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Journey: Medication and How to Take It

Why Overusing an Inhaler Is Dangerous


Inhalers can be a lifeline for people with asthma. When coughing, wheezing, or shortness of breath occurs, a quick hit of a bronchodilator can often make those symptoms go away.

In particular, the medications known as short-acting beta2-agonists (a type of bronchodilator) can provide quick relief from asthma symptoms—but they can also be damaging if they are used too often. Using short-acting beta2-agonists too often is a sign that asthma is out of control.

To learn more about the risks posed by the overuse of short-acting beta2-agonists, read the following information from our A–Z Health Library.

Medicines for quick relief of the narrowed bronchial tubes Click here to see an illustration. caused by asthma include short-acting beta2-agonists. These medicines relieve sudden increases of symptoms (asthma attacks) quickly. But overuse may be harmful.

Overuse of short-acting beta2-agonists has been associated with worsening asthma and increased risk of death.1 People with severe asthma usually are the ones at greatest risk for illness and death from asthma. They may be taking higher doses of short-acting beta2-agonists to control their symptoms instead of increasing the use of anti-inflammatory medicine such as inhaled corticosteroids.

People who overuse short-acting beta2-agonists may feel their asthma is under control when, in fact, inflammation in the airways is becoming worse, putting them in danger of a severe, life-threatening attack (status asthmaticus).

Overuse:

  • May delay medical care and increase your chances of having a severe asthma attack that can be life-threatening.
  • Can decrease the future effectiveness of these medicines.
  • Treats the early narrowing of bronchial tubes without treating long-term inflammation, which may result in permanent scarring.

In general, you may need more long-term treatment if you are using short-acting beta2-agonists on more than 2 days a week (except before exercise). Talk to your doctor if you are using your quick-relief medicine this often. Frequent use of quick-relief medicines may mean that your symptoms and inflammation are not well controlled.

References

Citations

  1. National Heart, Lung, and Blood Institute (2007). Expert Panel Report 3: Guidelines for the diagnosis and management of asthma. Available online: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm.

Last Updated: March 20, 2009 See Full Credits Disclaimer
Last Updated: August 01, 2009

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Last Updated: March 20, 2009
Author:
Maria G. Essig, MS, ELS
Medical Review:
Michael J. Sexton, MD - Pediatrics

Harold S. Nelson, MD - Allergy and Immunology


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