Asthma Treatment: New Guidelines
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- เผยแพร่เมื่อ 28 ก.ย. 2024
- Roger Seheult, MD of MedCram explains the new guidelines in the treatment of asthma. See all Dr. Seheult's videos at: www.medcram.com/
(This video was recorded on August 16th, 2023)
Roger Seheult, MD is the co-founder and lead professor at www.medcram.com/
He is Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine and an Associate Professor at the University of California, Riverside School of Medicine.
LINKS / REFERENCES:
Controlled Trial of Budesonide-Formoterol as Needed for Mild Asthma (NEJM) | www.nejm.org/d...
Combination fixed‐dose beta agonist and steroid inhaler as required for adults or children with mild asthma (Cochrane Library) | www.cochraneli...
Key recommendations for primary care from the 2022 Global Initiative for Asthma update (Nature) | www.nature.com...
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#asthma #asthmatreatment #gina
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Is it the same recommendation for an asthmatic reaction to dust, where a patient already take albuterol when reacting to an exposure?
It's good that the guidelines are reflecting what we've come to learn about asthma over the past few years that much of it is eosinophil-driven (driven by the immune-system), meaning that it responds to immune suppression much more than we had appreciated before. It's not just a handful of people with high eosinophil counts who get the specialty drugs, but patients more broadly who can benefit. This is a good thing for patients. As Dr. Seheult rightly points out, the severe exacerbations can be fatal. This will save lives. Thank you, Doctor, for the clear and succinct update.
I have RA and asthma. I never thought of the similarities. Now I'll have to look into that.
Concise as well highly informative and will be useful for all the clinicians who have background knowledge of Asthma and COPD.
With a few slides you explained the treatment so well.Thanks
Excellent video Doc! My wife has Asthma & has been taking Advair daily for quite some time now. She also takes Albuterol as a rescue inhaler. I will have her watch this video. Thanks for this important medical information! Hope that all is well with you & your family.
Yes, thank you very much
So do I. But I'm wondering, how does one go to the doctor and ask him to make changes based on, "I saw this medical video on You Tube that you should watch and it said....."
As always, Dr Seheult is pure gold. Succinct, clear, and a wealth of information. Thank you.
I was diagnosed with asthma last year and use an albuterol inhaler PRN. I am not having actual “I Can’t Breathe” attacks more than twice a year but my daily shortness of breath is getting much worse, especially since my last round of COVID last fall. If it hadn’t been for my inhaler I probably would have been hospitalized.
I appreciated this video because it gives me more of an understanding about future medications my doctor might prescribe to manage my asthma and to look at possible COPD. That’s not paranoia, I was a heavy smoker for 20 years. I quit 20 years ago but somehow it doesn’t seem to matter.
The irreversible
damage has already been done, unfortunately. After being a HEAVY smoker, my dad stopped but as he got older the damage was done. It contracted the veins in his legs. Walking became a real problem and then swelling. His lungs were not affected to any degree. Some people smoke in their 90s. How many I know who had lung cancer and NEVER touched tobacco. When the ships were out in the harbor and supply lines were effected, the cigarettes tasted HORRIBLE! Chemicals. Even loose tobacco tastes nasty with the chemicals. They were beyond stale 😅 Maybe the chemicals are what's keeping us alive.
Kudos for your quitting! Three times I have effectively stopped smoking but went back. The effects are in Gods' hands and , as I continue to 🚬 , 🙏🏻🙏🏽🙏 and
Blessings
Thank you.
I have 9/11 COPD/Asthma/GERDs/Cancer(s) and your synthesis of GINA Report and research articles extremely well done. Sent to my physicians.
Adding magnesium to my daily supplements has radically improved my asthma. Just an FYI for anyone watching.
This does make sense, if the asthma is muscular constriction of the bronchial tubes, just as magnesium (in many people) reduces leg and other cramps.
