To treat an asthmatic condition, one can resort to two basic methods. So-called controller drugs, anti-inflammatory drugs, and relievers, airway-opening drugs. Relievers are mainly taken for acute symptoms, i.e. when an attack occurs or is imminent. Controllers are control medications that prevent a seizure from occurring in the first place and are intended to reduce long-term symptoms. A combination of both medications is usually used.
Stepwise therapy for asthmatic disease is based on the severity of the condition and is intensified in stages. A short-acting β2-sympathomimetic as an on-demand medication is the basis of treatment. The inflammatory response may persist from type II asthma onwards, even if patients appear symptom-free, so continuous therapy with inhaled glucocorticoids should be given from stage II onwards. This not only controls symptoms but also prevents loss of lung function.
Staged treatment of asthma
- Treatment Stage I Intermittent mild asthma is most successfully treated with a short-acting β2-sympathomimetic as an as-needed medication. Whenever symptoms occur, this can be taken to relieve the symptoms. Type I asthma does not require long-term therapy.
- Treatment Stage II Persistent, mild asthma is also treated with a short-acting β2-sympathomimetic as an on-demand medication. Here, however, these demand medications should be combined with continuous therapy of inhaled steroids administered at low doses.
- Treatment level III In persistent moderate asthma, one resorts to the proven short-acting β2-sympathomimetics as needed. Inhaled steroids should be taken in moderate doses. Again, one should discuss a combination of the two medications with the physician.
- Treatment Stage IV Severe stage IV asthma should be treated with inhaled steroids (ICS) at high doses including long-acting β2-sympathomimetics. Retarded theophylline may also be considered or, for allergic asthma, omazilumab, as well as systemic glucocorticosteroids at the lowest dose still effective.
In all severities of asthma, care should be taken to follow a healthy lifestyle. Abstain from nicotine altogether. Be careful not to overexpose yourself to negative environmental factors. Fine dust pollution in cities and breathing polluted air with too many harmful substances can have a negative effect on asthmatic symptoms. Try to avoid these factors as much as possible.
As an alternative, you can also resort to homeopathic remedies in addition to the medicines prescribed by your doctor. It is best to combine these with the medications you need to take. However, be sure to check with your doctor before taking the homeopathic remedies.