Posted 12/8/2006 11:55 AM (GMT -6)
Kanani: I'm so happy that you tried the breathing exercises! I wish all asthmatics would perform this simple manuever everyday ... only takes a few seconds ... and see how much better their lives will be! It isn't that your meds aren't working, it's because you have air trapping & the meds can't reach down to the alveoli (oxygen exchange area). Also, if you are classified as a persistent asthmatic, do you take a corticosteroid such as Advair? An asthmatic's airways are always slightly inflammed (you can't feel it because it's so minimal); this med will decrease the inflammation & help to control your symptoms much better. Also be sure to rinse mouth well as this can cause thrush ... no big deal. Be sure to use an aerochamber on your MDI (albuterol, etc) in order to receive all your med ... w/o one you can lose up to 40% of your meds & not respond well.
When you know that you're going to be around one of your triggers (such as a relative w/perfume), take your breathing tx approx 15 min before exposing yourself to the trigger. This will help a great deal. If you become tachycardic (high heart rate) when you use your MDI more than the usual, ask your MD to switch you to Xopenex MDI, this med doesn't increase HR or if it does, it's much more minimal than Albuterol. Ck w/insurance to see if they pay for it. Also, if you find yourself having to use your MDI more than usual, call your MD as this means that your routine tx is not working for you.
Hope you feel better soon. Keep up the exercises! They will help make your life better!