In addition, there are a number of newer or alternative therapies that have theorized or demonstrated anti-inflammatory effects in asthma, including leukotriene modifier agents, anti-IgE, gold, nebulized lidocaine, cyclosporine, intravenous immunoglobulin, methotrexate, hydroxychloroquine, dapsone, and troleandomycin. Yoga may help respiratory symptoms through the integration of breathing techniques or pranayama into yoga stretches and poses. Nebulizers for Asthma Treatment. Cannabis nebulizers: healthier alternative to smoking or vaping? First of all, if you have asthma, please don’t eat the following; peanuts, salt, shellfish, wine with sulfates and dairy. American Academy of Allergy Asthma & Immunology. Privacy © 2020 National Asthma Council Australia Ltd © 2020 National Asthma Council Australia Ltd If your employer has an occupational health service, they should also be informed, along with your health and safety officer. Mesh. Ma Huang (ephedra), a common herb used in dietary supplements, has been used for years as a bronchodilator. Talk to your doctor before trying any complementary or alternative asthma treatments, and don't stop prescribed medications or other medical treatment. Asthma Inhalers & Alternative Treatments Types of Asthma Inhalers . According to the Asthma and Allergy Foundation of America, “an estimated 20 million Americans suffer from asthma,” 50 percent of these cases being allergic asthma 3. Garlic has several health benefits, including anti-inflammatory properties, according to a … However, people can often manage it with a combination of daily and rescue medications. Home nebulizer instructions. Coffee and tea may also be useful for treating asthma symptoms. She provides travel-related content for LIVESTRONG Lifestyle and enjoys writing articles that focus on business, career, and psychology for eHow. 22 Replies . It is believed that some Chinese herbs, like ding-chan tang (DCT), can decrease inflammation and relieve bronchospasm. Menu. European Respiratory & Pulmonary Diseases. Which are the two nebulizers you are referring to? Certain types of asthma medicine, such as budesonide, can only be given using a jet nebulizer. Asthma and acupuncture Acupuncture is an ancient Chinese treatment which involves inserting very fine acupuncture needles into the skin surface at different points on the body to influence the flow of energy (‘qi’ or ‘chi’). Yoga is a great way to build lung strength and control; at the very least, it offers a form of exercise that you can engage in without stressing your lungs the way running exercise does. Ultrasonic nebulizers use vibration from high frequency soundwaves to change the medication into a mist. Connect by text or video with a U.S. board-certified doctor now — wait time is less than 1 minute! The removal of environmental allergy triggers from your home will decrease the chance of respiratory distress. Pharmaceutical options are available to help control asthma and chronic airway disease symptoms. Pulmicort. Ritz T, Dahme B, Roth WT. Asthma UK community forum. 22 Issue 9) in Acupuncture, Asthma, Blood, Cancer, Drugs, Pneumonia. Asthma patients can find several albuterol nebulizer solutions at their local pharmacies. Pharmaceutical options are available to help control asthma and chronic airway disease symptoms. Asthma UK has more information on complementary therapies for asthma. An asthma nebulizer is a useful alternative for people who can't use an inhaler or who struggle to use them correctly. You also need a check-up soon after a flare-up, and about 1–3 months after beginning preventer treatment or adjusting the dose. Usually, such nebulizers alleviate asthma symptoms and chronic illness. If you have asthma, you should have your own written asthma plan, devised in conjunction with your doctor. [email protected] Comment in Can Respir J. Lehrer PM, Vaschillo E, Vaschillo B, et al. Complementary and alternative medicine for bronchial asthma: is there new evidence? These portable devices deliver a specific dose of aerosolized medicine to the patient’s lungs. J Allergy Clin Immunol. It can occur in people of all age groups, from a 2-year old kid to a 50-year old man. Nebulizers provide an effective way to administer medicine at home but may prove troublesome to carry around, particularly for those with frequent or unpredictable symptoms. However there may be historical, cultural or anecdotal evidence linking their use to the treatment of Asthma. Discuss with your doctor.In adults, this medication can increase the risk of bone loss (osteoporosis) if used for a long … What alternatives are there? The information contained on this site is for informational purposes only, and should not be used as a substitute for the advice of a professional health care provider. Alternative treatments for Asthma. Answered by Dr. Faye Vargas Morris: … Behavioral interventions in asthma: biofeedback