We use iv magnesium for asthma exacerbations. It's a smooth muscle relaxer. It's a really good adjunct therapy. Very effective, cheap, hardly any side effects. Makes sense an oral supplement would have similar effect
Same here. Plus I took two table spoons of golden Seamoss for two years post Covid and it worked wonders for my asthma.
@@sarahobaka8354Did you have additional problems after covid. I know that I have some mild damage after covid. I can still feel it from time to time.
That’s interesting I have added magnesium as a supplement on advice from my chiropractor who also has training as a nutritionalist to reduce cramping and the accompanying result of nerve pinches in my neck. But now that you mention it my asthma has improved and I haven’t been on asthma medication in several years.
This is needed more than ever, now that the air has been inundated with particulates from all these fires.
As your friendly neighborhood Respiratory Therapist, please use your spacers with inhalers! Not all inhalers need them, but things like Albuterol inhalers MUST have them.
You're not doing anything wrong by using one, nor are they just for kids. Without the spacer holding the medicine for you, the vast majority of the medicine gets squirted out into the back of your throat and doesn't really get down to your lungs.
Thank you!
Most use poor technique anyway! Def need to rinse mouth after steroid inhalation! Retired respiratory therapist/RPFT as well.
People who don't have asthma, or have a minor case of it, don't realize how bad it can get. About 4k people die from asthma attacks every year in the USA. I used to go to emergency about every 6 months, until I got on Advair too. I don't think I have ever been to emergency since using Advair. If you have a child who gets severe asthma, check with their school to see if they are allowed to carry their inhaler on them. About a year ago, a student died in Riverside, Ca, because he was playing soccer during recess, and his rescue inhaler was in the Nurses office. He may have been so low on oxygen, he may not even had been able to tell someone to go get it from the Nurse, or call 911. He may have had to try and use hand signals. I think a child should be able to keep a nebulizer and albuterol liquid in their home room class too, in case he can't get to the nurse, or they not in their office.
My wife was helped by Advair for about a year, but it doesn't work anymore.
Physical therapy exists, has been tested, and is 100% successful
I'm definitely thank you all for putting this on TH-cam for people to learn about asthma I have asthma and I am learning a lot by looking at your TH-cam I know what to ask my doctor once again I thank you and I thank you so much for putting this out for people to learn and educate them
Our pleasure!
So are insurers going to evaluate what they're covering? I work in asthma and spend ridiculous amounts of time on Prior auths for combination inhalers. Insurance is always wheeling and dealing with drug manufacturers to make their formulary. One year, a patient is stable on generic advair. Next year that's not preferred on the insurers formulary so gotta switch or pay 500 a month to breathe. I hate the way we do things in the US.
I totally hear you. This is a major frustration from myself as well.
please make a video about myofascial pain (it's not taken seriously even though it prevents millions of people from sleeping (e.g. more than 20 minutes or 1h in a row, for years). There are a lot of misconceptions and misinformation about it and the way to treat it (such as "correct your posture" or "stretch your muscles" etc.).
Yes, also Fibromyalgia and Costochondritis. They are Very REAL and PAINFUL.
He’s a pulmonary critical care doctor
This is needed more than ever. Long Covid has triggered so much lung inflammation. Is it asthma after acute covid is declared over? It often responds to inhaled steroids.
I didn't hear anything about vitamin d.
Is there any mention of vitamin d levels in the studies?
You should look for the studies of vitamin d and asthma.
Checking vitamin d levels seems to be anathema in asthma.
I wonder why.
Are you talking about the NIH study?
@@marysmith7765
I don't have any one study in mind.
This is from my years of reading studies.
Vitamin d among other things.
Any study of drugs should be normalized at least for vitamin d levels.
We cover that.
th-cam.com/video/ezuyfGLph4Q/w-d-xo.html
Dr.: this is interesting. Thank you for posting! I have more serious asthma now. 20 years ago when it was more mild, when I was sick I was sometimes given inhaled steroid two to three times a day plus continue albuterol daily until the illness resolved. I imagine the above is somewhat similar.
This makes sense and I still get good results, now that I am on a biologic when I have an exacerbation, I do that combo approach still, and it resolves more quickly, as long as I am not very ill, and then I drop it. Asthma Tx is also an art. An excellent doctor who understands human and asthma variability is a must.
I have had severe asthma since childhood.. many icu admissions. Finally got onto laba/ics (Pulmicort/Oxis.. like symbicort but I have them in separate inhalers as I can’t get the right combo in symbicort.. have used these for approx 25 years now.. it has been the only thing that has treated it effectively.. I increase the dose when I get asthma symptoms eg when I get a cold and it stops it most times without any other meds.. it’s the business! Of course every new GP I’ve had tries to get me back on other inhalers.. but I have managed to stand firm.. have not had any hospital admissions and rarely take corticosteroids now.. as a young person I ended up with a tricky prednisone addiction as I couldn’t get any meds that actually worked until I found Pulmicort/Oxis.. I agree completely with what you are saying.. thanks for the info!
With a natural recipe, I was cured of asthma and threw away all medications and sprays
Great info!! I’ve been hitting the albuterol more than usual with this smoke in the PNW. So this will be helpful! Thanks!
nice thank you very much I have mild asthma so this is very helpful
This is interesting and very helpful information. I appreciate the GINA assessment of asthma control. As I've aged my asthma is worse than the mild it was for years. A Dr. Rx Symbicort b.i.d when wheezing became obnoxious. I could not tolerate it because of suspected allergy to it with increased mucous, worsened throat clearing symptoms. Now I'm on a break from Flovent with occasional use of Albuterol. Finally, is there any known (nonitchy) rash associated with inhaled corticosteroids?
What do you think about patients who use a SABA prophylactically before exercise? Should they also use an inhaled steroid at that time?
That’s a great question. I don’t know if they tested that.
I have severe asthma and moderate COPD. I use albuterol before exercise with ICS/LABA and LAMA maintenance inhalers. Very interested in your question.
Cigarette smoking I believe is the greatest cause of COPD. My father gave up a life time of cigarette smoking in his late 30s. He was a fit strong man till his late 70s. Then he got COPD as a result of his history of smoking. He could barely walk to the toilet and was on O2 nasal feed where ever he tried to go. Pneumonia killed him in his late 80s. Damn cigarettes. Don't smoke folks
Learning this for my abim boards haha. Thanks!
Good luck!
Thank you for this video, its the most informative video on asthma I've ever watched.
Wow, thank you!
thanks for the info
4:33 That's how I deal with my asthma as well, I only use it if I feel some trouble breathing or in case of an exacerbation like coughing and stuff.. Thankfully I almost never use it, perhaps a couple times a month... sometimes I go months without needing it.
Physical therapy exists, has been tested, and is 100% successful
Wow, I have been doing this without even knowing there was a research and it does work. This is because the ICS affected my eyesight so i only take it when I'm using my albuterol pump
My asthma doc presecribed Dulera for me in 2012, and I have not needed the rescue inhaier albuterol since. Also only have to take the Dulera as needed. This study seems to confirm he knew what he was doing back then. I am still taking the Dulera, although my insurance doesn't normally cover it, and we have to get pre authorization for Dulera every year.
Pure gold doc
It will be interesting to see how long it takes for this to impact practice
uhm, you need to include what c 1 9er did to our lungs on top of these issues. since i got the original c 1 9er back in 2019 (last week of) before THEY said it was started to spread in late jan/feb, i have to have asthma and copd inhaler's and i take primatene tabs on top, to me the primetabs work great sometimes better than the inhalers but not alone, i have to have all 3 every day and night. all i can say is that the o.g. c 1 9 er ravaged my lungs and i have a harder time breathing now, before that, i was fine with just a saba and or prime tabs seasonally or couple of times a year.
My son has asthma since childhood and during his 30 years he has had the same medication. I have wondered why nothing has changed, but maybe it will now.
There is a very excellent and 100% successful natural treatment for asthma
Thank you. This is very good information.
Hopefully Kaiser will put this medication back on their formulary!
SYMBICORT can also cause other serious side effects, such as increased blood pressure, increases in heart rate, and changes in heart rhythm. These are not all the possible side effects of SYMBICORT - there is a number of them. Ventolin was very effective, but it was being over used and was less efficient with controlling chronic symptoms. An asthmatic should ALWAYS have Ventolin (Salbutamol) for a back up reliever because it is VERY efficient at relieving mild attacks. Just a note: Symbicort is unpleasant to take. I've written this as an long-term chronic asthmatic and a lay person.
Smoking is a serious negative.
Yesss my 7 year old son was just put on symbicort and right away started complaining of heart palpitations and fluttering so I immediately took him off
@@sarahlynne4528 he probably need a smaller dose
GINA 2019 already suggested using ICS-formeterol or ICS single inhaler + SABA as needed for treatment in mild asthma instead of using just SABA as needed. This was revolutionary for clinical pracitce at least in EU as we never prescribe SABA as only asthma treatment anymore since then. Over the years another problem occured as many patients don’t feel the decline in lung function especially if the symptoms appear gradually and they don’t know when to use ICS-formeterol inhaler that is only perscribed to be used as needed. This approach is therefore appropriate only for a small number of patients. I believe this is the main issue for GINA to address in the future.
Yes but in 2019 “other reliever option” was SABA only.
Unfortunately, there are still doctors who haven't caught up.
Physical therapy exists, has been tested, and is 100% successful
@oumaymen6773 for who? I haven't found any physical therapy that helps with my asthma, not to mention that not all asthma is the same. The only thing that held me is playing a very large wind instrument, but as soon as it's super humid or I get sick again, I'm back to having problems.
65% reduction 😮
That is amazing! It's about time they "upped" the standard medicines. Later in life, I was diagnosed with Chronic bronchitis and use combivent. It opens the asthma tubes, firstly and then opens the bronchial tubes.
It is Ipatropium and albuterol. Albuterol, alone, is ineffective. For my needs, it is 100% effective.
Somewhere I read that we are all born with emphysema but what we do in life is what stimulates it.
This lecture is well needed.
Thank you, Dr Hansen
Thanks for t his. This is quite interesting.
Any estimate on costs involved for the inhaler with ICS/Formoterol? I ask because my insurance isn’t covering the inhaler that works for me. My out of pocket cost for it is $880. This is not sustainable.
Generic drugs are much cheaper in India, and hospitals too
Asthma and copd are caused by right side vegophaty ,neurophaty witch is due to exotoxins ,chemotoxis ,biotoxins and poor detoxification or lack of hot climate .
Despite cigarette ,allegens and toxins here in hottest place on earth ,afar ,Ethiopia no asthama and copd case .even those patient who come from cold climate in ethiopia ,they recover the atack within few hours .thanks to near infrared radiation ! The best detox and antiinflammatory !
Thank you
Ashtma is such a pain in the ass.I still have issues but in my teens and 20's I burned through the inhalers.Dont know why I almost went way now that Im older
Do you know if these new protocols are coming to the UK?
what if you are using it for exercise to prevent exacerbation?? i would think the combination drug is still probably better but nothing was said during the video.
I am suffering from inhaler induced eczema (like topical steroid withdrawal). All symptoms are the same as I have already been through 4.5 years of topical steroid withdrawal, and am aware of the symptoms - its not eczema. I was assured that inhalers with steroid in would not cause the same red skin syndrome/tsw like side effects.
I dont really have anywhere to turn as i need the long acting inhaler (which contains the steroid), yet i am suffering so much from the side effects on my skin.
So, if I understand correctly, the Netherlands currently uses the old paradigm? I use ventolin as needed, and when it gets worse, for example, once a year, I get perscribed fluticasone, a corticosteroid, to take twice a day. Now I'm wondering whether to bring this up with my doctor? My asthma was controlled for years but became partially controlled to sometimes uncontrolled recently.
He I see you are in California I always wanted to take a trip out there see the redwood trees
I have been trying to teach this to patients, but when they see the price tag of the combination inhaler, I inevitably get a call to please switch it back to albuterol only.
That’s fine so long as you just let them know that whenever they take their albuterol rescue inhaler that the guidelines suggest them also taking inhaled corticosteroid along with it.
Who paid for the study and how much more is the combo medicine?
Albuterol on good rx is $17 doesnt say how much puffs. If 30 then times by 4. Symbicort on good rx is $105 for 120 puffs of the lower dose then $150 for the higher dose. I always have a but of skepticism when rules change
I have my asthma pretty much completely controlled by diet and supplements. I take stinging nettle and NAC. When I did take a rescue inhaler I would get a rebound effect a few hours later- even though I would get a few hours of relief.
Quercetin is amazing.
Is there a link to updated official guidelines that are layperson friendly? In the UK my daughter still takes daily ICS but I'd really like to present some information to her care team, it's been bothering me if she really still needs it. She's really mild and was diagnosed only resulting from some chest infections years ago.
If you look up GINA and asthma that should get you to the right place.
@@Medcram awesome, thank you. 🙏
Nonmedical person here who is an asthmatic. So this is symbicort? This is wild. I have an albuterol inhaler and never remember to use it. I tend to use my symbicort for everything. And then skip doses when my lungs are ok. Sounds like the way I use it is the best for my asthma?
And I 100% used albuterol to open things up and then added the steroid on top of it to keep things open.
It always makes me laugh when things I have observed in my own use are proven true by testing after.
WHAT ARE THE ODDS SOMETHING IS GOING OVERCOUNTER.
People with macular degeneration are not allowed to take steroids or even use skin patches. I heard that inhaling steroids doesn't affect macular degeneration. Is this true?
Are long term ICS side effects a concern? My 6 y/o is starting symbicort, I worry about long term effects (osteoporosis, growth suppression, infections)
Oh, coverage 😢 This will be the biggest problem in my setting.
It’s a big problem with my patients too.
So if Symbicort is too expensive, a combo of taking fluticasone and and salbutamol would be a good affordable alternative?
This new idea to treat a conundrum of chronic bronchitis leading to lasting changes in the bronchial mucosa due to remodelling and changes in the pharmacological response e.g. loss of response to coricosteroids, must also consider the last point : weakened response to corticosteroids necessitating to add amino/ theophyllin to reverse the NON RESPONSE TO CORTICOIDS, otherwhile the brillant GINA hypothesis would be inefficient.
REMEMBER Gina !: add AMINOPHYLLIN to restitute response to the antiinflammatory effect of CST.
F de Clari MD..
Just use curcumin+piperine and parsley(like 30 grams or so) you will thank me later. You may also get out of depression and have reduced anxiety. Dont take them at the same time some of their effects are similar may cause overload. After awhile you probably wont need them for days since their effects are semipermanent even though their half life is pretty short.
This is awesome information. Question, my 6 y/o has multiple food allergies, and have had to give albuterol for cough from food allergies.. He occasionally has exercise induced coughing. Does this also sound like asthma, how would I get him tested?
could be cough variant asthma, which is a milder form of asthma. But it is important to see a doctor for this either way! There are lung specialists that can help with the diagnosis and treatment of symptoms
@@backfischritter Thank you, you are right. We did end up seeing the pulmonologist who dx him with asthma.
Just to clarify, is correct that Advair (ICS + LAMA) may be used under the new guidelines as and as-needed reliever? Thanks.
You want the short acting bronchodilator component in a resq inhaler. The risk of using a pure long acting, especially with multiple doses in a short period of time, is you fill up the receptors with a med that takes a long time to reach peak effect and stays on the receptor for a long period of time, preventing subsequent short acting doses from working as well as there are fewer available receptors.
