Is Your Asthma e-Asthma? New Medicine!

May 25, 2025 | Action Plan, Control Your Asthma!, PEF, symptoms

* e-Asthma is category of moderate and severe asthma

* Patients with e-Asthma have difficulty getting asthma control with inhalers

* 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:

  1. You’ve been on a high dose of inhaled corticosteroid (ICS) and a long-acting bronchodilator or theophylline for the past year; and/or
  2. 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

There is a 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 in control.

You would be likely to get a good response to this new medicine if:

  1. Your eosinophils are elevated in your bloodstream, and
  2. Your allergy testing shows that you are triggered by seasonal allergens.

So, let’s review:

If 

You have been on high dose ICS (see above) or oral steroid for more than half of the year,

AND

You have skin allergy tests that show a problem

THEN

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, on Asthmaniac.com they are available RIGHT NOW and if you are suffering from moderate or severe asthma, they could be a really good solution for getting your severe asthma under control.

Asthmaniac IS your online asthma doctor for prescriptions, consultations, education and followup.  Book Today!

#asthmacontrolnow
#telemedicineasthmacare
#backpocketasthmadoc
#asthmaactionplan
#asthmacontroltest
#asthmacontroller
#rescueinhaler
#asthmacovid19
#childrenandasthma
#eprescription
#easthma
#peakexpiratoryflow
#peakflowmeter
#asthmaniac

 

Steroids in Asthma: Why We Need Them?

Why do we use steroids in asthma? * Inflammation of the airways is the underlying problem in asthma * Steroids like Prednisone and Decadron are taken by mouth * Steroids like betamethasone and fluticasone are inhaled like albuterol. * Steroids shut down...

Asthma Action Plan: Personalized Just For You!

* Your personal Asthma Action Plan is your quick-reference guide telling you how to react to changes in your breathing. * Your plan uses your Peak Expiratory Flow readings and  ACT scores to determine if your asthma is in control. * Your Asthma Action Plan...

Peak Expiratory Flow Rate: How We Measure and Why?

* Peak Expiratory Flow is measured by you, several times a week using a small pocket-sized flowmeter * You record the number measured by this devise. * This number shows how well you are able to exhale and tells me if we have your lung inflammation under...

Asthma Control Test Score: How We Use It

* The Asthma Control Test (ACT) is a survey that you fill out about your breathing symptoms. * Your score on this survey will classify your asthma into 3 levels: Well Controlled, Not Well Controlled, and Poorly Controlled * These classifications are used...