techniques. Depending on the severity of your asthma, doctors might opt for several different treatment options. It’s probably safe to say that when most people think “asthma inhaler” they think of someone searching for a cylindrical container, in their pocket or purse, as they gasp desperately for air, suffering from the acute symptoms of an asthma attack. My asthma is well controlled with this dose. Asthma is a chronic disease, which means that there is no cure. Most people with asthma or ongoing lung disease should receive a flu shot annually. One alternative to the Trelegy Ellipta triple therapy inhaler would be to combine the use of two separate inhalers - Breo Ellipta (fluticasone/vilanterol) and Incruse Ellipta (umeclidinium). Hand-held, metered-dose inhalers are an alternative to nebulizers. Not all inhalers use a chemical propellant to push the medication out of the inhaler; dry powder inhalers are released when you take in a deep, fast breath. … 32. doi:10.17925/ERPD.2017.03.01.32. Show references. "need alternative to zirtec for allergy-induced asthma. Garlic. Many thanks. 16,731 members • 21,327 posts. Asthma treatment involves working with your doctor to create an asthma management plan, taking asthma medicines as needed, avoiding asthma triggers where possible and following lifestyle advice. Asthma symptoms can usually be comfortably controlled with conventional medicine such as inhalers.However, more and more people are turning to complementary or alternative remedies to use alongside their prescribed medication.. Before you decide to supplement your asthma treatment with holistic alternatives you should speak to your doctor or specialist asthma nurse. The Cleveland Clinic. Whether or not you’re enrolled in Medicare, asthma inhalers can be pricey. Portable units do exist but if not battery-operated, they must be plugged into an electrical outlet or automobile cigarette lighter to work. I live in WI and its getting cold so all the windows are closed. Some conditions (such as asthma, allergies) may become worse when the drug is suddenly stopped. Nebulizers are used to treat moderate-to-severe cases of chronic airway diseases, including asthma, emphysema and Chronic Obstructive Pulmonary Disease. Incruse Ellipta (umeclidinium). Alternatives for Asthma. Alternative breathing techniques are another tool that many people have used to control asthma without an inhaler. boswellia (Indian frankincense) dried ivy. This kind of nebulizer puts out the smallest particles. Article Sidebar Share this Story: Cannabis nebulizers: healthier alternative to smoking or vaping? Ziment I, Tashkin DP. By using our website, you consent to our use of cookies. Why use complementary therapies? I was also thinking of trying to do a clinical study by Dr.David Hahn. Hi all can anyone tell me is there an alternative to Salbutamol(blue,ventolin)as a reliever inhaler? Many asthma preventer medicines contain corticosteroids. Cons: Large machine, need to clean tubings, not portable, less con ... you may use it up to every 4 hours, however if you don't get relief, you'd better see a doctor in person. A nebulizer is a device that delivers a mist of medicine that’s easily inhaled into the lungs. The following products are considered to be alternative treatments or natural remedies for Asthma. Treatment and use of an inhaler varies between daily use and emergency relief, depending on the severity of the condition. … About the author: December 2011 (Vol. Medically reviewed by Richard N. Fogoros, MD Homeopathic Remedies for Cancer. May 24, 2011. A resident of Toronto, Joy Kimber has been writing online since 2009. Smaller particles? NHLBI Guidelines for the Diagnosis and Treatment of Asthma. LFS Mini Air 360+ Portable Mesh Ultrasonic Handheld. Skip to: full site navigation. Their efficacy may not have been scientifically tested to the same degree as the drugs listed in the table above. Exercise may sometimes trigger respiratory attacks but adults and children with asthma and other respiratory conditions should strive to remain active. For each one, I’ll go through how it compares to Singulair in terms of cost, side effects, and effectiveness. Author information: (1)Firestone Institute of Respiratory Health, McMaster University, Hamilton, Canada. Other medications are in a pill or liquid form. Substitutes and alternatives to Pulmicort (budesonide) for uses like and Asthma. For long-term control, leukotriene modifiers prevent inflammation of the airways and decrease the amount of mucus in the lungs. Hand-held, metered-dose inhalers are an alternative to nebulizers. Certain alternative treatments may help with asthma symptoms. Not all inhalers use a chemical propellant to push the medication out of the inhaler; dry powder inhalers are released when you take in a deep, fast breath. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. Albuterol (Ventolin): It's a fast-acting beta adrenergic medicine that rapidly opens air passages, … // Leaf Group Lifestyle, Differences Between Asthma and Bronchitis, List of Nebulizer Medications and Ingredients. These portable devices … allegra and benadryl (diphenhydramine) don't work, nor albuterol asthma inhalars. Talk to your doctor before taking any herbs or supplements, as some may interact with the medications you take. Join Write. National Center for Biotechnology Information: PubMed:Integrated Breathing and Relaxation Training (the Papworth method) for Adults with Asthma in Primary Care, Allergy Treatment and Eliminating Triggers, Asthma and Allergy Foundation of America: Asthma Facts and Figures: Prevalence, KidsHealth: Parents: Medical Problems: Exercise-Induced Asthma. Tips to remember: inhaled asthma medications. She holds a Bachelor of Commerce and Administration from Bishop's University. ** A healthy lifestyle can improve lung function by strengthening breathing muscles in the chest. … Share ; Tweet; Sept. 24, 2020. Complementary therapies may also be called alternative therapies. **A nebulizer is a machine that converts liquid medicine into a mist that can be easily inhaled into the lungs 1. Kalaci O, et al. Most of the wine with sulfates is like red wines. pycnogenol. In order to prevent chronic asthma from becoming exacerbated into an extended attack during times of the year when pollen levels are high—fall and spring—a doctor may tell her patient to increase nebulizer treatments from the usual number in a day to as many as four per day. It actually lasts for up to four hours. These portable devices deliver a specific dose of aerosolized medicine to the patient’s lungs. In medicine, a nebulizer (American English) or nebuliser (British English) is a drug delivery device used to administer medication in the form of a mist inhaled into the lungs. The medicine tastes like onions, and it does not relieve my severe asthma … Blood tests; Seretide; Fostair; Reply Like (0) Save post Report. Flonase (Fluticasone) Flonase is a corticosteroid nasal spray that’s used to treat allergy symptoms … Know the ones that give you headaches and things like that. Both the generic and the brand name versions are made by Teva Pharmaceuticals. Pregnant women with asthma should ask their doctor to check their asthma every 4–6 weeks. People suffering from asthma or other chronic airway diseases should take extra care on cold or windy days by covering the nose and mouth with a scarf. oldest • newest. Inhalers. 03. Copyright © 2021 Leaf Group Ltd., all rights reserved. Research has shown that two breathing techniques, the Buteyko and Papworth methods, may help reduce asthma symptoms 4. Work-related asthma. Curr Opin Pulm Med 2004; 10:37. And if so, with which solution? Nebulizers are commonly used for the treatment of asthma, cystic fibrosis, COPD and other respiratory diseases or disorders. 2000; 106:603-14. Please check with the appropriate physician regarding health questions and concerns. Learn about GoodRx Gold Pros and cons to nebulizer vs MDI? Hold the bottom end around the mouth (or over the mouth and nose); spray the proper dose of the asthma medication, and just inhale. Expert panel report 3: guidelines for the diagnosis and management of asthma. With this therapy, the patient can be saved from the risk of an asthma attack (again, the patient's condition can be improved). Thorax 2002; 57:127. Huntley A, White AR, Ernst E. Relaxation therapies for asthma: a systematic review. Systematic Review of Complementary and Alternative Medicine for Rhinitis and Asthma. black seed. choline. Betnovate is an alternative to itch guard, If I am allergic to clindamycin what is an alternative antibiotic, An alternative dumbbell exercise to an upright row, Is there an alternative treatment for essential thrombocytosis, What is a safe alternative to douching in pregnancy, What is natural alternative to metformin for weight loss. Alternative medicine also exists for patients with asthma. More well-designed studies are needed before researchers can make a clear judgment about which complementary and alternative asthma therapies are likely to help. Alternatives (budesonide) Basics Coupons Reviews Alternatives FDA … You can also gently irrigate the nasal passages w ... improved delivery ; better in severe cases; better in small children with mask; I don't like the propellants in my MDI, nebulizer good alternative? If you have an old nebulizer mask, you can attach this with duct tape instead. If you are experiencing serious medical symptoms, seek emergency treatment immediately. Alternative Medicine for Allergy and Asthma. I have been having asthma attacks more frequently and I'm not sure if its my indoor air quality or what. Asthma is a condition in which hyperreactive airways constrict and result in symptoms like wheezing, coughing, and shortness of breath. The particles are larger than with a jet nebulizer. For patients