Materiały źródłowe

• #1 Exercise-induced asthma – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/symptoms-causes/syc-20372300

  Most people with exercise-induced bronchoconstriction can continue to exercise and remain active if they treat symptoms. Treatment includes asthma medicines and taking steps to prevent symptoms before physical activity starts. […] See your health care provider if you have symptoms of exercise-induced bronchoconstriction. A few conditions can cause similar symptoms, so it’s important to get a diagnosis as soon as you can. […] If not treated, exercise-induced bronchoconstriction can result in serious or life-threatening breathing difficulties, particularly among people with poorly managed asthma. […] Lower quality of life because of inability to exercise.

• #2 Exercise-Induced Asthma: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/4174-exercise-induced-asthma

  Exercise-induced asthma (exercise-induced bronchoconstriction) happens when your airways get smaller during physical activity, triggering asthma symptoms. Warming up, inhalers and other medications can prevent asthma episodes and open your airways when you do have an episode. […] Treatment for exercise-induced asthma focuses on preventing and relieving symptoms. In addition to preventive steps like warming up before physical activity your provider may prescribe medications that can help. Some drugs open your airways while youre having symptoms and others prevent symptoms. […] Your provider may prescribe medications you breathe in using an inhaler or a nebulizer. These can prevent or relieve symptoms. Inhaled medications for exercise-induced asthma include: Short-acting beta-agonists (SABAs). SABAs are a type of bronchodilator, which work by relaxing the muscles in your airways. Also called rescue inhalers, SABAs can relieve symptoms during an EIB episode. SABAs can also prevent asthma symptoms if you take the medication about 15 minutes before physical activity.

• #3 Exercise-Induced Asthma: Practice Essentials, Background, Anatomy

  https://emedicine.medscape.com/article/1938228-overview

  Treatment of the athlete who is experiencing an acute attack of exercise-induced asthma is the same as in any asthma attack situation and includes immediately removing the patient from competition or play. […] The optimal treatment for exercise-induced asthma is to prevent symptomatic onset. After controlling the patient’s underlying and contributing factors (eg, respiratory infection, allergy, allergic asthma), a combination of drugs can be used to prevent this condition. […] The basis of treatment for exercise-induced asthma is with preexercise short-acting beta2-agonist administration. […] There is less of a role for traditional asthma medications (eg, corticosteroids, theophylline) in managing pure exercise-induced asthma. […] The following medications are used in the treatment of exercise-induced asthma: Short-acting beta2-adrenergic agonists (eg, albuterol, pirbuterol, levalbuterol), Long-acting beta2-adrenergic agonists (eg, salmeterol, formoterol), Mast cell stabilizers (eg, cromolyn sodium), Inhaled corticosteroids (eg, flunisolide, beclomethasone dipropionate, ciclesonide, fluticasone, budesonide), Xanthine derivatives (eg, theophylline), Leukotriene receptor antagonists (eg, zafirlukast, montelukast), 5-Lipoxygenase inhibitors (eg, zileuton), Adrenergic agents (eg, epinephrine). […] Nonpharmacologic measures in the treatment of exercise-induced asthma include the following: Sports selection, Altering breathing techniques (eg, predominant mouth breathing to nasal breathing), Coordination and timing of warm-up techniques, medication, and competition.

• #4 Exercise-induced asthma – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/diagnosis-treatment/drc-20372306

  Your health care provider might prescribe medicines to take shortly before exercise or to take daily for long-term control. […] If your provider prescribes a medicine to take before exercising, ask how much time you need between taking the medicine and starting the activity. […] Short-acting beta agonists (SABAs) are the most commonly prescribed medicines to take before exercising. These medicines include albuterol (ProAir HFA, Proventil-HFA, Ventolin HFA) and levalbuterol (Xopenex HFA). short-acting beta2 agonists (SABAs) are inhaled medicines that help open airways. Do not use these medicines every day because it can make them less effective. […] Ipratropium (Atrovent HFA) is an inhaled medicine that relaxes the airways and may be effective for some people. A generic version of ipratropium also can be taken with a device called a nebulizer.

• #4 Exercise-induced asthma – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/diagnosis-treatment/drc-20372306

  You also can use preexercise medicines as a quick-relief treatment for symptoms. However, you shouldn’t need to use your preexercise inhaler more often than recommended. […] If you use your inhaler daily or you frequently use it for symptom relief, your provider might adjust your long-term control medication.

