Might be important to note that the 2019 GINA guidelines don't recommend Albuterol as a rescue inhaler anymore due to mortality endpoint data. They recommend Formoterol + an ICS.
Thank you. I have exam tomorrow, and my prof gave me 100 slides for this, took me forever to understand. Just found out your vid today, now that you explain it with charts it makes even more sense for people who are visual learners
hello, this is an informative video on copd. one of my colleague was also suffering from this condition. he visited many hospitals but didnt get releif. then one day he visited planet ayurveda and got copd care pack. now he is fine
I never had asthma until I hit my 20s, then it came in full swing and have had to use a "rescue inhaler" ever since. It was scary because when I had my first asthma attack I had no idea what was going on and I could barely breathe, I thought I was going to die! My mom rushed me to the ER, I then was breathing what I think is albuterol but it was in a machine of some sort and it created like a humid vapor that tastes like albuterol I guess. I breathed on that thing for 30 minutes and then was sent home with a prescription for Albuterol and given a diagnosis of Asthma. I've always had allergies since I was a little kid (pets, pollen) - but it wasn't until my 20s that pets and pollen started triggering Asthma. I pretty much can't have any pets at all, and have to be well medicated during spring to avoid needing a long term super-expensive inhaler. I can manage my asthma by avoiding triggers and that allows me to only need a rescue inhaler maybe once a month or so. It was really sad not having pets. I love both cats and dogs but they make me very sick. Even if I am taking claritin or something similar, prolonged exposure to animal dander triggers my asthma to the point of needing a rescue inhaler 3x a day. From there I end up needing something like Symbicort + claritin + SABA 1-3x a week. No way in hell I can be around animals :(
I was born with asthma, when I was born I also had meningitis. I’m lucky to be alive. I take Dulera and Ventolin which is Albuteral. I haven’t watched the video, but I know it’ll be interesting and helpful
Asthma eradication: Nose breathing and no inhalers. According David P. Strachan it is unlikely that trends in either outdoor or indoor air pollution have contributed substantially to the rise in prevalence of asthma and allergic disease in recent decades, Then we have the asthma-paradox that for many decades more asthma drugs have led to more asthma. Although acupressure treatment for asthma is widely recommended the points are mostly not on the face. However a distinct positive effect on breathing opening up lung airways to counter asthma with wheezing may be felt on pressing the lips together. This means we have a simple back to nature approach. Accordingly an important cause of asthma is asthma drug addiction. So we are left with asthma paradox that more drug treatment has long been associated with more asthma for decades on end.
Thanks for this clear chart & explanation of asthma treatment with drugs. I'm also getting very good results by identifying & avoiding food & other triggers that will keep me & my daughter less pharmacologically dependant.
I have COPD and asthma. Why do some of the combination drugs say not to use if you have asthma? I'm confused on which one to safely take for the combination of COPD and asthma.
Unfortunately we don’t have good head to head data on all the choices. Most fda approval trials are “non-inferiority” trials meaning that we know that they are equally efficacious. Usually we pick the one the patient will take for the lowest cost.
On a good day... I average about 8 Asthma attacks from the time I go to sleep until I wake up. So, it's basically M-F. The only thing I use is the Alburtral or however it's spelled lol. I've used tons of meds to calm down my attacks, they work then stop working. Or I'll lose my taste or even voice. So I stop using it. My nerves are absolutely shot!
I’m curious as to the effects of long term daily use of inhaled corticosteroids for 45 years? Is Avascular necrosis a concern at all? Have studies been done on such long term use?
Yeah that was pretty cool. What if you have ACOS. Can you take LABA without ICS? What if you can’t tolerate ICS? How effective is Singulair for COPD? Thank you!
What kinda test or differences are between Asthma and COPD? The symptoms are both very similar... if a patient comes in my practice and is symptomatic of COPD and or asthma, how do I know patience has COPD and not asthma?
The lung function test is used on both and normally COPD yields a result of less than 70% after a use of a bronchodilator, asthma is usually above 70% when assessing these results. Also, asthma is reversible and usually characterized by triggers such as allergens. Another symptom in asthma that you won’t see in COPD is wheezing.
confused about the ICS, - when I used SABA multiple times per week, I had went from using just the SABA along with SABA + symbicort (which ends with ide??) - I dont know what ICS is atm. Just ventolin and symbicort. Once my allergies were under control, I was able to just have SABA and I use it rarely. EDIT: I guess ventolin is a SBA+ICS , Also the symbicort, that is: Inhaled glucocorticoid and Long acting beta-2-agonist
really helpful vedio. Thanks for posting. I have a doubt though..how do we decide the use of short acting beta agonist ( how many times a week) in the first place?
