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Prevention
By Mayo Clinic staffWorking together, you and your doctor can design a step-by-step plan for living with your condition and preventing asthma attacks.
- Follow your asthma action plan. With your doctor and health care team, write a detailed plan for taking medications and managing an asthma attack. Then be sure to follow your plan. Asthma is an ongoing condition that needs regular monitoring and treatment. Taking control of your treatment can make you feel more in control of your life in general.
- Identify and avoid asthma triggers. A number of outdoor allergens and irritants — ranging from pollen and mold to cold air and air pollution — can trigger asthma attacks. Find out what causes or worsens your asthma, and take steps to avoid those triggers.
- Monitor your breathing. You may learn to recognize warning signs of an impending attack, such as slight coughing, wheezing or shortness of breath. But because your lung function may decrease before you notice any signs or symptoms, regularly measure and record your peak airflow with a home peak flow meter.
- Identify and treat attacks early. If you act quickly, you're less likely to have a severe attack. You also won't need as much medication to control your symptoms. When your peak flow measurements decrease and alert you to an impending attack, take your medication as instructed and immediately stop any activity that may have triggered the attack. If your symptoms don't improve, get medical help as directed in your action plan.
- Take your medication as prescribed. Just because your asthma seems to be improving, don't change anything without first talking to your doctor. It's a good idea to bring your medications with you to each doctor visit, so your doctor can double-check that you're using your medications correctly and taking the right dose.
- Pay attention to increasing quick-relief inhaler use. If you find yourself relying on your quick-relief inhaler such as albuterol, your asthma isn't under control. See your doctor about adjusting your treatment.
References
- Balkissoon R. Asthma overview. Primary Care: Clinics in Office Practice. 2008;35:41.
- Famta CH, et al. Diagnosis of asthma in adolescents and adults. http://www.uptodate.com/home/index.html. Accessed April 21, 2010.
- Expert panel report 3 (EPR-3): Guidelines for the diagnosis and management of asthma. Bethesda, Md.: National Institutes of Health. http://www.nhlbi.nih.gov/guidelines/asthma/pdf. Accessed April 21, 2010.
- Liu AH, et al. Childhood asthma. In: Kliegman RM, et al. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa.: Saunders; 2007. http://www.mdconsult.com/das/book/body/198605211-3/0/1608/440.html?tocnode=54478148&fromURL=440.html#4-u1.0-B978-1-4160-2450-7..50145-6_3411. Accessed April 21, 2010.
- Litonjua AA, et al. Risk factors for asthma. http://www.uptodate.com/home/index.html. Accessed April 21, 2010.
- Tang EA, et al. Risk factors for asthma. In: Adkinson N, et al. Middleton's Allergy: Principles and Practice. 7th ed. Philadelphia, Pa.: Mosby; 2008. http://www.mdconsult.com/book/player/book.do?method=display&type=bookPage&decorator=header&eid=4-u1.0-B978-0-323-05659-5..00042-5--cesec18&uniq=196323107&isbn=978-0-323-05659-5&sid=986291445#lpState=open&lpTab=contentsTab&content=4-u1.0-B978-0-323-05659-5..00042-5--cesec18%3Bfrom%3Dtoc%3Btype%3DbookPage%3Bisbn%3D978-0-323-05659-5. Accessed April 20, 2010.
- Famta CH, et al. An overview of asthma management. http://www.uptodate.com/home/index.html. Accessed April 21, 2010.
- Bailey W. Patient information: Trigger avoidance in asthma. http://www.uptodate.com/home/index.html. Accessed April 21, 2010.
- Updated information on leukotriene inhibitors: Montelukast (marketed as Singulair), zafirlukast (marketed as Accolate), and zileuton (marketed as Zyflo and Zyflo CR). U.S. Food and Drug Administration. http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/DrugSafetyInformationforHeathcareProfessionals/ucm165489.htm. Accessed March 8, 2010.
- FDA drug safety communication: New safety requirements for long-acting inhaled asthma medications called long-acting beta-agonists (LABAs). U.S. Food and Drug Administration. http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformationforPatientsandProviders/ucm200776.htm. Accessed March 8, 2010.
- FDA approves new device for adults with severe and persistent asthma. U.S. Food and Drug Administration. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm209909.htm. Accessed April 28, 1010.
- Bronchial thermoplasty. Asthmatx. http://www.btforasthma.com/bronchial-thermoplasty/. Accessed April 28, 2010.
- Mark JD. Integrative medicine and asthma. Pediatric Clinics of North America. 2007;54:1007.
- Garrod R, et al. Role of physiotherapy in the management of chronic lung diseases: An overview of systematic reviews. Respiratory Medicine. 2007;101:2429.
- Bukutu C, et al. Asthma: A review of complementary and alternative therapies. Pediatrics in Review. 2008;29:e44.
- Singh BB, et al. Herbal treatments of asthma: A systematic review. Journal of Asthma. 2007;44:685.
- Romieu I, et al. Diet and obstructive lung diseases. Epidemiologic Reviews. 2001;23:268.
- Mark JD. Asthma. In: Rakel D. Integrative Medicine. 2nd ed. Philadelphia Pa.: Saunders; 2007. http://www.mdconsult.com/das/book/body/157208746-8/0/1494/79.html?tocnode=54112987&fromURL=79.html#4-u1.0-B978-1-4160-2954-0..X5001-7--section5_1500. Accessed April 21, 2010.
- Mainardi T, et al. Complementary and alternative medicine: Herbs, phytochemicals and vitamins and their immunologic effects. Journal of Allergy and Clinical Immunology. 2009;123:28.
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