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

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.

• Your attack of asthma seems to be severe now. I want to know the dosage and frequency of the medicines you are using for asthma now.

• 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

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Shyam Kalyan. N

Experience: 10 + Yrs

Otolaryngology (E.N.T)

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