Hello and thanx for your informative and simple online lectures. I would like to ask are these steps still applicable for asthmatic patient if beta agonists are contraindicated?
Sometimes it’s helpful to consider leukotriene receptor antagonists like monteleukast. Of course make sure you have eliminated potential triggers such as down feather pillows, comforters and indoor pets dander etc.
Im dying .. how does one gets asthma. I got alot of lung diseases pneumonia. Bronchitis., whooping cough, covid twice, im a cosmetologist so ppl always coming in sick. Last 4 yrs horrible Bronchitis , allergens , dr gave me prednisone. And different inhaler . Wish me luch i cant breathe at all😢
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Thank you for watching. See over 60 other medical topics explained clearly at our website: www.medcram.com/
It is the most beautiful explanation about COPD and Asthma treatment I’ve ever seen😍 thanks a lot doctor!!!
These videos are a dream come true. Dr. Seheult is my favorite professor of all time! I am definitely a HUGE fan.
I am always overwhelmed by pharmacology, but you made it so easy I feel so good about it. Thank you so much.
Might be important to note that the 2019 GINA guidelines don't recommend Albuterol as a rescue inhaler anymore due to mortality endpoint data. They recommend Formoterol + an ICS.
Thank you. I have exam tomorrow, and my prof gave me 100 slides for this, took me forever to understand. Just found out your vid today, now that you explain it with charts it makes even more sense for people who are visual learners
As an asthma patient I find is usable for self-aid, thank You!
Thank you Dr Seheult and the Medcram Team. I am listening to this on a loop. Fascinating, informative, lifesaving videos!
hello, this is an informative video on copd. one of my colleague was also suffering from this condition. he visited many hospitals but didnt get releif. then one day he visited planet ayurveda and got copd care pack. now he is fine
I love you! You broke this down so easy!!! You are the bomb!!!!
This is AMAZING! WIsh I had such a good tutorial at University!
The triple therapy medication is out now. One inhaler, one inhalation, once per day. Is called Trelegy by GSK
Wow! Best explanation of asthma meds I have seen so far. This will be much much easier to retain. Thanks so much!
Nursing student here! You are amazing!!! Thanksssss
I never had asthma until I hit my 20s, then it came in full swing and have had to use a "rescue inhaler" ever since. It was scary because when I had my first asthma attack I had no idea what was going on and I could barely breathe, I thought I was going to die! My mom rushed me to the ER, I then was breathing what I think is albuterol but it was in a machine of some sort and it created like a humid vapor that tastes like albuterol I guess. I breathed on that thing for 30 minutes and then was sent home with a prescription for Albuterol and given a diagnosis of Asthma. I've always had allergies since I was a little kid (pets, pollen) - but it wasn't until my 20s that pets and pollen started triggering Asthma. I pretty much can't have any pets at all, and have to be well medicated during spring to avoid needing a long term super-expensive inhaler. I can manage my asthma by avoiding triggers and that allows me to only need a rescue inhaler maybe once a month or so.
It was really sad not having pets. I love both cats and dogs but they make me very sick. Even if I am taking claritin or something similar, prolonged exposure to animal dander triggers my asthma to the point of needing a rescue inhaler 3x a day. From there I end up needing something like Symbicort + claritin + SABA 1-3x a week. No way in hell I can be around animals :(
Love it, somewhat complex material simplified
Thank you for the feedback!
Ventolin/albuterol used in excess can lower Vitamin D levels. Low D can exacerbate asthma.
Yes I am a lab-rat. (52 year old rat)
That’s why a rescue inhaler such as albuterol should not be used as mono therapy
U are my hero .. u are the best I was confused with asmth medication.
Thank you so much for your easy to understand explanations! Really needed this to improve my understanding.
I was born with asthma, when I was born I also had meningitis. I’m lucky to be alive. I take Dulera and Ventolin which is Albuteral. I haven’t watched the video, but I know it’ll be interesting and helpful
That was awesome!! Thank you for breaking it down in a way that was easy!
Excellent explanation, This is definitely sink in my brain. Thank you
This video is amazing, thank you soooooo much
This is the best explanation i've seen. thank you!
Glad it was helpful!
That is intresting easy to understand topics that seem complicated while reading alone,thank you sir ,from ethiopia
Superb! Wow
THANKS SO MUCH FOR YOUR EXPLANATION. I AM A NP STUDENT AND THIS HELPED ME SO MUCH.. THANKS AGAIN!
Thanks!
Love your easy explanation! Thank you so much.
Love your videos! Thanks!
Asthma eradication: Nose breathing and no inhalers.
According David P. Strachan it is unlikely that trends in either outdoor or indoor air pollution have contributed substantially to the rise in prevalence of asthma and allergic disease in recent decades,
Then we have the asthma-paradox that for many decades more asthma drugs have led to more asthma. Although acupressure treatment for asthma is widely recommended the points are mostly not on the face.
