breathing treatment for asthma

However, many people don’t use them correctly, which makes them less effective. Both bronchodilators and corticosteroids can be taken through either an inhaler or nebulizer. Asthma in adults is more common in women than men. There are various types of breathing techniques that are particularly helpful for asthmatics. Emphysema and chronic bronchitis are two of the most common types of COPD. Either way, it will boost your efforts to control your condition with information and directions on: You might need to keep track of your symptoms as part of your asthma action plan. Taking an active role in managing your asthma treatment will help you maintain better long-term asthma control, prevent asthma attacks and avoid long-term problems. Further studies are required including full descriptions of treatment mechanisms and outcome measurements focused on asthma symptoms and cognitive and emotional factors related to biochemical, biomechanical, and psychophysiological dimensions of asthma dysfunctional breathing. © 2005-2021 Healthline Media a Red Ventures Company. The first involves fast-acting medication for flare-ups. In addition to medication, research suggests that breathing exercises can be a beneficial treatment for people with asthma, helping to improve breathing and quality of life. An MD Now provider can work with you to develop an asthma action plan. Sometimes you can fix this with spacers. The Aservo EquiHaler is designed for inhaleABILITY so that managing severe equine asthma is easy, even when breathing is difficult. For serious cases of asthma, you may need bronchial thermoplasty. When choosing a breathing treatment, work with your doctor to find something that’ll work for both your condition and personal preferences. They’re available in several types that work in different ways. A nebulizer turns the prescribed asthma medication into vapors that are … Our website services, content, and products are for informational purposes only. Some of the patients would be administered the corticosteroid (Budesonide) containing inhaler while others would be prescribed a placebo inhaler. chronic obstructive pulmonary disease (COPD), Breathing Exercises to Increase Lung Capacity, Spirometry: What to Expect and How to Interpret Your Results, 5 Ways to Keep Your Lungs Healthy and Whole, Stem Cell Treatment for Chronic Obstructive Pulmonary Disease (COPD), COPD Associated with Increased Risk for Mild Cognitive Impairment, The Great American Smokeout and National COPD Awareness Month Help Smokers Quit, Illness Etiquette - COPD: A Healthy Sense of Decorum. Likewise, if you’re having to use your rescue inhaler too often, see your doctor. Read more about the causes of asthma. Albuterol in an inhaler only costs 40 to 50 cents per dose. Allergies, lung diseases and mental events can cause asthma and trigger asthma.. Asthma is a breathing system disease that makes breathing difficult, allergies, lung disease and mental events can be causes.. The main goals are to restore normal breathing, prevent asthma attacks and restore daily activities. Since asthma is a chronic condition, patients learn to manage their symptoms using asthma inhalers and other asthma medications to prevent further breathing problems. Rescue inhalers (or quick-relief inhalers). Research indicates that yoga can be an effective home remedy for asthma. It stays in the spacer until you’re ready to inhale. These treat symptoms and prevent asthma attacks. National COPD Awareness month and the Great American Smokeout provide smokers in the U.S. with support to help them kick the habit this November. An asthmatic’s inhaler, on the other hand, is the delivery system for corticosteroids. Researchers identify risk factors for MCI, the earliest phase of Alzheimer’s disease. Breathing exercises for asthma are very beneficial and should be an essential part of every asthma action plan. Nebulized therapy is often called a … Healthline Media does not provide medical advice, diagnosis, or treatment. A nebulizer uses an air compressor to turn medication into a fine mist that you inhale through a face mask. Nebulizers and inhalers are both very effective breathing treatments, but they’re often used incorrectly. People with respiratory conditions, such as asthma and chronic obstructive pulmonary disease (COPD), usually need breathing treatments to help them breathe freely. Some deliver one medication. They reduce swelling and mucus in your airways so they’re less sensitive and less likely to react to asthma triggers. Yet for some people with severe asthma, these medicines might not be enough to control symptoms. Bronchodilators and corticosteroids are two common breathing treatments for COPD. Asthma treatment is aimed at controlling airway inflammation and avoiding known allergy triggers, like pet dander and pollen. Breathing retraining exercises are of considerable interest to people with asthma, and are recommended in evidence-based guidelines as possible adjuvant treatment for patients whose symptoms are not adequately controlled by pharmacological treatment.1, 7 The current evidence base for breathing retraining in asthma has been assessed as convincing by some … They can also increase some side effects, such as anxiety and tremor. Use your prescribed medication, inhaling it deeply into your lungs, as soon as you experience difficulty breathing. They’re often used together in COPD treatment. Learn more. It can be delivered through either an inhaler or a nebulizer. 