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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From Asthma

i have suffering from asthma for 20 yrs from childhood. now i have to take montekulast 10 mg everyday but i get my attacks of asthma daily so i have to use inhaler(salbutamol+beclomethasone). please guide me the right medicine . will this disease severity be reduced in future?i am really in tension about my disease.
Fri, 4 Jul 2014
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General & Family Physician,  's  Response
Hi,I had gone through your query and understand your concern.

Brief answer:Please do not be so tensed.Yes the disease severity will be reduced in future even you may remain symptoms free if you follow physicians advise and take medicines properly.

Detail answer:Your present condition requires stepping up of treatment according to step care guideline.

If I were the treating physician ,I would first check inhaler technique and triggers like dust,cold,exercise,emotions etc.Then I would advice as follows after objective test:
>Try to avoid triggers so far it is possible
>Bronchodilator inhaler(eg. Salbutamol) as required.
>Increase the dose of steroid inhaler(eg.Beclomethasone/fluticasone etc.) depending on asthma control
>May add other drugs like montelucast,theophylline etc if required.

Since you require prescribed medicine ,so my suggestion is:please consult with a respiratory medicine specialist to confirm the diagnosis by objective test and get proper step care management.

Hope this helps you.If you any further query,please feel easy to write us.
Wish you have good asthma control.
Take care.
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Suffering From Asthma

Hi,I had gone through your query and understand your concern. Brief answer:Please do not be so tensed.Yes the disease severity will be reduced in future even you may remain symptoms free if you follow physicians advise and take medicines properly. Detail answer:Your present condition requires stepping up of treatment according to step care guideline. If I were the treating physician ,I would first check inhaler technique and triggers like dust,cold,exercise,emotions etc.Then I would advice as follows after objective test: Try to avoid triggers so far it is possible Bronchodilator inhaler(eg. Salbutamol) as required. Increase the dose of steroid inhaler(eg.Beclomethasone/fluticasone etc.) depending on asthma control May add other drugs like montelucast,theophylline etc if required. Since you require prescribed medicine ,so my suggestion is:please consult with a respiratory medicine specialist to confirm the diagnosis by objective test and get proper step care management. Hope this helps you.If you any further query,please feel easy to write us. Wish you have good asthma control. Take care.