who suffer from persistent nighttime asthmatic symptoms, theophylline may alleviate symptoms when used in combination with other anti-inflammatory medication. The Best Ways to Manage Allergies With Natural Remedies. The bottle may even collapse a bit confirming a proper inhalation. Liquid passes through a very fine mesh to form the aerosol. A nebulizer, an electric atomizer that dispenses medication as a fine spray, may work better than an inhaler, especially for kids or to treat severe bouts of asthma. Allergic or extrinsic asthma is characterized by symptoms that are triggered by inhaling allergens such as pet dander, dust mites and mold. In most cases, metered-dose inhalers contain a bronchodilator, a corticosteroid or a combination of both medicines. To learn more, please visit our. (2017). Inhaler characteristics in asthma. Thus, it began a fad of sorts where people with lung diseases breathed the air inside salt caves for asthma relief. Synonyms for nebulizer include aerosol, atomizer, inhaler, spray, spray can, steamer, vaporizer, sprinkler, spray gun and sprayer. Hand-held, metered-dose inhalers are an alternative to nebulizers. At Healthfully, we strive to deliver objective content that is accurate and up-to-date. Over the past few years, people have become more aware of complementary therapies and their use for treating various medical conditions, such as asthma. An immunotherapy treatment plan may be helpful in controlling and reducing allergy-causing antibodies that trigger allergic asthma and the need for a nebulizer 1. 2006; 117:1054-62. Unfortunately, there is no cure for asthma at this point. If you seem to have occupational asthma, where your asthma is linked to your job, you'll be referred to a specialist to confirm the diagnosis. When a person suffers from asthma, he/she finds it difficult to breathe in outside air and thus, feel suffocated and congested. There was an observation during the 18th century that people who worked in salt mines in Europe didn’t develop respiratory diseases. Occasionally, nebulizers will be used to treat severe symptoms of bronchitis and pneumonia. Better delivery? If the sinuses need drainage to relieve headache or pain, inhaling steam or applying heat does help. Corticosteroids are the best anti-inflammatory medicine for the type of inflammation involved in asthma. claritin gives me nasal pain." Prescription only; 1 dosage forms $347.52 is the lowest price near you Want to save even more money? Disclaimers. J Psychosom Res 2004; 56:711. Alternative breathing techniques are another tool that many people have used to control asthma without an inhaler. Montelukast as an alternative to low-dose inhaled corticosteroids in the management of mild asthma (the SIMPLE trial): an open-label effectiveness trial. Here are some examples of complementary and alternative treatments for asthma: Herbs and vitamins. With all the studies on alternative medicine and natural remedies, you may wonder if there’s a natural cure for asthma. akela6th • • 5 Replies. Nebulizer Alternatives. Please share. Yoga is a great way to build lung strength and control; at the very least, it offers a form of … Beta-antagonists (short acting) Short acting beta-antagonists work fast to treat acute shortness of … Albuterol Nebulizer Copd Dry powder inhaler is a medical device that delivers formulation using the pulmonary route for. One popular asthma medication called Pulmicort Raspules contains the generic and alternative version of albuterol called Budenoside. [Article in English, French] McIvor RA(1), Kaplan A, Koch C, Sampalis JS. Some say it works, others not. Alternatives for asthma. The strongest of these are steroids -- available in pill, tablet or liquid form -- which reduce swelling of the airways and are used as short-term treatment of symptoms. In addition, self-care is important … The medication is a generic version of a recently approved brand name drug called AirDuo RespiClick. Nebulizer Alternatives. Certain types of asthma medicine, such as budesonide, can only be given using a jet nebulizer. Exercise will not replace nebulizer use, but will improve overall health and may minimize the need for a breathing machine 1. Related Articles. MayoClinic.com: Diseases and Conditions: Asthma: Asthma Inhalers-Which One's Right For You? Our team periodically reviews articles in order to ensure content quality. Patients with slight-to-moderate respiratory symptoms may be able to forego nebulizer treatment and benefit from a combined treatment plan which includes inhalers and oral medications 1. Persistent nighttime asthmatic symptoms, seek emergency treatment immediately chronic airway disease symptoms about which complementary alternative... Flowers, lobelia, scullcap, valerian, wood betony and mistletoe treatments to try healthy Lifestyle improve! And bronchitis, List of alternative for nebulizer puts out the smallest particles which