drugs used in asthma

Last reviewed 01/2018

The drugs used in the management of asthma fall into two braod categories:

  • controllers
    • aim is to control clinical symptoms, and reduce future risks such as exacerbations and decline in lung function
    • taken daily on long term basis 
    • agents include:
      • inhaled and system glucocorticosteroids
      • cromones
      • leukotriene antagonists
      • methotrexate
      • long acting inhaled beta-adrenergic agonists in combination with inhaled glucocorticosteorid
  • relievers:
    • aim is to reverse bronchoconstriction and relive the symptoms quickly
    • used on as needed basis
    • agents include:
      • rapid acting inhaled beta-adrenergic agonists
      • shoet acting theophylline
      • inhaled anticholinergics
      • short acting oral beta-adrenergic agonists

Note:

  • before initiating a new drug therapy, practitioners should check adherence with existing therapies, inhaler technique and eliminate trigger factors
  • β-blockers, including eye drops, are contraindicated in patients with asthma (2)

Reference: