Is Your Asthma e-Asthma? New Medicine!
Podcast: Play in new window | Download (Duration: 3:41 — 3.5MB)
* e-Asthma is category of severe asthma
* Patients with e-Asthma have difficulty getting asthma control with usual treatment
* e-Asthma responds well to a new type of injected medicine
* In such patients, this new medicine can decrease their asthma attacks and allow them to use less oral steroid.
e-Asthma is a type of severe asthma that responds well to a new kind of control medicine that you inject under skin, usually monthly.
Severe Asthma means:
- You’ve been on a high dose of inhaled corticosteroid (ICS) and a long-acting bronchodilator or theophylline for in the past year; and/or
- You’ve been treated with steroids (like Prednisone) by mouth for more than half of the past year.
Wondering what “high dose” ICS means?
|Definition of high dose*|
|ICS||Age 6 – 12 years||Age > 12 yrs|
|Beclomethasone (Qvar)||≥ 320 mcg/day||≥ 1000 mcg/day|
|Budesonide (Pulmicort)||≥ 800 mcg/day||≥ 1600 mcg/day|
|Ciclesonide (Alvesco)||≥ 160 mcg/day||≥ 320 mcg/day|
|Fluticasone (Flovent)||≥ 500 mcg/day||≥ 1000 mcg/day|
|Mometasone (Asmanex)||≥ 500 mcg/day||≥ 800 mcg/day|
|*European Respiratory Society: Eur Respir J Feb 2014 43:343-373|
This new type of injectable asthma medicine has been shown to dramatically:
1. Reduce the number of asthma attacks you will have
2. Reduce how much oral steroid (like Prednisone) and ICS you need to stay controlled.
How do we know if your asthma is the type that will respond to this medicine? You would be likely to get a good response to this new medicine if:
- Your eosinophils are elevated in your bloodstream, and
- Your allergy testing shows that you are triggered by seasonal allergens.
So, let’s review:
You have been on high dose ICS (see above) or oral steroid for more than half of the year,
You have skin allergy tests that show a problem
I would recommend having your blood drawn to measure your eosinophil count.
If your eosinophil count is elevated (35-700 IU/mL), you would be a good candidate to try this new type of medicine.
What medications would be considered?
Here is a list of subcutaneous medications that can be ordered for e-Asthma:
Omallzumab (Xolair) injected every 2 or 4 weeks depending on your eosinophil count and age
Dupilumab (Dupixent) injected every 2 weeks
Mepolizumab (Nucala) injected every 4 weeks
Benralizumab (Fasenra) injected every 4 weeks for 3 doses, then every 8 weeks.
Tezepelumab (Tezspire) injected every 4 weeks. This medicine does not require any history of elevated eosinophils or prior testing for allergic asthma.
These medications are quite new and it will take some time for general practitioners to become educated about prescribing them.
But, they are available RIGHT NOW and if you are suffering from severe asthma, they could be a really good solution for getting your severe asthma under control.
Complete the subscription form on the right if you’d like to get an email when I post a new podcast and blog entry.
Remember our hashtag: #asthmacarenow! And keep Breathing Easy!
- No Insurance? Asthmaniac Will Help You!
- What Is Exercise Induced Asthma?
- What Is Eosinophilic Asthma?
- 6 Signs Your Asthma Is Getting Worse
- What Are Some Early Warning Signs of Asthma?
- Asthmaniac Blog
- How to Manage Nasal Polyps
- How to Use an Inhaler Correctly
- Tezspire for Breathing Your Best!
- Asthma Proof Your Home: Identify the Hot Spots
- Navigating Asthmaniac.com!
- Climate Change: How It Can Affect People with Allergies and Asthma
- How Can Asthmaniac Address Your Asthma Concerns?
- High-Deductible Health Plan? Online Asthma Is Perfect!
- Is Your Asthma e-Asthma? New Medicine!
- Asthma Follow Up Care: Why You Need It!
- NEVER run Out of Asthma Inhaler Medicine!
- Asthmaniac Uses ePrescriptions for Your Medicine!
- Asthma Management Guidelines 2020 Focused Update: What’s In It For You?
- Asthma Rescue Inhalers Are Crucial in Asthma Control!
No Insurance? Asthmaniac Will Help You!
No Insurance is Not a Problem at Asthmaniac! ⇨ Active asthma? Asthmaniac was made for you! Affordable $50 doctor visits ✓ State-of-the-Art Asthma Care All online! No Insurance = No Problem I don’t care that you don’t have insurance. I designed...
What Is Exercise Induced Asthma?
Do you have breathing difficulties when you exercise? Then you may have something called “exercise induced asthma”. Let's take a look at what causes this condition and what treatment options are available. What Is Exercise Induced Asthma? Exercise...
What Is Eosinophilic Asthma?
If you've never heard of “eosinophilic” asthma, you're not alone. It's rare compared to other types of asthma, but it can be severe. Asthmaniac, your online asthma doctor, can help with your diagnosis. In the meantime, here's an overview of what...
6 Signs Your Asthma Is Getting Worse
If you have asthma, you might be used to coughing and wheezing sometimes. And if you have severe asthma, you may experience breathing difficulties more often than sufferers with a milder condition. That being said, your body will give you signs if your...
What Are Some Early Warning Signs of Asthma?
Asthma can be life-threatening if it spirals out of control. But how do you detect asthma, and what are the early warning signs of an asthma attack? Below, we explain how to spot asthma in its early stages and what to do if you have an asthma attack. What...
* Asthmaniac.com is my online asthma clinic
* Asthmaniac is designed to be affordable, convenient, and reliable.
* Asthmaniac follows national quality standards developed at NIH
* Asthmaniac uses your phone to make your care convenient and engaging