I'd stay away from a pure laba in acuity. Formoterol is a unique case as it has both saba and laba action.
My gut would say a saba and ics would be best, but idk that that combo therapy exists in an inhaler, and 2 inhalers is more cumbersome. So budesonide/formoterol is the best option for now
Exactly. Good answer.
You never want to use a Advair as a rescue inhaler. The beta agonist in Advair is a long acting beta agonist and not a short acting beta agonist like formoterol is.
so they are saying use an ICS + LABA such as advair for mainetneance therapy daily and SABA for rescue. seems pretty easy now
No. That was the old system. New is ics and saba
Thoughts on the biologics as a final step in the GINA guidelines?
Yes. Same as before. IgE and nucalla if uncontrolled and the cells uteri’s fits.
What are the long term risks of ICS in a person with mild intermittent asthma?
The definitive cure for asthma exists
Have you ever been across the Golden Gate Bridge?
I'm guessing we are still only to use the formoterol/ics combination twice daily max even if using it as the rescue inhaler?
Apparently they’re saying that you can use it twice a day plus one more time for a relief.
erj.ersjournals.com/content/55/1/1901407
I’ve taken everything. None of it works.
Do you anticipate copd treatment changes?
Not at this time
Med cram- any chance you can explain why CO2 is a surrogate for inflammation?
It’s actually NO or nitric oxide. Not CO2.
23 and 24! I thought loan sharing was illegal 😅
I'm not hearing about severe asthma guidelines
They are in the step approach at the end of the presentation. (LAMA) etc.
Yes however this drug(symbicort) is 10x the price.
Dulera is another option
@@Medcram I haven’t heard of that one. thank you I’ll keep that in mind! Btw I did my clinicals with you. Thank you for all the knowledge. You have helped me help a lot of people.
Theresalso people on youtube that CURE their asthma without any meds whatsoever
I do it in my office too. For instance GERD can cause asthma. You treat the GERD in this circumstance and the asthma goes away. 👍
علاج مرض ربو هو الكي خفيف على مستوى صدر
I nominate Matthew to be the next 007, James Bond. Those eyes, omg! His range from menancing in The Lookout to tenderness where he appears so briefly in Belle is impressive. Now I must dedicate myself to watching everything he has acted in. I can’t wait! Ms. Broccoli look no further your next 007 is Matthew Goode.
This is old. We’ve studied this early March 2023
Beta2 agonist 😊
just alphabet soup to me, and I really wanted to understand
It would have nicer to focus on how to make the average pt w asthma or COPD understand the terms used here by using simple terms instead of talking as if you're lecturing med students or residents or other doctors. Pts in general don't understand the med lingo at all unless someone already told them and explained all these terms.
Well, we do try to explain as clearly as possible at the end of the day we are a medical education channel.
@@Medcram but a lot of people especially pts watch and learn from the videos. Unfortunately pulmonologists assume that nonpulmonologists understand what they're saying.
I never read that your channel is only for doctors, and if it is, then you should have a disclaimer to that effect
Sick of TREATING THE SYMPTOMS. LOOKING FOR NATURAL CURES!
Carnivore diet. Many testimonies that their asthma resolves. Folk even quit snoring!
Thank you for your informative video. I have had athsma for many years. I have found the reformulated version of Abuterol with the new inhaler barely effective, when the old version was effective for decades.
A spacer or holding chamber is very helpful. I think this helps because the medicine is there, but the modern actuators don't seem to be as good.
I've never had asthma, so I knew nothing about these medicines...until covid. Lung clotting was a major cause of death for covid. Nebulized albuterol treatments knocked out covid in my 80 year old mother and myself (60 y/o male) 3 years ago. I'm talking 6 treatments, 3-4 hours apart, and the next day we were not just better...we were cured...it was a huge improvement).... so THANK YOU to everyone who keeps trying to figure out what does work and what works even better on these medical issues...and then shares it with the world. We may not need it right now, but who knows what's next....
