The Inside Story
Understand asthma symptoms, inflammation and attacks
There are many asthma triggers that cause inflammation in both the small and large airways—the branches that carry air into the lungs.
When a person has an asthma attack (a period during which asthma symptoms appear or get worse), inflamed lungs experience “bronchospasm”—a tightening of the bands of muscle surrounding the airways. This causes the lungs’ airways to become narrow or blocked, making it hard to breathe.
Asthma triggers are things in the environment that can make asthma symptoms worse.
Common asthma triggers include:
Colds or the flu
Changes in weather
Laughing or crying hard
Common asthma symptoms include¹:
Coughing (often worse at night or early in the morning)
Wheezing (like a whistling sound when you breathe)
Chest tightness (like something is sitting on your chest)
Shortness of breath (like you can’t catch your breath or get air out of your lungs)
Not everyone with asthma has the same symptoms¹
Some people with asthma are more likely to cough, rather than wheeze
Different people have asthma symptoms during different seasons
Some find that their asthma symptoms are triggered by sports or exercise, especially those types involving a lot of running or aerobic activity
What are your asthma symptoms? Write them down, and discuss them with your doctor.
Importance of treating asthma inflammation
For many people, asthma is a persistent condition. Even on days when you aren’t experiencing asthma symptoms, the underlying airway inflammation that causes asthma symptoms still needs to be treated. If asthma isn’t controlled, it can lead to more severe symptoms and an even greater risk of needing to go to the emergency room for treatment of an asthma attack.¹
How does QVAR RediHaler help treat asthma?
QVAR RediHaler is a type of daily asthma control medication called an ICS (inhaled corticosteroid). It works by helping to reduce airway inflammation. QVAR RediHaler can help prevent asthma symptoms, reduce the risk of asthma attacks, and improve lung function for many people with asthma.
2 . Learn more about how QVAR RediHaler works
How Your Doctor Decides
Asthma treatment depends on your doctor's diagnosis
Doctors diagnose asthma based on medical and family histories, a physical exam, and test results. Your doctor will determine if the asthma is intermittent (occurring off and on) or persistent, and if it’s mild, moderate, or severe—and prescribe the correct treatment for you.
Medical and family histories
Your doctor will want to know your or your child’s medical history, and whether any family members have asthma or allergies. You may be asked:
What are the asthma symptoms?
When and how often do they occur?
Do they happen only at certain times of the year?
Only in certain places?
Are they worse at night?
What triggers the symptoms?
What makes them worse?
Does anyone in the family have asthma?
Are there any related health conditions that can interfere with asthma management, such as:
A runny nose
Your doctor may listen to your breathing for signs of asthma or allergies. These include wheezing, a runny nose or swollen nasal passages, and allergic skin conditions (such as eczema). You can still have asthma even if these signs aren’t present.
Respiratory diagnostic tests
Don’t let the names scare you. These tests may be performed right in a doctor’s office, to help get a clearer picture of your condition.
Spirometry: Determines how much air you can exhale from your lungs. First, you breathe in deeply and then exhale strongly into the tube of a spirometer. If you don’t meet the standard for your age and gender, you then inhale a bronchodilator—an asthma drug that widens the air passages of the lungs and eases breathing. If, after repeating the test, your lung function has improved, the doctor may suspect asthma.
Bronchoprovocation: Measures the sensitivity of the airways. Your doctor may suggest this test if you are experiencing symptoms that suggest asthma, but have normal spirometry test results and do not respond to rescue medications.
IOS: A newer test called an IOS (impulse oscillometry) is a quick and easy diagnostic test for asthma that works well in children. IOS requires little coordination or cooperation (just brief, normal breathing into a mouthpiece). It measures airway resistance while the patient engages in normal breathing.
FeNO (fractional exhaled nitric oxide): A noninvasive and easily available method for diagnosing asthma is the measurement of FeNO (fractional exhaled nitric oxide). This test measures the amount of nitric oxide (NO) in the lungs. Nitric oxide is a marker of inflammation.
Allergy test: Your doctor may also recommend an allergy test to find out which allergens (such as pollen, pet dander and dust), if any, are asthma triggers.
Additional tests: Your doctor may ask for a test to show whether another condition is present with symptoms similar to those found in asthma, such as reflux disease, vocal cord dysfunction or sleep apnea. A chest X-ray or an EKG (electrocardiogram) may also be required to find out whether a foreign object in the airways or another disease might be causing symptoms.
If your doctor diagnoses you or your child with asthma, ask if
may be the right asthma maintenance treatment for you. QVAR RediHaler
Important Safety Information
and Approved Use
Do not use QVAR RediHaler to treat sudden severe symptoms of asthma. Always have a rescue inhaler with you to treat sudden symptoms.
Do not use QVAR RediHaler if you are allergic to beclomethasone dipropionate or any of the ingredients in QVAR RediHaler.
Do not use QVAR RediHaler more often than prescribed.
Tell your healthcare provider about all the medicines you take and about all of your health conditions.
QVAR RediHaler may cause serious side effects, including:
Fungal infections (thrush) in your mouth and throat. Rinse your mouth with water without swallowing after using QVAR RediHaler to help prevent an infection in your mouth or throat.
Worsening asthma or sudden asthma attacks. After using your rescue inhaler, contact your healthcare provider right away if you do not get relief from your sudden asthma attacks.
Reduced adrenal function (adrenal insufficiency). This potentially life-threatening condition can happen when you stop taking oral corticosteroid medicines and start using inhaled corticosteroid medicines (such as QVAR RediHaler). Tell your healthcare provider right away about any signs and symptoms of adrenal insufficiency such as: feeling tired or exhausted (fatigue); lack of energy; low blood pressure (hypotension); dizziness or feeling faint; nausea and vomiting; or weakness.
Immune system effects and a higher chance for infections. Tell your healthcare provider about any signs or symptoms of infection such as: fever, chills, pain, feeling tired, body aches, nausea, or vomiting.
Increased wheezing (bronchospasm) right after using QVAR RediHaler. Always have a rescue inhaler with you to treat sudden wheezing.
Serious allergic reactions. Stop using QVAR RediHaler and call your healthcare provider or get emergency medical help right away if you get any of the following: hives; swelling of your lips, tongue, or face; rash; or breathing problems.
Slowed growth in children. Children should have their growth checked regularly while using QVAR RediHaler.
Lower bone density. This may be a problem for people who already have a higher chance for low bone density (osteoporosis).
Eye problems. If you have had glaucoma, cataracts or blurred vision in the past, you should have regular eye exams while using QVAR RediHaler.
yeast infection in the mouth (oral candidiasis); cold symptoms (upper respiratory tract infection); pain in the throat (oropharyngeal pain); pain or swelling in your nose and throat (nasopharyngitis); sinus irritation (sinusitis); and hay fever (allergic rhinitis) Common side effects of QVAR RediHaler include: These are not all the possible side effects of QVAR RediHaler. Call your doctor for medical advice about side effects. You may report side effects to FDA at
QVAR® RediHaler™ (beclomethasone dipropionate HFA) Inhalation Aerosol is a breath-actuated inhaled prescription medicine used as a maintenance treatment for the prevention and control of asthma in people 4 years of age and older.
QVAR RediHaler Inhalation Aerosol is not used to relieve sudden breathing problems and won’t replace a rescue inhaler.
. full Prescribing Information
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit
, or call http://www.fda.gov/medwatch 1-800-FDA-1088. Read more