However a distinct positive effect on breathing opening up lung airways to counter asthma with wheezing may be felt on pressing the lips together.
This means we have a simple back to nature approach.
Accordingly an important cause of asthma is asthma drug addiction.
So we are left with asthma paradox that more drug treatment has long been associated with more asthma for decades on end.
What about diet , vitamins , and minerals. Thanks 👍🏻
This helped me so much, prepping for my FNP exam! Just need to verify if anything has changed with the guidelines now
Wow this is an amazing video being it is easy to understand for the average person.
Thanks for this clear chart & explanation of asthma treatment with drugs.
I'm also getting very good results by identifying & avoiding food & other triggers that will keep me & my daughter less pharmacologically dependant.
superb explanation
I have COPD and asthma. Why do some of the combination drugs say not to use if you have asthma? I'm confused on which one to safely take for the combination of COPD and asthma.
Make a video for choosing one inhaler over the other, meaning preferences, in all classes of inhalers
Unfortunately we don’t have good head to head data on all the choices. Most fda approval trials are “non-inferiority” trials meaning that we know that they are equally efficacious. Usually we pick the one the patient will take for the lowest cost.
Thank you for that reply... ur videos are really good... efforts appreciated... love from INDIA..🙏🏻
Awesome review thank you
I liked that! Very helpful! Thank you!
Good info doc!
Best explanation ever!
Ausgezeichnet. Danke sehr Sir
This is super helpful thanks again.
I have 2 inhalers prescribed & don't know what they are doing for me, & this almost told me, i'll get the answer from my doctor next week
On a good day... I average about 8 Asthma attacks from the time I go to sleep until I wake up. So, it's basically M-F. The only thing I use is the Alburtral or however it's spelled lol. I've used tons of meds to calm down my attacks, they work then stop working. Or I'll lose my taste or even voice. So I stop using it. My nerves are absolutely shot!
Those of us who have this issue we already know about all this crap! People who don't know this video is for you!
Wow I should have learned this before my boards way back in time ,thanks a lot
I’m curious as to the effects of long term daily use of inhaled corticosteroids for 45 years? Is Avascular necrosis a concern at all? Have studies been done on such long term use?
Brilliant 🤩🤩 thank you
Great video
Yeah that was pretty cool. What if you have ACOS. Can you take LABA without ICS? What if you can’t tolerate ICS? How effective is Singulair for COPD? Thank you!
What kinda test or differences are between Asthma and COPD? The symptoms are both very similar... if a patient comes in my practice and is symptomatic of COPD and or asthma, how do I know patience has COPD and not asthma?
The lung function test is used on both and normally COPD yields a result of less than 70% after a use of a bronchodilator, asthma is usually above 70% when assessing these results. Also, asthma is reversible and usually characterized by triggers such as allergens. Another symptom in asthma that you won’t see in COPD is wheezing.
confused about the ICS, - when I used SABA multiple times per week, I had went from using just the SABA along with SABA + symbicort (which ends with ide??) - I dont know what ICS is atm. Just ventolin and symbicort. Once my allergies were under control, I was able to just have SABA and I use it rarely.
EDIT: I guess ventolin is a SBA+ICS , Also the symbicort, that is: Inhaled glucocorticoid and Long acting beta-2-agonist
really helpful vedio. Thanks for posting. I have a doubt though..how do we decide the use of short acting beta agonist ( how many times a week) in the first place?
The pt uses it ad lib as a rescue inhaler for dyspnea. They'll know when they need it.
Shayesta Zeba symptoms
Hello and thanx for your informative and simple online lectures. I would like to ask are these steps still applicable for asthmatic patient if beta agonists are contraindicated?
Sometimes it’s helpful to consider leukotriene receptor antagonists like monteleukast. Of course make sure you have eliminated potential triggers such as down feather pillows, comforters and indoor pets dander etc.
You are a legend
For an asthma attack you wouldn't just use a duoneb neb tx?
Yes. Or a metered dose inhaler of albuterol. The other inhalers are for maintenance.
Amazing!!
Im dying .. how does one gets asthma. I got alot of lung diseases pneumonia. Bronchitis., whooping cough, covid twice, im a cosmetologist so ppl always coming in sick. Last 4 yrs horrible Bronchitis , allergens , dr gave me prednisone. And different inhaler . Wish me luch i cant breathe at all😢
I have asthma and I cannot tolerate steroid therapy.
“Drug companies are not stupid”
I thought I was subscribed 🤔
Wow! Best explanation of asthma meds I have seen so far. This will be much much easier to retain. Thanks so much!