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Q. Even after taking inhalers, why do I continue to wheeze?

Answered by
Dr. Shyam Kalyan. N
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 21, 2018 and last reviewed on: Feb 20, 2021

Hi doctor,

I have taken Albuterol and Advair twice a day for about a month now without any relief of my wheezing. Even right after I take my inhalers, it is like I took nothing. Allergy pills do not seem to help much either, like Claritin or Zyrtec. They even did an x-ray of my chest and said everything looked fine. So my question is, why do I always feel short of breath? Why do I continue to wheeze so much? I have always had asthma, but never this severe.

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Hello,

Welcome to icliniq.com.

  • Asthma, as you would be knowing, forms a part of airway hyper-reactive disorders. The latter is a spectrum of diseases genetically determined.
  • I would suggest to my patient to use Albuterol 100 mcg per dose, taken four times daily. It has to be followed by Advair 500/50 (combination of Fluticasone and Salmeterol) after 10 to 15 minutes.
  • Advair also to be taken four times initially and gradually tapered over 15 days, followed by Advair 250/50 again gradually tapered over 15 days.
  • Montelukast, which is available as single preparation and also in combination with anti-allergics, is very helpful in reducing asthma. It may be taken one tablet daily till your symptoms recede.
  • A short course of oral steroid like preparation, Deflazacort 6 mg taken twice daily and tapered over a week also helps tremendously in removing the airway inflammation.
  • If however, you have tried all the above and still do not find respite, you must subject yourself to some blood tests and take nebulized forms of the medicines.
  • Nebulisation at a hospital (or at home) is more effective than inhalers which you may be using. A short course of antibiotic can also remove any offending organism in your respiratory passages that may be causing the lingering wheeze.
  • It goes without saying; you must avoid or stop alcohol and smoke till you get completely better.

For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist


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