For moderate to severe asthma, consider inhaled corticosteroids like fluticasone (Flovent HFA) or budesonide (Pulmicort Flexhaler). These reduce inflammation in your airways. If your asthma is still not well controlled, your doctor might add a long-acting beta-agonist (LABA) such as salmeterol (Serevent) or formoterol (Foradil Aerolizer). These medications help keep your airways open.
Combining Inhaled Medications
Combining an inhaled corticosteroid and a LABA in one inhaler (e. g., Advair Diskus, Symbicort) is a common and effective approach for many patients. This simplifies treatment and improves adherence. Your doctor will assess your specific needs and determine the best combination and dosage for you.
Other Treatment Options
Biologic therapies, like omalizumab (Xolair), mepolizumab (Nucala), or dupilumab (Dupixent), target specific immune system pathways involved in asthma. These are usually reserved for patients with severe asthma that’s not adequately controlled with other treatments. Oral corticosteroids, like prednisone, are used for short-term symptom relief during asthma flare-ups, but are not for daily use due to potential side effects. Leukotriene modifiers, such as montelukast (Singulair) or zafirlukast (Accolate), can help reduce inflammation and are often used as an add-on therapy.