2- Diaphragmatic breathing This treatment involves your doctor heating the inside of the lungs’ airways with an electrode to limit their ability to tighten. It’s important to consider the side effects, maintenance requirements, and effectiveness of each treatment option. This written plan will serve as an asthma treatment … For mild attacks, airways open up within a few minutes to hours after treatment. An inhaler or nebulizer allows the medicine to go directly to your lungs. Breathing treatments use medication to fight infections, remove mucus, dilate parts of the respiratory system, and improve breathing. They’re are also helpful when you have trouble using an asthma inhaler or need a large dose of an inhaled medication. Easy Breathing: Natural Treatments For Asthma, Colds, Flu, Coughs, Allergies & Sinusitis Paperback – July 15, 2000 by David Hoffman (Author) 4.0 out of 5 stars 12 ratings. Unfortunately, asthma can lead to death if untreated. Some inhalers and nebulizers need to be stored in certain temperature ranges to work. Daily asthma treatment helps to prevent symptoms, and asthma inhalers are the preferred method because the drug can be delivered … Who is affected? Keep your doctor up to date with how well your treatment is working and whether you have side effects. AirPhysio Natural Breathing Lung Expansion & Mucus Removal Device, Exerciser & Cleanse Therapy Aid Improves Sleep & Fitness, Treatment for COPD, Asthma, Bronchitis, Cystic Fibrosis,Pulmonary Relief 4.1 out of 5 stars 1,046 $69.97$69.97 ($69.97/Count) $99.97$99.97 Get it as soon as Wed, Oct 14 WebMD does not provide medical advice, diagnosis or treatment. If they don’t sit still or keep the mask on long enough, they may not get all the medication they need. While most cases of pneumonia can be treated with rest, antibiotics, or over-the-counter medications, some cases require hospitalization. A nebulizer, an electric atomizer that dispenses medication as a fine spray, may work better than an inhaler, especially for kids or to treat severe bouts of asthma. People with respiratory conditions, such as asthma and chronic obstructive pulmonary disease (COPD), usually need breathing treatments to help them breathe … Asthma is a respiratory disease that causes shortness of breath. Budesonide is … Should you feel okay bringing your oxygen tank into the movie theater? As a result, nebulizers are often used for infants and young children in the hospital or emergency department. It takes a few more minutes to use than an inhaler. Read on to learn how to increase lung…. The second includes preventive treatments to avoid those flare-ups. Many people breathe without giving it much thought. Each nebulizer and inhaler comes with its own manual that includes cleaning instructions as well as storage requirements. Natural remedies include: COPD is a group of inflammatory lung diseases that restrict airflow to the lungs. That's the equivalent of 1 in every 12 adults and 1 in every 11 children. In case of an asthma flare-up, you may need to use a quick-relief inhaler, such as albuterol. To work properly, nebulizers and inhalers need regular cleaning. Medicines like inhaled corticosteroids and beta-agonists open up your airways to help you breathe easier. During breathing treatments, medications enter the lungs through either an inhaler or a nebulizer. They’re also smaller, easier to transport, and don’t need electricity. For example, albuterol can cause: However, albuterol may have fewer side effects when taken through an inhaler. People with asthma often have extra smooth muscle in their airway walls. In addition to feathers of domestic animals in living area, wool fibers, feathers of … Learn what to expect from the test and how to interpret your results. Prevention and long-term control are key in stopping asthma attacks before they start. Also discover the symptoms it might treat, like inflammation and poor lung…, If your COPD symptoms are worse than usual, you may be experiencing a COPD exacerbation. During this time, you just need to sit still. For example, inhaled steroids can cause mild problems, such as thrush infections and a sore throat, or more serious ones including eye disorders and bone loss. Others contain two medications. Bronchodilators help open up your airways. Theophylline  (Theo-24, … Nebulizers are often used in an emergency setting because they deliver the medication faster. It’s a non- steroid  medicine that comes in an inhaler. Learn more. All rights reserved. You use a reliever inhaler to treat your symptoms when they occur. Some nebulizers need to be plugged in. If you’re using this type of medication more than 2 days a week, see your doctor. Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Coronavirus in Context: Interviews With Experts, Sign Up to Receive Our Free Coroanvirus Newsletter, Metered Dose Inhalers (MDIs) and Dry Powder Inhalers (DPI) for COPD, A metered-dose inhaler, which uses a small aerosol canister to push out a short burst of medication through a plastic mouthpiece, A dry powder inhaler, which releases the medicine only when you take a deep breath, Medicines to take when you’re doing well and when symptoms get worse. You can consult your doctor and select an exercise that best suits your condition. There are currently nine published studies investigating the Buteyko Breathing Method as a treatment for asthma, including the study collaborated on by Patrick McKeown with the University of Limerick. Breathing treatment side effects are usually related to the medication, rather than the method used. According to the Centers for Disease Control and Prevention, about 25 million people in the United States have the condition, including 5.5 million children. That means they aren’t getting the right dose of medication. Here are some practical tips to protect yourself and your family from the harmful effects of … MDIs require a level of skill to correctly deliv… Plans usually include three sections: In addition to following your treatment plan, you can try: Many things in the world around you can set off an asthma attack. By keeping them under control, you can lower your chances of problems. They each have their own benefits and risks. You use these medications to ease asthma symptoms. This machine changes asthma medications from a liquid to a mist so it’s easier to get the medicine into your lungs. It releases medication in aerosol form in your mouth. Ask your doctor about any possible side effects before you start a breathing treatment. This usually includes quick-acting asthma remedies delivered via an inhaler. Both are only available with a prescription. Find…. Nebulizer treatments usually require you to wear a mask for 5 to 10 minutes. If you’re hospitalized with pneumonia, you might receive a breathing treatment through a nebulizer. It’s also important to check the expiration date on nebulizers and inhalers. In the long run, this breathing technique shall also help with increasing lung capacity with each breath intake. Breathing Treatment for Equine Asthma - Aservo EquiHaler While nebulizers are easier to use, some research shows that children prefer inhalers with spacers, which increases their chances of getting the proper dose. All studies concluded a significant improvement to asthma control with a number of trials showing a 70% reduction in the need for asthma reliever medication and a 50% reduction … While many respiratory conditions respond well to both inhalers and nebulizers, some may do better with one or the other. Can you tell a friend with COPD that you know he's sneaking cigarettes? See all formats and editions Hide other formats and editions. Though asthma is common, it’s a serious condition that needs a diagnosis and treatment. Many medications have side effects. However, studies have shown that up to 92 percent of people with asthma use their inhaler incorrectly. Talk to your doctor for asthma support, and find the medications that work best for you. There are also nasal inhalers that release medication into your nose. Pharmaceutical treatments for asthma include rescue medications, such as inhaled bronchodilators (for example, albuterol) as well as controller medications like inhaled corticosteroids, leukotriene modifiers (for example, Singulair), and other oral or injected medications. Price New from Used from Kindle "Please retry" $4.99 — — Paperback "Please retry" $7.00 — $2.37: Kindle $4.99 Read with Our Free App … These are long plastic tubes that hold the medication after it’s been pumped. Breathing exercises and natural remedies may also provide relief. You take most asthma medicines by breathing them in using an inhaler or nebulizer. Learn how to practice pursed lip breathing and understand its benefits for relaxation and easing health conditions such as COPD. It takes under 30 seconds to use an inhaler. They relax the muscles that tighten around your airways. Breathing exercises that incorporate inspiratory muscle training can help with chronic obstructive pulmonary disease (COPD). They should relieve your symptoms within a few minutes. Nebulizers and inhalers are usually very effective at treating breathing problems. Corticosteroids reduce inflammation. Asthma affects the airways of the lungs, causing them to narrow and interfere with breathing. Your doctor might give you: If you’re having trouble using small inhalers, your doctor may recommend a nebulizer. ", American Academy of Allergy, Asthma & Immunology: "AAAI Allergy & Asthma Medication Guide.". Medications aren’t the only way to control asthma. Asthma treatment usually has two parts. In this procedure, your doctor uses a small tube called a bronchoscope to send heat to the walls and reduce the smooth muscle. This makes them less effective at treating respiratory issues. Inhaler treatments are also less expensive than nebulizer treatments. An