Some people use a quick-relief inhaler before exercise to help prevent shortness of breath and other asthma symptoms. Fluticasone and vilanterol (Breo Ellipta).Fluticasone and salmeterol (Advair Diskus, AirDuo Digihaler, others).Some inhaled asthma medication combinations contain both a corticosteroid and a bronchodilator: Combination inhalers: Corticosteroids and long-acting beta agonists The LAMA tiotropium (Spiriva Respimat) may be added to the treatment plan for severe asthma. A LAMA can also be added to a LABA and inhaled corticosteroid if better control of your asthma is needed. If an LABA cannot be used, a LAMA along with an inhaled corticosteroid can be an option. These medications are also bronchodilators. Long-acting muscarinic antagonists (LAMAs) The most commonly used LABAs for asthma are: For this reason, LABAs are taken only in combination with an inhaled corticosteroid. Although they're effective, they've been linked to severe asthma attacks. They're used on a regular schedule to control moderate to severe asthma and to prevent nighttime symptoms. These bronchodilator (brong-koh-DIE-lay-tur) medications open airways and reduce swelling for at least 12 hours. See your health care provider right away if you have any unusual reaction. In rare cases, montelukast is linked to psychological reactions, such as agitation, aggression, hallucinations, depression and suicidal thinking. Leukotriene modifiers can help prevent symptoms for up to 24 hours. These medications block the effects of leukotrienes, immune system chemicals that cause asthma symptoms. If you're using a metered dose inhaler, use a spacer and rinse your mouth with water after each use to reduce the amount of drug remaining in your mouth. When side effects occur, they can include mouth and throat irritation and oral yeast infections. Inhaled corticosteroids don't generally cause serious side effects. In children, long-term use of inhaled corticosteroids can delay growth slightly, but the benefits of using these medications to maintain good asthma control generally outweigh the risks. Regular use of inhaled corticosteroids helps keep asthma attacks and other problems linked to poorly controlled asthma in check. Fluticasone (Flovent HFA, Arnuity Ellipta, others).
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