Albuterol won't cure a virus, but it is an effective treatment to deal with breathing difficulties related to a virus.
This is super helpful, thank you! Now I know why my insurance is suddenly denying coverage for my Ventolin, and all generics. Time to have a chat with the pulmonologist.
Air purifiers, diet change and lose dose antigen therapy for allergies has practically eliminated my asthma attacks.
In addition, boost vitamin D, Sun and switch to nose breathing. It is almost imposible to get inflammation if you breath trough your nose.
Online comments acting as amateur online pharmacists is incredibly dangerous.
Everyone is absolutely different from another. PLEASE check with YOUR Pharmacy Pharmacist if not in person face to face then call them, if you have to hold the phone for a few minutes it is still way shorter time than spent in an ER room, and to call your Pharmacy pharmacist is FREE.
Very interesting. My doc gave me different meds for my last asthma flare. No explanation for why. Would be nice if it was explained. Thank you.
Got diagnosed with asthma this summer at the ripe old age of 68. Got put on Advair. I did not realize how bad my breathing had gotten until taking this. No more out of breath at the top of the stairs or walking uphill. Way less fatigue.
A common error in modern American medicine is the idea that guidelines are laws, and must never be deviated from. This flies in the face of patient-centered medicine.
The Gina guidelines specifically state that. They say that these are guidelines and not rules, and that patient’s health care should be individualized. Read them.
Yeah I’ve kind of noticed that if I do my steroid and the albuterol at the same time, I get better long-term results. However for long-term steroid users please please make sure you get regular eye exams. And add in some nasal washes to prevent asthma if post-nasal drip is a trigger (exercise-induced.)
What about side effects of a corticosteroid. I took it for years and had significant problems with throat irritation, and I’m wondering if it would increase the chance of getting respiratory infections in the long term?
We encourage patients to rinse after using their inhalers. Some are still sensitive to yeast development so we sometimes give them an antifungal rinse and swallow medication. Did you try it?
good luck getting Symbicort covered
I was able to stop all inhalers a couple years ago when I discovered Red Light Therapy. Specifically daily NIR directly on my chest areas which alleviates my asthma entirely. I was on inhalers for over 45 years so this was a BIG surprise. Unsure if this would work for others, but given that inhalers come with their own side effects, perhaps someone needs to study Red Light Therapy for asthmatics.
What an amazing presentation on the new Asthma guidelines. It had visuals, it had evidence based medicine and it had a great narration. Thank you so much for providing such an amazing video!!!
Our pleasure!
Is ICS-Formoterol also recommended for exercise-induced asthma, and if so, can it be given hours before (rather than 5-20 minutes in SABA) because it has LABA? (Formoterol half life is 7 hours).
So, just take everything all at once at the first wheeze
This is what they are saying
i was always taking symbicort as needed even though the doctors always said i should take it every morning/evening, it seemed to work fine for me just taking it sometimes, interesting it has been validated now
Dr. Have you looked at herbal meds like Mullein?
Please can you do a video on red light, collagen, exercise and diet recommendations/research for osteoarthritis?
0:05: 📚 The video discusses the treatment of asthma and COPD, with a focus on the new guidelines for asthma treatment.
2:58: ✅ A study published in the New England Journal of Medicine found that combining an inhaled corticosteroid and a long-acting beta agonist as routine treatments, or using an inhaled corticosteroid alone as routine treatment, can be effective for managing mild asthma.
5:27: 💡 Using an inhaler with an inhaled corticosteroid as a rescue inhaler is more effective in reducing urgent medical care usage and systemic glucocorticoid use compared to using albuterol alone.
8:20: 💨 New asthma guidelines recommend combining short-acting beta Agonists with inhaled corticosteroids for rescue inhalers.
11:05: 📚 Risk factors for asthma flare-ups and exacerbations include obesity, food allergies, smoking, and other medical conditions.
Recap by Tammy AI
The ultimate treatment for asthma exists, has been tested, and is 100% successful