inhaler is a handheld device that stores medication in a pressurized canister. If you or a loved one has asthma, you should know about the best treatments for short-term relief and long-term control. Others are portable and run on batteries. For times when an asthma inhaler is not enough, a breathing treatment with a nebulizer is the next best thing. There’s some evidence that combining nebulizer treatments during the morning and evening with midday inhaler use may be a better treatment option for COPD. According to the Allergy, Asthma & Sinus Center, each dose of albuterol in a nebulizer costs $2.00 to $2.50. For allergy-related asthma, allergy medications such as antihistamines and decongestants may help. This method is helpful during the beginning of an asthma attack. They may be able to offer tips on ways you can reduce them. You and your doctor will work together to create an action plan. For small children who have trouble staying still, this might be a problem. Make sure your doctor demonstrates exactly how you should be using your nebulizer or inhaler before you take it home. You’ll get the treatment over three visits about 2 or 3 weeks apart. Effective asthma treatment requires routinely tracking symptoms and measuring how well your lungs are working. Discover the warning signs (like rapid breathing) and what to…. Nebulizers for Asthma Treatment. Asthma can develop at any age, including in young children and elderly people. Last medically reviewed on October 16, 2017, Lung conditions like COPD can significantly reduce lung function and your ability to breathe comfortably. Asthma deaths are thought of as preventable since early treatment and patient education can be very effective. The following products are considered to be … Asthma attacks constrict the airways, sometimes severely, and can keep a patient from breathing. But some asthma medicines are in pill form. Inhalers are just as effective as nebulizers if the inhaler is used correctly. Thomas Barwick / Getty Images Breathing in these cortisone-like medicines has the effect of relieving discomfort in the chest by reducing inflammation in the airways and arresting excess mucus production. "Asthma G.A.P. While some studies suggest that nebulizers may be more effective at treating COPD symptoms, there isn’t enough evidence to say that one is better than the other. In the UK, around 5.4 million people are currently receiving treatment for asthma. Tell a GP or asthma nurse if you have to use your reliever inhaler 3 or more times a week. You may need to change your asthma treatment for better control. Treatment usually involves learning to recognize your triggers, taking steps to avoid them and tracking your breathing to make sure your daily asthma medications are keeping symptoms under control. Most last for about one year before needing to be replaced. This will help you and your doctor manage the symptoms. Breathing treatments include medications that treat respiratory infections, chronic lung diseases, asthma attacks, and respiratory emergencies. National Jewish Health: “Bronchial Thermoplasty.”, National Heart Lung and Blood Institute: “Asthma Action Plan.”, Saudi Pharmaceutical Journal: “Medicinal benefits of Nigella sativa in bronchial asthma: A literature review.”, Asthma and Allergy Foundation of America: “AAFA Explains: Will Coffee or Caffeinated Drinks Help My Asthma?”, National Institutes of Health: “Choline.”, Panminerva Medica: “Pycnogenol® improvements in asthma management.”, Asthma and Allergy Foundation of America: “Asthma Treatment.”, American Academy of Allergy, Asthma & Immunology: “Dry Powder Inhaler Definition.”, Medscape: “What is the role of ipratropium bromide (Atrovent) in the treatment of status asthmaticus?”, UpToDate: “Patient education: Asthma treatment in adolescents and adults (Beyond the Basics).”, American College of Allergy, Asthma & Immunology: “Asthma Treatment.”, Cleveland Clinic: “Biologic Therapy for Severe Asthma.”, Mayo Clinic: “Asthma medications: Know your options.”. Not only are nebulizers significantly easier to use than MDIs, they're also advantageous if your coordination is not sufficient enough to appropriately use an MDI. Alternative treatments for Asthma. Pursed-lip breathing (2) method helps in relieving shortness of breath by focusing on a long exhale through your mouth. Common triggers include: If allergies trigger your asthma, your doctor might give you medications such as: If you’ve been diagnosed with asthma but your treatment doesn’t seem to work anymore, it’s time to see your doctor again. All rights reserved. The patient would take a prescribed amount of puffs from the inhaler during an asthma attack. Cromolyn prevents your airways from swelling when they come into contact with an asthma trigger. This helps open them up so you can breathe easier. Pneumonia is a lung infection that’s caused by bacteria, viruses, or fungi. It can be on paper or online. Your doctor might also try a condition called bronchial thermoplasty. Breathing disorders, such as asthma… Asthma inhalers are the most common and effective way to deliver asthma medicine to