Monday, July 11, 2016

Don't Confuse "Rescue" and "Maintenance" Inhalers!

rescue inhalers


When using an inhaler, it’s imperative to closely follow all instructions, as well as those given by your doctor. Asthma affects both children and adults. Some people need more than one medication or inhaler to treat asthma. 

Inhalers contain two kinds of medicines--either long acting or short acting. Short acting inhalers are for relaxing and opening the breathing tubes of the lungs. They are rescue inhalers, as they are used for quick relief when a person faces sudden breathing difficulty. Long acting inhalers are used as a routine medication. They help to control and prevent painful symptoms associated with asthma. The medicines might work slowly but the effects last longer. They are not to be used to treat sudden breathing difficulties.


The two different types of inhalers must not be confused with one another. For example, consider the below case.

A young child had asthma for which he needed to take two types of medicine. One is for everyday use-- his maintenance inhaler called Symbicort (contains the medicines budesonide and formoterol) and his rescue inhaler called ProAir (contains the medicine albuterol). While he was at camp, he had a sudden asthma attack. He was taught to use the red container after every emergency episode, but he accidentally grabbed his maintenance inhaler instead of the red rescue one. The maintenance inhaler was slow acting, so it didn’t help him with difficulty of breathing. As soon as he noticed his mistake, he used the rescue inhaler and that helped him in a much quicker fashion.

Quick-relief medicines (also called rescue medicines) work by opening up the airways to relieve symptoms of wheezing, coughing, and shortness of breath. They are inhaled directly into lungs and thus opens the airways. They don’t have any long term effects.

Long-term control medicines (also called maintenance medicines) work by easing inflammations in the airways and help fighting asthma symptoms. They can be inhaled or swallowed as a tablet, capsule, or liquid solution. 




Quick-Relief Medicines

Bronchodilators are the most prescribed rescue medicine. Usually they are administered through an inhaler or nebulizer. It immediately loosens tight airways that are inflamed. Beta 2 agonists are the most common which are related to adrenaline and give immediate relief within minutes, but this is just temporary.

If your child has been prescribed this medication, you must keep it on hand wherever you and the child go.

This medication has a risk of overuse. If you find that your child has to use it often, consult soon your doctor for long term medications as well.