Document Detail


Treatment options for the management of exercise-induced asthma and bronchoconstriction.
MedLine Citation:
PMID:  21150145     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Treatment for exercise-induced bronchospasm and exercise-induced asthma includes both pharmacologic and nonpharmacologic options. Pharmacologic agents that have been proven to be effective for treating these conditions include short- and long-acting β2-adrenoceptor agonists, mast cell-stabilizing agents, anticholinergics, leukotriene receptor antagonists, and inhaled corticosteroids (ICS). When selecting the most appropriate medication, factors to consider include the effectiveness of each, the duration of action, frequency of administration, potential side effects, and tolerance level. Long-acting β2-adrenoceptor agonists should not be used without ICS. Nonpharmacologic treatments include physical conditioning, incorporating a warm-up before and a cool-down period after exercise, performing nasal breathing, avoiding cold weather or environmental allergens, using a face mask or other aid to warm and humidify inhaled air, and modifying dietary intake. The data to support nonpharmacologic treatments are limited; however, they are routinely recommended because of the low risk associated with their use. This article highlights the advantages and limitations of each treatment option.
Authors:
David T Millward; Lindsay G Tanner; Mark A Brown
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Physician and sportsmedicine     Volume:  38     ISSN:  0091-3847     ISO Abbreviation:  Phys Sportsmed     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0427461     Medline TA:  Phys Sportsmed     Country:  United States    
Other Details:
Languages:  eng     Pagination:  74-80     Citation Subset:  IM    
Affiliation:
University of Arizona, Sports Medicine, Tuscon, AZ, USA. millward@health.arizona.edu
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