I have a cough and wheezing. What is the best medicine for asthma?

Question

Hi doctor,

I am a 37-year-old female. I have had asthma for the past two years. I also take medications to keep it under control. But nowadays, I face a severe cough along with wheezing. Even after taking my asthma medications, it is not under control.

I do not know what to do. I am too poor to go to the hospital. I am looking for your opinions on:

How to keep my asthma under control?
Do I need nebulizers or any other medications?

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

Asthma is a chronic condition where the airways become inflamed and narrowed, causing symptoms like wheezing, coughing, chest tightness, and breathlessness. The severe cough and wheezing that you are experiencing may indicate worsening of your asthma. Other reasons can be:

Exposure to a trigger (such as dust, pollen, cold air, or stress).
A possible respiratory infection (such as a viral or bacterial infection).
Incorrect use of inhalers or medications.
Severe inflammation of your airways.

Ensure proper inhaler technique-

Use a spacer if possible (a simple device that attaches to your inhaler). This ensures the medication reaches your lungs properly.
Use your Salbutamol (Albuterol) inhaler, which provides quick relief.
Take two puffs every four to six hours as needed during severe wheezing episodes after consulting your pulmonologist.
If you are on inhaled corticosteroids, make sure you use them daily as prescribed.
Inhale steam two or three times a day to help open your airways and loosen mucus.
Avoid smoke, dust, cold air, strong smells, or allergens.
Keep your living space clean and free from dust or pets.
A nebulizer can deliver asthma medications in a mist form, making it easier to inhale.
If symptoms are severe and not improving with inhalers, a short course of oral corticosteroids may be necessary.

These reduce inflammation in the airways. Other ways to manage asthma are as follows:

If allergies are a trigger, over-the-counter antihistamines can help.
Warm fluids like herbal teas or honey-lemon water can soothe your throat and reduce coughing.
Avoid over-the-counter cough suppressants unless recommended.

Immediate consultation with a pulmonologist may be necessary if there is:

Persistent wheezing or coughing that does not improve with your medications.
Difficulty speaking due to breathlessness.
Bluish lips or fingernails, which indicate low oxygen levels.

Check if you qualify for free or subsidized medications under government programs. Look for generic alternatives to branded medications.

I hope this information will help you.

Kindly revert in case of further doubts.

Thank you.