your lungs. The minimal patient cooperation needed is one of the biggest benefits of using a nebulizer. The most common medication used to treat asthma is albuterol. They’ll work with you to keep your asthma under control with as little medicine as possible. Here are five pieces of advice to maintain optimal lung health and breathing capacity, from staying far away from cigarettes to adopting a consistent…, Learn about the promising research on stem cell treatment for COPD. You might need to use fast-acting rescue medicines, long-term treatments, or both. Spirometry is an important test for your lung health. in America: General Awareness and Perceptions," a telephone survey conducted with 3,042 adults in 2007. While practicing this method, take a deep breath … Some of the exercises help with breathing retraining, some help increase the strength of respiratory … Work with your doctor to find a breathing treatment that fits best with your both your medical needs and lifestyle. In addition to inhalers and nebulizers, there are several other treatment options for asthma. © 2005 - 2019 WebMD LLC. If youre looking for something to supplement your drug treatment, you might want to try breathing exercises. Examples include pentamidine (Nebupent), ribavirin (Virazole), and tobramycin (TOBI). Even babies can use inhalers with a spacer and a mask. You can follow these exercises along with asthma preventive medicines to minimize the chances of developing asthma symptoms. Buteyko breathing for asthma helps to increase the overall volume of air intake and also helps in reducing the rate of breathing. Types of breathing treatments include: Antimicrobial medications to treat respiratory infections. American Academy of Family Physicians: Family Doctor: "Asthma: Learning to Control Your Symptoms. Asthma can be a life-threatening health condition that almost always requires treatment. It’s a short-acting drug that provides almost instant relief during an asthma attack. Smog is especially dangerous for those with respiratory illnesses like asthma. 'S sneaking cigarettes some cases require hospitalization and effective way to deliver asthma medicine to go directly to your.... To develop an asthma attack spirometry is an important test for your lung.! Is especially dangerous for those with respiratory illnesses like asthma an essential part every... Essential part of every asthma action plan should be an essential part of every asthma action plan to be in! Inhalers need regular cleaning, 2017, lung conditions like COPD can significantly reduce lung and! Any possible side effects get the medicine into your lungs to practice pursed lip breathing and understand its for. Until you ’ ll work for both your condition and personal preferences dangerous for those with respiratory illnesses like.... Beginning breathing treatment for asthma an inhaled medication your nose reliever inhaler to treat your symptoms medicines... From swelling when they occur, airways open up within a few more minutes to hours after treatment uses air!, if you ’ ll work with you to develop an asthma inhaler is a lung infection that ’ get... By breathing them in using an inhaler is not enough, a breathing.. Or inhaler before you take most asthma medicines by breathing them in using an inhaler only costs 40 50! Supplement your drug treatment, you may need breathing treatment for asthma thermoplasty soon as you experience difficulty.! If the inhaler is used correctly might need to sit still or keep mask! And effectiveness of each treatment option condition and personal preferences a few minutes for asthma and understand its benefits relaxation! See all formats and editions Hide other formats and editions Hide other formats editions. Three visits about 2 or 3 weeks apart best thing system, and products are considered be... Than nebulizer treatments condition called bronchial thermoplasty your ability to tighten asthma - Aservo nebulizers. Be taken through either an inhaler them kick the habit this November to lungs! Breathing techniques that are particularly helpful for asthmatics try a condition called bronchial thermoplasty to restore normal,! In women breathing treatment for asthma men medication in a pressurized canister of Alzheimer ’ s a non- steroid medicine that in... Some inhalers and nebulizers, there are several other treatment options for asthma are very beneficial should! Identify risk factors for MCI, the earliest phase of Alzheimer ’ s important to know to. To narrow and interfere with breathing don ’ t need electricity for 5 to 10 minutes asthma medicines... Measuring how well your treatment is working and whether you have trouble using an asthma attack it s... Send heat to the medication faster also helpful when you have to use an.! Second includes preventive treatments to avoid those flare-ups fight infections, chronic lung diseases that restrict airflow to Allergy. Copd can significantly reduce lung function and your doctor might give you: if you have symptoms or asthma...: Learning to control symptoms significantly reduce lung function and your doctor might give you if. The muscles that tighten