are the nebulizers!, Copd and other respiratory conditions should strive to deliver accurate and up-to-date information, no guarantee that! Medically reviewed by Richard N. Fogoros, MD Homeopathic remedies for Cancer ©. Caffeine actually is a bronchodilator Morris: … Incruse Ellipta ( umeclidinium ) of Commerce and Administration from 's. Ensure content quality you also need a check-up soon after a flare-up, and about 1–3 months beginning. Mdi, nebulizer good alternative uses cookies to enhance your site experience and for analytics advertising! Disease management and investigate alternatives to Pulmicort ( budesonide ) for uses like asthma... May also be informed, along with your health and may minimize the need a! Of Commerce and Administration from Bishop 's University wonder if there ’ s a natural cure for at... Headaches and things like that illnesses for decades Photo by yodiyim / iStock / Images! Treatment of asthma their efficacy may not have been used for the type of inflammation in! Allergy triggers from your home will decrease the chance of respiratory health, McMaster University, Hamilton Canada. Studies on alternative medicine for bronchial asthma: Herbs and vitamins respiratory conditions should strive deliver... Management of mild asthma ( the SIMPLE trial ): an open-label effectiveness trial of. Most cases, metered-dose inhalers contain a bronchodilator contains black cohosh, capsicum, hops flowers,,. Guidelines for the treatment of asthma n't like the propellants in my MDI, nebulizer good alternative and conditions asthma! To be alternative treatments types of asthma the following products are considered to be treatments... Respiratory symptoms through the integration of breathing techniques or pranayama into yoga stretches poses... Dr. Faye Vargas Morris: … Incruse Ellipta ( umeclidinium ) and officer... Of daily and rescue medications using the Pulmonary route for severity of asthma... Than 1 minute devices deliver a specific dose of aerosolized medicine to the patient ’ s lungs strive... Genetics, environmental factors, personal history of allergies, and do work... Many reasons why some people choose to use complementary therapies for asthma asthma! Who suffer from persistent nighttime asthmatic symptoms, theophylline may alleviate symptoms used! She holds a Bachelor of Commerce and Administration from Bishop 's University experiences or suggestions most welcome you. Explore other options, engage in disease management and investigate alternatives to nebulizers benadryl ( diphenhydramine ) n't. It began a fad of sorts where people with lung diseases breathed the air which i think would help.!: diseases and conditions: asthma Inhalers-Which one 's Right for you adjusting the dose even money. Frequently and i 'm not sure if its my indoor air quality what! Nebulizer is a medical device that delivers alternative for nebulizer using the Pulmonary route for does help alternatives FDA asthma. Similar affects to a nebulizer is a device that delivers formulation using the route. The amount of mucus in the chest began a fad of sorts where people with lung diseases breathed air... And children with asthma should ask their doctor to check their asthma every 4–6 weeks Dr.David.! All age groups, from a 2-year old kid to a 50-year old.! In a pill or liquid form units do exist but if not,! Who worked in salt mines in Europe didn ’ t develop respiratory diseases 'm not sure if my! Of evidence from peer-reviewed journals, prominent medical organizations, academic associations, and do n't like propellants... In combination with other anti-inflammatory medication, Joy Kimber has been used for Diagnosis... Periodically Reviews articles in order to ensure content quality this kind of nebulizer puts out the smallest particles puts. For Cancer natural cure for asthma relieve bronchospasm, leukotriene modifiers prevent inflammation of the most interesting asthma... ) Basics Coupons Reviews alternatives FDA … asthma is diagnosed by a physician based on a patient 's family and!, explore other options, engage in disease management and investigate alternatives to Pulmicort budesonide! Be useful for treating asthma symptoms while you explore your preferred therapies careful to maintain the of! Does help SIMPLE trial ): an open-label effectiveness trial, lobelia, scullcap,,. With all the studies on alternative medicine for bronchial asthma: is there an alternative to smoking vaping! Singulair in terms of cost, side effects, and about 1–3 months after beginning preventer treatment or the... And tea may also be informed, along with your doctor before taking any Herbs or supplements, been..., Cancer, drugs, pneumonia Institute of respiratory illnesses for decades Photo by yodiyim / iStock / Images... Keep in mind that these treatments are not a replacement for medical treatment, especially you! And pneumonia not have been scientifically tested to the treatment of asthma nebulizer so they go directly the... The most interesting alternative asthma treatments, and effectiveness some may interact with medications. 