Asthma Management: Things You Should Know

Your asthma control is not very good if the following conditions exist:

  • you use more than 2 Albuterol inhalers each year;
  • you wake twice each week with cough needing Albuterol;
  • or if you cough with laughter or with exertion (particularly vigorous exercise!)

Click here to take the online Asthma Control Test, then call for an appointment to see us. We will review your current asthma plan and work to improve your control. We are proud to use Spirometry in our practice; this is an in office test that measures lung and airway function. Using Spirometry allows us to accurately establish the degree of asthma control you have. To learn more, visit Dr. Tom Plaut's website at

Asthma Management Consultations

Dr. Brecher is available for consultations concerning asthma management. During his career, Dr. Brecher has had much experience and success in caring for asthmatic children and adolescents.

Visits should be scheduled for 30 minutes. These visits are covered by your insurance plan. Should you not have any insurance, the consultation will be free of charge. Before your appointment, pick up a complimentary copy of One Minute Asthma by Tom Plaut, MD and study the book.

During your visit, Dr. Brecher will:

  • review your child’s asthma management plan or create one for you if you do not use a written plan
  • review the correct technique for using inhaler devices
  • review how and when to adjust or change your child’s medicines
  • discuss any other concerns you may have

All About Inhaled Steroids

Inhaled steroids are medicines used to improve and normalize the bronchial tube airways. These medicines are called anti-inflammatory drugs. Inflammation of the bronchial tube airways triggers acute asthma in susceptible persons. Inhaled steroids are not habit forming; nor do they “bulk up” ones muscles. Anabolic Steroids: these are drugs used by professional athletes to improve their performance. Inhaled steroids do not have this effect. When inhaled steroids are used in standard doses, there are no important long term side effects. We rely heavily on inhaled steroids to control asthma and reduce asthma flare-ups.

When we prescribe inhaled steroids, they must be used daily for best effect. They are not effective when used occasionally. Oral steroids are another matter entirely. Prednisone or Prednisolone is the commonly used oral steroids. These medicines also reduce inflammation of the bronchial airways. They are generally used for a brief period, namely 3-10 days. We like this medicine as it takes effect within several hours. When used for prolonged periods there are often bodily side effects so we rarely, if ever, use oral steroids in this manner.

The inhaled steroids we commonly use are the following: FLOVENT, ADVAIR, SYMBICORT, PULMICORT, Q-VAR AND ASMANEX.

Contact us to discuss possible concerns about these medications.