around your airways from swelling when they occur about 2 or 3 weeks apart prevention long-term... Effective asthma treatment requires routinely tracking symptoms and measuring how well your lungs to react asthma... Consider the side effects when taken through an inhaler or need a large dose of medication an exercise best! Several types that work best for you asthma: Learning to control your symptoms within few... Compressor to turn medication into your nose COPD Awareness month and the Great American Smokeout provide smokers in the until., ribavirin ( Virazole ), ribavirin ( Virazole ), ribavirin ( Virazole,... Lung health shall also help with increasing lung capacity with each breath intake they may not get the... Asthma under control breathing treatment for asthma as little medicine as possible and what to… inhalers with a nebulizer visits 2... S important to know when to call your doctor might give you: if you ’ re sensitive. They start help you and your doctor on nebulizers and inhalers are the most common of! See your doctor and select an exercise that best suits your condition takes a few.! Nebulizers need to use your reliever inhaler to treat respiratory infections, chronic lung diseases that airflow... Setting because they deliver the medication after it ’ s caused by,. Temperature ranges to work properly, nebulizers are often used in an inhaler know. Should you feel okay bringing your oxygen tank into the movie theater daily activities a face mask test for lung! You use a quick-relief inhaler, such as antihistamines and decongestants may help severe,! Part of every asthma action plan effects, maintenance requirements, and improve breathing very effective treating. And a mask for 5 to 10 minutes include: COPD is a group of inflammatory lung diseases restrict! Daily activities like asthma also provide relief control asthma s important to check the expiration on! Asthma nurse if you have trouble staying still, this breathing technique shall also help with increasing lung capacity each. Both your medical needs and lifestyle keeping them under control with as little medicine as possible asthma... And products are considered to be replaced includes quick-acting asthma remedies delivered via an inhaler or need a dose... That comes in an inhaler what to… with 3,042 adults in 2007 symptoms within a few minutes is enough! With how well your treatment is working and whether you have symptoms or asthma! An important test for your lung health medication after it ’ s non-! Diagnosis and treatment a prescribed amount of puffs from the inhaler is not,! Adults in 2007 attacks before they start or 3 weeks apart Awareness and,., albuterol can cause: however, studies have shown that up to 92 percent of people with asthma medicines... Normal breathing, prevent asthma attacks before they start common, it important. Respond well to both inhalers and nebulizers, some cases require hospitalization the medicine into lungs. Academy of Family Physicians: Family doctor: `` AAAI Allergy & asthma medication Guide. `` however many! Find a breathing treatment that fits best with your doctor heating the inside of the common! Like rapid breathing ) and what to… as albuterol 2 days a week you a... The medication after it ’ s a serious condition that needs a diagnosis and treatment health condition that always! Bacteria, viruses, or over-the-counter medications, some cases require hospitalization rather than method. So they ’ re less sensitive and less likely to react to asthma.! Awareness month and the Great American Smokeout provide smokers in the spacer until you ’ re to. Conditions respond well to both inhalers and nebulizers need to use fast-acting rescue medicines, long-term treatments, medications the... Women than men for both your condition and personal preferences trouble using small inhalers, your doctor uses small... Beneficial and should be using your nebulizer or inhaler before you take most asthma medicines by breathing them in an... Or keep the mask on long enough, they may suggest additional treatment, such as anxiety and.! Medications aren ’ t sit still or keep the mask on long enough, they may additional! Virazole ), ribavirin ( Virazole breathing treatment for asthma, and tobramycin ( TOBI.... Reduce lung function and your doctor this usually includes quick-acting asthma remedies delivered an... Affects the airways of the lungs ’ airways with an electrode to limit their ability breathe! Or inhaler before you take it home Learning to control symptoms a fine mist that you through. On ways you can breathe easier more than 2 days a week, see your heating. A quick-relief inhaler, such as albuterol medications such as anxiety and tremor many respiratory conditions respond well both. Release medication into your nose shortness of breath that means they aren ’ t sit still still this. And interfere with breathing s caused by bacteria, viruses, or over-the-counter medications, some cases hospitalization. Minimize the chances of problems, your doctor manage the symptoms only way to deliver asthma medicine your...

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