• #5 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics

  Exercise-induced asthma occurs when the airways narrow as a result of exercise. The preferred term for this condition is exercise-induced bronchoconstriction (EIB); exercise does not cause asthma, but is frequently an asthma trigger. […] Some patients can often prevent or reduce exercise-induced asthma symptoms by improving their day-to-day asthma control and improving their fitness level with regular exercise. […] Wearing a loosely fitting scarf or mask when exercising in cold, dry air or exercising where the air is warmer and more humid can help prevent exercise-induced asthma symptoms. […] Preventing exercise-induced bronchoconstriction usually includes use of an inhaled medication prior to exercise. […] Inhalation of a rapid-acting bronchodilator (eg, two puffs of albuterol) may be taken 5 to 20 minutes before exercise.

• #5 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics

  An alternative is to use a combination inhaler that includes formoterol and an inhaled corticosteroid. […] For people who exercise once a day or less — Preventing exercise-induced bronchoconstriction usually includes use of an inhaled medication prior to exercise. […] Some adults and most children exercise intermittently throughout the day, making it hard to use a preventive treatment before each episode of activity. In this case, a long-acting inhaled bronchodilator (eg, salmeterol or formoterol) or a leukotriene modifier (eg, montelukast or zafirlukast) may be recommended to provide day-long protection. […] Long-acting bronchodilators (LABAs), such as salmeterol and formoterol, work for a longer period than rapid-acting bronchodilators. […] Leukotriene modifiers work by decreasing airway narrowing, inflammation, and mucus production.

• #6 Exercise-Induced Asthma: Symptoms, Treatments, Prevention, and Causes

  https://www.webmd.com/asthma/exercise-induced-asthma

  How Do You Treat Exercise-Induced Asthma? […] Yes. Asthma inhalers or bronchodilators used before exercise can control and prevent exercise-induced asthma symptoms. The preferred asthma medications are short-acting beta-2 agonists such as albuterol. Taken 10 minutes before exercise, these medications can prevent the airways from contracting and help control exercise-induced asthma. […] In addition to taking medications, warming up before exercising and cooling down after can help prevent asthma. […] Always use your pre-exercise inhaled drugs. […] Again, asthma should not be used as an excuse to avoid exercise. With proper diagnosis and treatment of asthma, you should be able to enjoy the benefits of an exercise program without asthma symptoms.

• #7 Exercise-Induced Asthma | Rochester Regional Health

  https://www.rochesterregional.org/services/allergy-immunology-rheumatology/asthma/exercise-induced-asthma

  Our program focuses on improving the quality of life after an exercise-induced asthma diagnosis. Long-term prevention means we’re doing more than just treating flares, we’re actively trying to prevent them. […] Bronchodilator inhalers, such as albuterol and levalbuterol are the most common treatments for EIA. One or two puffs of these sprays can be used before exercise (5-10 minutes prior) as short-term prevention. […] If your short-acting treatment options wear off too quickly, long-acting bronchodilator drugs are another option. Often, long-acting bronchodilators are combined with a cortisone spray to give you the best all-around treatment.

• #8 Exercise-Induced Asthma: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/4174-exercise-induced-asthma

  Long-acting beta-agonist (LABAs). LABAs are another type of bronchodilator thats combined with corticosteroids (they arent used alone to treat asthma). LABAs can prevent an EIB episode if you inhale the medication about 30 minutes to an hour before you exercise. […] Corticosteroids reduce swelling in your airways to increase airflow. Your provider may prescribe them to use daily to prevent symptoms. […] Mast cell stabilizers reduce inflammation in your airways. You can inhale this medication using a nebulizer about 15 minutes before exercise to help prevent symptoms. […] Leukotriene modifiers and antihistamines also help reduce asthma symptoms in some people.

• #9 Treatment options for the management of exercise-induced asthma and bronchoconstriction – PubMed

  https://pubmed.ncbi.nlm.nih.gov/21150145/

  Treatment for exercise-induced bronchospasm and exercise-induced asthma includes both pharmacologic and nonpharmacologic options. Pharmacologic agents that have been proven to be effective for treating these conditions include short- and long-acting 2-adrenoceptor agonists, mast cell-stabilizing agents, anticholinergics, leukotriene receptor antagonists, and inhaled corticosteroids (ICS). […] Nonpharmacologic treatments include physical conditioning, incorporating a warm-up before and a cool-down period after exercise, performing nasal breathing, avoiding cold weather or environmental allergens, using a face mask or other aid to warm and humidify inhaled air, and modifying dietary intake. […] The data to support nonpharmacologic treatments are limited; however, they are routinely recommended because of the low risk associated with their use.

