Global asthma experts recently moved to officially condemn reliever-only use as a practice associated with high risk.įor the study, the team examined questionnaires completed by 412 people buying SABA over the counter. The causes are still not well-understood, but triggers are known to include viral infections, exercise, and exposure to allergens and irritants.Īdherence to medications is poor, with many patients failing to use their preventer inhalers regularly, instead relying on reliever medication, the “ambulance-at-the-bottom-of-the-cliff” solution. Two million Australians - about one in ten - have asthma, a chronic lung condition that inflames and narrows the airways, causing wheezing, shortness of breath, chest tightness and coughing. This research indicates that this is common, yet patients don’t seem to be complaining." “It’s well-established that one of the key signs of poor asthma symptom control is the need for frequent reliever use. “The high proportion of reliever overuse and the low proportion of regular preventer use is in complete contrast to what we would hope to see. “Results show our concerns about asthma management are real. “It is critical that we support patients and work with them and their doctors to ensure that asthma flare ups are prevented, and overuse of SABA is not the answer.” “We absolutely don’t want to ask patients to withhold using their SABA if they need it, but we do need to solve the problem of why they need it or feel they need it,” she said. What we really need to understand is why this is happening. “We know that using your reliever too much is linked to poor asthma control, increased airway hyper-responsiveness, more asthma-related hospital admissions and, in extreme cases, death. Senior author Professor Sinthia Bosnic-Anticevich of the University’s Sydney Medical School and head of the Woolcock’s Quality Use of Respiratory Medicines Group – an affiliate of the University of Sydney – said SABA therapy should be carefully restricted to "as needed" usage only. Researchers investigated the use in NSW pharmacies of purchases of short-acting beta agonists (SABA), which can be life-saving in acute severe asthma but for which long-term use can be problematic. The study published today in the prestigious international journal BMJ Open. Alarmingly, almost one in five people who bought their reliever without a prescription reported they had not been diagnosed with asthma. More than two thirds of those surveyed overused their reliever, while in contrast a similar number did not use a preventer puffer regularly. Credit: NIAIDĪustralian asthmatics are overusing reliever medication, according to new research that strongly suggests many are failing to manage their condition.Ī study from the University of Sydney and Woolcock Institute of Medical Research reveals for the first-time details surrounding a hidden population of people who buy their reliever puffer over the counter, with concerning results.
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