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Asthma and Allergy

A guide for health professionals

Asthma…Think allergy 
Atopy is a marker for asthma that persists beyond early childhood
Asthma triggers
Diagnosis History taking
Diagnosis Allergy tests
Management Medication
Management  Allergen avoidance I
Management  Allergen avoidance II
Management Immunotherapy
Preventing development of asthma
Levels of evidence
References
Content created MAR 2005
Content updated MAR 2005

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NextBackManagement – Medication

An asthma action plan should be used to document the long-term use of asthma medication and how this should change depending on asthma severity. The plan should be reviewed on a regular basis.

Medications for allergic rhinitis

It is difficult to optimally control asthma symptoms if there is associated untreated allergic rhinitis. Treatment options include:

  • Topical nasal corticosteroids – these are the most effective long term medication for allergic rhinitis.53 <LEI> When used in patients with concurrent asthma and allergic rhinitis, they may improve the control of asthma and lessen the need for medication.
  • Non-sedating antihistamines – these are also useful for treating symptoms of allergic rhinitis and are safe in people with asthma.

Medications that may aggravate asthma 

  • Some prescribed and over the counter medications such as aspirin (ASA), NSAIDs and beta blockers.
  • So-called natural treatments such as Echinacea and royal jelly can precipitate life-threatening anaphylaxis in predisposed individuals with asthma.

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