• #10 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics/print

  Long-acting bronchodilators (LABAs), such as salmeterol and formoterol, work for a longer period than rapid-acting bronchodilators. LABAs should always be used in combination with an inhaled glucocorticoid. […] Leukotriene modifiers work by decreasing airway narrowing, inflammation, and mucus production. […] Montelukast is approved for use as needed before exercise for patients who do not require daily medication. […] If asthma symptoms develop despite pretreatment with a leukotriene modifier, a rapid-acting bronchodilator (eg, albuterol, levalbuterol, or budesonide-formoterol) should be used.

• #11 Patient education: Exercise-induced asthma (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/exercise-induced-asthma-beyond-the-basics

  Montelukast is approved for use as needed before exercise for patients who do not require daily medication. […] If asthma symptoms develop despite pretreatment with a leukotriene modifier, a rapid-acting bronchodilator (eg, albuterol, levalbuterol, or budesonide-formoterol) should be used. […] A patient or parent/caregiver should work with a healthcare provider to formulate an emergency care plan (also called an asthma action plan) that explains specifically what to do if asthma symptoms worsen. […] Following a severe asthma attack, the patient is usually given a three to ten day course of an oral glucocorticoid medication (eg, prednisone, prednisolone).

• #12 Exercise-induced asthma – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/exercise-induced-asthma/diagnosis-treatment/drc-20372306

  Your provider may prescribe a long-term control medicine to manage underlying asthma or to control symptoms when preexercise treatment alone doesn’t work. These medicines are usually taken daily. They include: […] Inhaled corticosteroids, which help calm inflammation in your airways. You take these medicines by breathing them in. You might need to use this treatment for up to four weeks before it will have maximum benefit. […] Combination inhalers, which contain a corticosteroid and a long-acting beta agonist (LABA), a medicine that relaxes airways. These inhalers are prescribed for long-term control, but your provider may recommend using it before you exercise. […] Leukotriene modifiers, which are medicines that block inflammatory activity for some people. These medicines are taken by mouth. They can be used daily or before exercise if taken at least two hours in advance.

• #13 Treatment of exercise induced asthma – GPnotebook

  https://gpnotebook.com/pages/respiratory-and-chest-medicine/asthma-exercise-related/treatment-of-exercise-induced-asthma

  For most patients, exercise-induced asthma is an expression of poorly controlled asthma and regular treatment including inhaled corticosteroids should be reviewed. […] If exercise is a specific problem in patients taking inhaled corticosteroids who are otherwise well-controlled, consider adding one of the following therapies: leukotriene receptor antagonists, long-acting beta2 agonists, sodium cromoglicate or nedocromil sodium, theophyllines. […] Immediately prior to exercise, inhaled short-acting beta2 agonists are the drug of choice. […] A systematic review revealed that inhaled corticosteroids used for 4 weeks or more before exercise testing significantly attenuated exercise-induced bronchoconstriction.

• #14 Exercise-Induced Bronchoconstriction (EIB) | ACAAI Public Website

  https://acaai.org/asthma/types-of-asthma/exercise-induced-bronchoconstriction-eib/

  Many professional athletes have asthma, but with the right treatment, they can still breathe easy during exercise. […] An allergist will customize a treatment plan that allows you to get back to the exercise you love, and feel better while doing it. […] Two types of medicines used to treat asthma are also used to prevent and treat EIB symptoms. They are usually taken through an inhaler, though some are available in tablet form: […] Short-acting inhaled beta2-agonists (bronchodilators) stop symptoms right away. They may be taken 15 to 30 minutes before vigorous exercise and generally prevent symptoms for two to four hours. […] Long-term control asthma medicines are taken daily to prevent symptoms and attacks. […] Inhaled corticosteroids. These are the most commonly prescribed long-term asthma medications. They help to relieve narrowing and inflammation of the bronchial tubes. It may take two to four weeks before these drugs reach their maximum effect.

• #15 Managing Exercise-Induced Bronchoconstriction

  https://www.uspharmacist.com/article/managing-exerciseinduced-bronchoconstriction

  For patients with EIB and diagnosed asthma, the addition of a controller agent such as an ICS used daily is highly recommended. […] The use of low-dose inhaled budesonide and formoterol before exercise, as opposed to SABA monotherapy before exercise, was superior in lowering EIB symptoms, according to a 6-week study of the use of ICS with formoterol on individuals with moderate asthma. […] Although SABAs are the first-line therapy for the management of EIB, pharmacists must be aware of the long-term risks associated with SABA usage. […] Overuse of SABAs is risky since it raises the possibility of exacerbations and asthma-related mortality. […] Pharmacists should also be checking for possible drug-drug interactions and contraindications and alert patients on possible adverse effects. […] Furthermore, pharmacists can greatly impact and improve patient medication adherence.

