Medication Information
 
 

Asthma medications are commonly categorized into quick-relief medicines and long-term controllers.  Keep a quick-relief medicine with you at all times.  Take controller medicines, as prescribed, even when you are not having symptoms.

Learn the correct technique for using an inhaled medicine.  Note that the technique is not necessarily the same for all inhalers so each patient has to master the inhalation technique(s) that apply.

Over-the-counter asthma inhalers are not recommended.

Oral asthma medications are available in the reliever and preventive categories.

 

Allergic rhinitis medicines include prescription corticosteroid nasal sprays that are used for long-term control rather than quick relief.  An antihistamine and an anticholinergic nasal spray also are available by prescription.  Mastering the correct technique for using nasal sprays keeps the medicine from running out of the nose or down the back of the throat. 

Most non-drowsy oral antihistamines are available by prescription; some are available over-the-counter.  Some are combined with a decongestant for treating a stuffy nose while antihistamine alone treats nasal itching, sneezing, and runny nose.

Even OTC medicines have precautions and should not be taken if certain medical conditions exist; some should not be taken with certain prescriptions, other OTC medications, or with alcohol. Your pharmacist is a good resource when choosing over-the-counter medicines to treat nasal and eye symptoms. 

Limit use of over-the-counter decongestant nasal sprays so that rebound symptoms do not make your nasal condition worse.  Products such as Afrin give quick relief, but should not be used chronically. 

Asthma Medications

Commonly used asthma medications.  All asthma medications are not listed.

Inhaled quick-acting bronchodilators
beta2-agonist

relaxes tight muscles around the airways

albuterol 

Proventil HFA
Ventolin HFA
albuterol HFA
ProAir HFA

Always carry a quick-acting bronchodilator.  These medicines are for symptom relief.

 

levalbuterol     

Xopenex® HFA

Inhaled Anticholinergics

may also have a beta2-agonist (Combivent)

 

 

ipratropium + albuterol

Combivent

 

 

 

ipratropium

Atrovent

tiotropium

Spiriva HandiHaler

Inhaled Antiallergy

controllers

cromolyn
nedocromil

Intal
Tilade

 

Inhaled long-acting bronchodilators

every 12 hours

 

formoterol

Foradil Aerolizer

 

salmeterol

Serevent Diskus

never to be used for quick relief

Oral long-acting bronchodilators

 

albuterol

VoSpire ER

every 12 hours

theophylline

 

 

Inhaled Corticosteroids

anti-inflammatory controllers
used daily

 

 

 

 

beclomethasone

Qvar

Use, as prescribed, even if symptoms are not present.

Rinse mouth after use.

Do not swallow rinse water

budesonide

Flexihaler

flunisolide

Aerobid

fluticasone

Flovent

mometasone

Asmanex Twisthaler

triamcinolone

Azmacort (with spacer)

Inhaled Dual Control

corticosteroid +
long-acting bronchodilator

 

fluticasone+
salmeterol

Advair

budesonide+
formoterol

Symbicort Turbuhaler

Oral Leukotriene Antagonist

Anti-leukotriene medicines modify one of the chemical mediators of asthma. These chemical mediators are called leukotrienes.  

montelukast

Singulair

 

 

 

zafirlukast

Accolate

zileuton

Zyflo

Nebulized Medicines
 

The nebulizer creates a mist which is inhaled.
 

These meds fall into various categories as listed above. 

 

 

 

albuterol

albuterol

quick-acting bronchodilator

arformoterol

Brovana Inh Solution

long-acting bronchodilator

budesonide

Pulmicort Respules

Corticosteroid
Rinse mouth after use.
Do not swallow rinse water.

ipratropium

Atrovent Inh Solution

anticholinergic

ipratropium+
albuterol

DuoNeb Solution

anticholinergic/bronchodilator

levalbuterol

 Xopenex

quick-acting bronchodilator

Allergic Rhinitis Medications

Commonly used allergic rhinitis medications.  All are not listed.

Corticosteroid Nasal Sprays

anti-inflammatory controller medicines

beclomethasone
flunisolide
fluticasone

generics

Sniff gently.
 

Do not blow nose for 15 minutes after using nasal spray.
 

Alternate sides between each spray, if doing more than one spray in each nostril.

 

budesonide

Rhinocort AQUA

mometasone

Nasonex

triamcinolone

Nasacort AQ

Antihistamine Nasal Spray

azelastine

Astelin

Anticholinergic Nasal Spray

ipratropium

Atrovent

 

OTC Decongestant Nasal Spray

 

Afrin is an example.

This category gives quick relief. However, limit the use of OTC decongestant nasal sprays to several days in a row. Chronic use leads to a rebound effect that worsens symptoms.

OTC Saline Nasal Spray

 

 

Saline nasal sprays can be used as needed.

 

Oral Antihistamines
 

non-sedating or low-sedating category

 

 

 

desloratadine

Clarinex/Reditab
Clarinex Syrup

These are commonly prescribed oral antihistamines.  You also can get combination antihistamine and decongestant by prescription.

 

 

fexofenadine 

Tabs
Allegra Suspension

levocetirizine

Xyzal Tabs

cetirizine

loratadine

Zyrtec

Claritin

These are now over-the-counter.