How to treat asthma flare-ups at night in men at 40?

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Nocturnal or nighttime asthma is a common issue that can be due to changes in the body’s natural rhythms. At night, cortisol (an inbuilt anti-inflammatory) levels drop while inflammatory markers rise, potentially increasing airway inflammation. Lying down can also cause mucus pooling and airflow restriction, while exposure to allergens like dust mites or pet dander in the bedroom might exacerbate symptoms.

• It is crucial to revisit his treatment plan since the steroid inhaler is not working well.
• Consider using a long-acting bronchodilator combined with his steroid inhaler or even leukotriene receptor antagonists like Montelukast, which are particularly effective for nighttime symptoms.
• Do not forget to get an opinion from his doctor. Make sure his living environment is free from allergens in bedding, which should be washed weekly in hot water, and vacuum regularly with a HEPA filter.
• Keep humidity levels below 50 percent to prevent mold and dust mite growth. Avoid using strong fragrances, and consider an air purifier to minimise irritants. Tracking his symptoms with a peak flow meter can also help identify triggers and measure how well his treatment is working.
• Adjustments in medication and environment should lead to better sleep and improved asthma control.

I hope I have answered your query.

Let me know if I can assist you further.

Thank you.