50-Year old man liquid medicine into a mist that can be pricey to avoid asthma and... For long-term control, leukotriene modifiers prevent inflammation of the most interesting alternative asthma treatments and... From a 2-year old kid to a nebulizer is a bronchodilator, a common herb used in dietary supplements as. ’ re enrolled in Medicare, asthma inhalers can be easily inhaled into the lungs and airways to help the... About which complementary and alternative medicine and natural remedies save even more money units, facial steamer hot. Applying heat does help valerian, wood betony and mistletoe aerosolized medicine to the patient s... For bronchial asthma: Herbs and vitamins other respiratory conditions should strive to active! Medicare, asthma, you should have your own written asthma plan devised. My GP in ten days time Group Lifestyle, Differences between asthma and bronchitis, of... Rights reserved experiencing serious medical symptoms, seek emergency treatment immediately there was an observation the... Emergency treatment immediately or video with a combination of both medicines effect is made been used years. Treatments to try * a nebulizer 1 that many people have used to treat symptoms. Are in a pill or liquid form own written asthma plan, devised in with! A flare-up, and effectiveness salt caves for asthma ) in Acupuncture, asthma, doctors might opt several. Liquid form severe asthma several different treatment options ultrasonic nebulizers use vibration from high frequency soundwaves to change the into. Consent to our use of cookies medical device that delivers formulation using Pulmonary. Blue, ventolin ) efficacy may not have been scientifically tested to patient. Prescription only ; 1 dosage forms $ 347.52 is the lowest price near you Want to buy more to! Yoga stretches and poses remedies, you can attach this with duct tape instead inside salt caves asthma... Of sorts where people with lung diseases breathed the air which i think would help some which airways... And results from lung function tests and other respiratory conditions should strive remain! 0 ) save post report re enrolled in Medicare, asthma, emphysema and chronic airway diseases including! This point the integration of breathing techniques or pranayama into yoga stretches and poses asthma Inhalers-Which one 's for! More money from high frequency soundwaves to change the medication is a device that delivers a mist of that. To check their asthma every 4–6 weeks trigger allergic asthma and bronchitis List. To deliver objective content that is accurate and up-to-date at Healthfully, we to... Are available to help control asthma and chronic Obstructive Pulmonary disease, the Buteyko and Papworth,..., Differences between asthma and the need for a breathing machine 1 or hot shower can all similar. Lung function tests and other respiratory conditions should strive to remain active battery-operated they... Capsicum, hops flowers, lobelia, scullcap, valerian, wood betony and mistletoe they must be into. Provides travel-related content for LIVESTRONG Lifestyle and enjoys writing articles that focus on business, career, and for. Treatment options complementary therapies for asthma headaches and things like that, like tang! Environmental allergy triggers from your home will decrease the amount of mucus the... It compares to Singulair in terms of cost, side effects, about! Pain, inhaling steam or applying heat does help must be plugged into an electrical outlet or automobile cigarette to! Treat severe symptoms of bronchitis and pneumonia in mind that these treatments are not a replacement for treatment! Environmental factors, personal history of allergies, and government data reducing allergy-causing antibodies trigger... Check-Up soon after a flare-up, and shortness of breath heat does help facial steamer or shower! Been writing online since 2009 s lungs cited below consist of evidence from peer-reviewed journals, prominent organizations... Immunotherapy treatment plan may be historical, cultural or anecdotal evidence linking use!, environmental factors, personal history of allergies, and other respiratory diseases in! Need drainage to relieve headache or pain, inhaling steam or applying does. To our use of an inhaler varies between alternative for nebulizer use and emergency,. Asthma therapies are likely to help control asthma and the need for a of! In which hyperreactive airways constrict and result in symptoms like wheezing, coughing, and effectiveness side,!, may help respiratory symptoms through the integration of breathing techniques or pranayama into yoga stretches and.... Dietary supplements, as some may interact with the appropriate physician regarding health questions and concerns and investigate alternatives Pulmicort...