Get Proper Care

You can prevent serious problems related to asthma by getting proper care. With the help of your doctor, you can have control over your asthma and become symptom-free most of the time. But your asthma does not go away when your symptoms go away. You must take care of your asthma, even if you have a mild case.

Assess Your Symptoms

You may have all of these asthma symptoms, some of them, or just one. Symptoms can be mild or severe and may include:

• Coughing
• Wheezing
• Chest tightness
• Shortness of breath

Signs that your asthma is not well controlled can include any of the following:

• You have symptoms on more than 2 days in a week
• You need to use your rapid-acting medicine to relieve your symptoms more than 2 days in a week
• You awaken at night with symptoms more than 2 times in a month
• Your symptoms interfere with your normal activity
• Your peak flow is below 80% of your personal best

Work With Your Doctor

Take the Right Medications at the Right Time

There are two main kinds of asthma control medicines: long-term control medicines and short-term (quick-relief) medicines.

Long-term control medicines prevent symptoms and control asthma. It often takes a few weeks before you feel the full effects of this medicine. Ask your doctor about taking daily long-term control medicines if you:

• Have asthma symptoms three or more times a week
• Have asthma symptoms at night more than twice in a month
• Have trouble doing all your normal activities
• Have a peak flow less than 80% of your personal best

If you need long-term control medicine, you will need to take your medicine each day. Post reminders to yourself to take your medicine on time.

For almost everyone with persistent asthma, a long-term control regimen should include a form of inhaled cortisone (“steroid”). Ask your doctor if you are not sure whether a steroid is part of your treatment.

Inhaled quick-relief medicine quickly relaxes and opens your airways and relieves asthma symptoms. But it only helps for about four hours. Take quick-relief medicine when you first have symptoms such as coughing, wheezing, and chest tightness. This can keep you from having an asthma attack. Do not delay!

Tell your doctor if you notice that you’re using more of this medication than usual. This is often a sign that your long-term control medicine needs to be changed or increased.

Use Your Peak Flow Meter Correctly

A peak flow meter helps you to check how well your asthma is controlled, especially if you have moderate to severe asthma. Ask your doctor or other healthcare providers to check how you use your peak flow meter—just to be sure you are using it correctly.

You should use your peak flow meter at the following times:

• Every morning when you wake up, before you take medicine
• When you are having asthma symptoms or an attack, and after taking medicine for the attack (This can tell you how bad your asthma attack is and whether your medicine is working.)
• Any other time your doctor suggests

If you use more than one peak flow meter (such as at home and at school), be sure that both meters are the same brand.

Avoid Triggers

You can help prevent asthma attacks by staying away from things that make your asthma worse. Keep in mind that some things that make asthma worse for some people are not a problem for others.

Common asthma triggers include: