1. Asthma Medications ESAT 4001 Pharmacology in Athletic Training

2. Asthma Review of condition Use of inhalers and other medications –Epinephrine (EPIPEN) in acute attacks

3. Inhalers and Spacers MDI Spacer Nebulizer Problems with inhalers –Hand-breath coordination Nebulizer

4. Bronchiodilators (Beta-Adrenergic Agonists) Mostly used in inhaler form –Albuterol Proventil & ventolin Cause smooth-muscle relaxation ~ opening constricted airways Effects seen w/in 5-15 min; last 3-6 hr Intended for use for asthma

5. Bronchiodilators (Beta-Adrenergic Agonists) Side effects of inhalers –“Racing heart”, other cardiac irregularities, nervousness –Azmacort and flovent are steroid preparations ~ may be on banned lists

6. Anticholinergics Cholinergic receptor inhibitor –Leads to bronchodilation –Not as effective as beta adrenergic drugs

7. Systemic Corticosteroids Inhibit associated inflammatory response Used to treat symptoms associated with acute exacerbation Used in combination with  2 -agonist drugs 3-10 day course

8. Long Term Therapies Inhalation Corticosteroids Mast Cell Stabilizers Leukotriene Modifiers –Effective reduction of inflammation Long acting Beta Agonists –Bronchodilators –Onset is slower than short acting drugs Methylxanthines –Caffeine