Here's the deal with asthma....essentially for all of you with mild asthma, which is usually rare associated with seasonal exacerbations and also with exercise, albuterol is usually all you need. It is a bronchodilator....essentially it hits all the small muscles in your lungs and causes them to open up. Historically, we used to think asthma was due to spasm of the airways and thought this was the mainstay of treatment. We were wrong.
Nowadays, we know asthma is an inflammatory disease, and it is lifelong. The treatment of asthma is steroids.....flovent, pulmucort...so those of you with more than mild asthma, especially you all using albuterol several times a day need to be taking the flovent serevent combo, or atleast something similar (this isn't an infomercial). The newest drug out there is Advair....which is essentially flovent and serevent together.
Here's the deal.....inhaled steroids work, as well as does serevent (basically long-acting albuterol)...however, the two in combination are much more than additive and the effects very beneficial. That's the premise of advair....before Advair we used the flovent with serevent combo, or some similar combo, and you carried around two inhalers. Now you only need one -pretty smart marketing idea -0 backed by real and very good science.
Many people with moderate to severe asthma still only take albuterol, and are a walking time-bomb...you are undertreated, and would have a much better quality of life if it were fully treated. All the latest studies show that once you are on an inhaled steroid and long acting Beta-agonist (like serevent), there is a very large and very significant reduction in the use of and, more importantly, the need for albuterol. Many people never have any bad asthma exacerbations once they are on the combo.
If you are using albuterol only, and using it several times a day, it is like putting the proverbial bandaid on the bleeding artery....quick fix but doesn't solve the problem.
Sure they may be expensive, but one hospitalization will cost more than a year of your meds. And yes, people do die from asthma. I've seen it twice in the past year, others came very close.
Also, untreated asthma changes the histologic structure of your lungs...(on a cellular level).....it is reversible, but this is something that you just don't want to live with when you can treat it...it's almost like volunteering to have emphysema....
In any event, that's the scoop...hope it didn't sound too medical and you all followed it.