• #16 Exercise-Induced Bronchoconstriction (EIB) | ACAAI Public Website

  https://acaai.org/asthma/types-of-asthma/exercise-induced-bronchoconstriction-eib/

  Long-acting inhaled beta2-agonists (bronchodilators). Taken 30 to 60 minutes before exercise, these medications help prevent symptoms for 10 to 12 hours. […] Montelukast, a leukotriene receptor inhibitor, is also approved for the treatment of exercise-induced asthma symptoms. […] Other suggestions for relieving symptoms of EIB include: […] See an allergist to discuss prescription medications, which may be more effective than over-the-counter treatments. […] If you continue to experience symptoms when you exercise, talk to your allergist. Together, you can work to adjust your personal treatment plan to make sure you’re feeling and performing your best.

• #17 Exercise-Induced Asthma: Causes, Symptoms, Treatment and More – Global Allergy & Airways Patient PlatformExpandExpandExpandExpandExpandExpandToggle MenuScroll to topScroll to topExpandExpandExpandExpandExpandExpand

  https://gaapp.org/diseases/asthma/exercise-induced-asthma

  The following short-term and long-term treatments have been shown to protect effectively against exercise-induced asthma or EIB. […] Inhaled short-acting beta-2-agoists (SABA) are bronchodilators that act quickly and keep symptoms at bay for two to four hours. Take 15 to 30 minutes before you exercise and as needed. […] Alternatively a combination of a long-acting beta-2-agoist (LABA) and a corticosteroid can be inhaled 30 to 60 minutes before you exercise. This should prevent symptoms for up to 12 hours. You can take this only once in a 12-hour period. […] Inhaled corticosteroids (anti-inflammatories) – are used daily to reduce the inflammation and sensitivity of the airways, so preventing the symptoms of EIB. […] A leukotriene receptor antagonist (LTRA) can be taken in the form of a daily tablet to prevent symptoms that accompany exercise.

• #17 Exercise-Induced Asthma: Causes, Symptoms, Treatment and More – Global Allergy & Airways Patient PlatformExpandExpandExpandExpandExpandExpandToggle MenuScroll to topScroll to topExpandExpandExpandExpandExpandExpand

  https://gaapp.org/diseases/asthma/exercise-induced-asthma

  Theophyllines – a daily tablet preventer. […] Sodium cromoglycate or nedocromil sodium – daily tablet preventer. […] You can reduce or prevent exercise-induced asthma symptoms in you or your child by following the advice below: Warm up gently for about 15 minutes before starting intense physical exercise and always cool down after. […] Your doctor or nurse can advise the best ways to manage your symptoms when exercising. This may include using breathing exercises or avoiding exercise in certain climates.

• #18 Exercise-Induced Bronchoconstriction: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/0815/p427.html

  Although pharmacologic treatment has been well studied, more research is needed to differentiate between optimal treatment of persons who have EIB with underlying asthma and those who have EIB without asthma. […] Medication is the mainstay of treatment for persons with EIB. […] Short-acting beta2 agonists are recommended first-line treatment in the management of EIB, preventively and for acute symptoms. […] Inhaled corticosteroids are considered controller medications and are the mainstay of treatment in patients with persistent asthma. […] Leukotriene receptor antagonists have been shown to have a persistent benefit against EIB. […] Ipratropium (Atrovent) is an anticholinergic that provides some protection against EIB but is not as effective as short-acting beta2 agonists or leukotriene receptor antagonists.

• #18 Exercise-Induced Bronchoconstriction: Diagnosis and Management | AAFP

  https://www.aafp.org/pubs/afp/issues/2011/0815/p427.html

  Exercise-induced bronchoconstriction describes the narrowing of the airway that occurs with exercise. […] Nonpharmacologic treatment options include avoiding known triggers, choosing sports with low minute ventilation, warming up before exercising, and wearing a heat exchange mask in cold weather. […] Short-acting beta2 agonists are recommended first-line agents for pharmacologic treatment, although leukotriene receptor antagonists or inhaled corticosteroids with or without long-acting beta2 agonists may be needed in refractory cases. […] The main goal of treatment is to allow patients to exercise safely. […] Several nonpharmacologic options exist for managing EIB. Basic measures include avoiding known triggers (allergen and environmental) and choosing sports with low minute ventilation (short bursts of exercise), such as football, baseball, wrestling, or sprinting.

