Tag Archives: asthma therapy

WHAT PATIENTS REALLY THINK ABOUT ASTHMA GUIDELINES

FCAAIA Notes:  The first national guidelines for the diagnosis and treatment of asthma were published in 1993, with updates and revisions more recently.  Guidelines are just that-they are not rules or laws.  But, they are evidence based recommendations to help … Continue reading

Posted in Doctor's Posts | Tagged , , | Leave a comment

PREDICTIVE FACTORS FOR MODERATE OR SEVERE EXACERBATIONS IN ASTHMA PATIENTS RECEIVING OUTPATIENT CARE

FCAAIA Notes: This study tells us that the best predictor of having a moderate or severe asthma exacerbation is a history of a previous such flare.  Incorrect inhaler technique was also predictive. Of course, correct inhaler technique is a subset … Continue reading

Posted in Doctor's Posts | Tagged , , , | Leave a comment

ASTHMA DURING PREGNANCY: EXACERBATIONS, MANAGEMENT, AND HEALTH OUTCOMES FOR MOTHER AND INFANT

FCAAIA Notes: In pregnancy, about 1/3 of mothers with asthma get worse, 1/3 get better, and 1/3 remain the same.  The pattern tends to be the same from one pregnancy to the next.  The control often improves in the last … Continue reading

Posted in Doctor's Posts | Tagged , , , , | Leave a comment

OBSTRUCTIVE SLEEP APNEA ACCELERATES FEV1 DECLINE IN ASTHMATIC PATIENTS

FCAAIA Notes: As I’ve written before, “The nose bone’s connected to the lung bone.”  Asthma is part of “allergic airway disease” and control of the lower airway (lungs) always requires that we consider the upper air way (nose) as well. … Continue reading

Posted in Doctor's Posts | Tagged , , , , | Leave a comment

CORTICOSTEROIDS AND ASTHMA: TOO MUCH OR TOO LITTLE?

FCAAIA Notes: Ah….the Goldilocks paradigm! Too little or too much? Of course, the answer is “just the right amount.” Oral corticosteroids (e.g., prednisone) are the treatment of choice for bad asthma exacerbations. 

Posted in Doctor's Posts | Tagged , , , | Leave a comment

ALLERGEN IMMUNOTHERAPY: AN UPDATED REVIEW OF SAFETY

FCAAIA Notes: The four broad categories of treatment for allergic rhinitis are avoidance of triggers, symptom reliever (rescue) medications, controller (preventive) medications, and allergen immunotherapy.  Only immunotherapy can “cure” the disease by changing the way your immune system recognizes and … Continue reading

Posted in Doctor's Posts | Tagged , , , , | Leave a comment

REVISITING THE SAFETY OF LABAS IN CHILDREN WITH SEVERE ASTHMA

FCAAIA Notes: Twenty years ago the SMART study suggested a risk of long-acting beta agonists (LABA) use, However, the rail was associated with the use of LABA alone and NOT with the concurrent use of inhaled corticosteroids (ICS). Study after … Continue reading

Posted in Uncategorized | Tagged , , , | Leave a comment

AZITHROMYCIN FOR ACUTE EXACERBATIONS OF ASTHMA: THE AZALEA RCT

FCAAIA Notes: This is yet another study showing that the use of antibiotics without proof or high suspicion of a bacterial infection is unwarranted.  I could go even farther and say it is inappropriate, as overuse of antibiotics increases resistance … Continue reading

Posted in Doctor's Posts | Tagged , , | Leave a comment

VITAMIN D EASES ASTHMA, COCHRANE REVIEW FINDS

FCAAIA Notes: Studies of new theories or treatments often yield conflicting results.  But, evidence-based medicine is like a civil court not a criminal court.  That is, recommendations and treatments are based on the preponderance of the evidence, not necessarily on … Continue reading

Posted in Doctor's Posts | Tagged , , | Leave a comment

SERIOUS ASTHMA EVENTS WITH BUDESONIDE PLUS FORMOTEROL VS. BUDESONIDE ALONE and ARE LONG-ACTING BETA-AGONISTS SAFE TO ADD TO TREATMENT REGIMENS FOR ASTHMA IN CHILDREN?

FCAAIA Notes: A little bad press can go a long way and can be hard to overcome even with a lot of good press. The long-acting beta agonists (long-acting cousins of albuterol, LABAs) are available with low dose inhaled in … Continue reading

Posted in Doctor's Posts | Tagged , , | Leave a comment
This website does not replace physician care. For medical advice, diagnosis, and treatment please contact a physician. Personal data collected through this website is not distributed or made available to the public.
FAIRFIELD COUNTY ALLERGY, ASTHMA AND IMMUNOLOGY ASSOCIATES © 2008, all rights reserved. Website by Design to Spec LLC