications

Readers of this site have asked several important questions about the use of quick-relief (‘rescue’) medications – both OTC and prescription. In this and my next entry, I would like to address the following issues: This entry: Are OTC drugs an effect...

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"When I'm 64...?"

In this entry, I would like to address the issue of what happens to asthma as we get older, and specifically how this is affected by how bad our asthma is at different times on our lives. Asthma and age For most patients with asthma, symptoms of shor...

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Acid Reflux and Asthma

In this entry, I would like to discuss the connection between acid indigestion/acid reflux (gastroesophageal reflux disease, or GERD) and asthma. This is an area of active interest in the asthma community for both patients and clinicians, particularl...

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Can emotional stress exacerbate asthma?

In this entry, I would like to discuss the connection between stress, stressful life events, and their effect on asthma control. While the connection is still being worked out, there is evidence not only from clinical experience, but in research stud...

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Quick Relief Inhalers

Today I would like to discuss quick-relief inhalers. Asthma patients, even if on a good combination of medications, need quick-relief medicines to help them breathe better when they wheeze. There are many medicines in this class, with albuterol being ...