• #19 Exercise-Induced Asthma: Symptoms, Causes, Treatment, Prevention

  https://www.healthline.com/health/asthma/exercise-induced-asthma

  Anticholinergics. Anticholinergics block acetylcholine, a neurotransmitter that causes inflammation and mucus production in asthma. […] Breathing exercises may help improve your lung function and ability to breathe. Examples of breathing exercises for asthma include: […] Use an inhaler before exercising. If your doctor prescribed a rescue inhaler, always use it before physical activity and wait for the recommended amount of time before exercising. […] Warm up and cool down. Avoid abruptly starting or stopping activity. Spend 5 to 10 minutes warming up before you begin exercising, and spend 5 minutes gradually cooling down afterward. […] Your doctor can prescribe an inhaler to manage your symptoms. Avoiding cold-weather sports, taking frequent breaks, and warming up and cooling down before and after exercise can also help.

• #20 Exercise-Induced Asthma Treatment & Management: Approach Considerations, Nonpharmacologic Measures, Return to Play

  https://emedicine.medscape.com/article/1938228-treatment

  The optimal treatment for EIA is to prevent the onset of symptoms. After controlling the patient’s underlying and contributing factors (eg, respiratory infection, allergy, allergic asthma), a combination of drugs can be used to prevent EIA. […] The basis of treatment is with preexercise short-acting 2 -agonist administration. […] A role also exists for long-acting 2 -agonists and mast cell stabilizers. Antileukotriene drugs have been shown to be effective as well (see Medications). […] Treatment of the athlete who is experiencing an acute attack of EIA is the same as in any asthma attack situation and includes immediately removing the patient from competition or play. […] Provide immediate administration of a rapid onset, short-acting 2 -agonist (eg, albuterol); this has the highest therapeutic yield.

• #21 Exercise-Induced Asthma Treatment & Management: Approach Considerations, Nonpharmacologic Measures, Return to Play

  https://emedicine.medscape.com/article/1938228-treatment

  If the initial response to treatment was adequate, patient observation and monitoring need to continue for several hours in case of a relapse. […] If the initial treatment fails or is unavailable, or if patient relapse is immediate, immediate transfer of the patient to an acute care facility should occur. Subcutaneous epinephrine can be administered in such life-threatening situations. […] Sports selection and altering breathing and/or warm-up techniques are measures can also be taken in the treatment of EIA. […] The coordination and timing of competition with medication use can also maximize exercise performance with regard to bronchospasm. […] Although no clear-cut guidelines exist, a player who is removed from play for an asthma attack should be kept out of play until his or her respiration has normalized.

• #22 Exercise-Induced Asthma: Cold Weather, Warm Ups, Best Sports

  https://www.webmd.com/asthma/features/athletes-guide-exercise-induced-asthma

  Exercise-induced asthma shouldn’t keep you from working out. Here’s how to keep your symptoms under control. […] How can these symptoms be prevented and treated, so asthma doesn’t become an excuse to avoid exercise? […] Here are some tips for reducing the symptoms of exercise-induced asthma: Be sure to warm up before working out. „A proper warm-up for at least 10 minutes with a gradual increase in intensity can help prevent symptoms,” says Miller. […] Use an inhaler. Inhalers contain albuterol, a beta-agonist bronchodilator. This class of drugs is effective in 80% to 90% of people with exercise-induced asthma. As a preventive therapy, it should be taken about 15 minutes before exercise. The effects can last for up to four to six hours. Your inhaler can also be used to relieve asthma symptoms after they flare.

• #23 Managing Exercise-Induced Bronchoconstriction

  https://www.uspharmacist.com/article/managing-exerciseinduced-bronchoconstriction

  Although EIB is normally controlled through prescription medication, pharmacists have a responsibility also to advise patients on various nonpharmacologic methods to prevent EIB. […] The most studied and validated method to prevent EIB is to induce a refractory period by performing a moderate physical warm-up before exercise. […] The health of individuals with EIB may deteriorate as a result of overprescribing and overusing SABAs. Therefore, it is important for pharmacists to be aware of their patient population and educate patients on not only the use of their prescription medications, but also how to implement nonpharmacologic interventions that may further enhance their quality of life.

• #24 Asthma and Exercise – Allergy & Asthma Network

  https://allergyasthmanetwork.org/what-is-asthma/asthma-exercise/

  Some activities are better than others for people with exercise-induced asthma. Swimming is often a good choice because its done in a warm, humid environment. Also, the horizontal position may help move mucus from the bottom of your lungs. But if you are sensitive to chlorine, you may want to try another activity. Sports with short bursts of activity such as baseball or golf may be ideal. You may also try yoga, walking, leisure biking or hiking. These forms of exercise may be easier to pace than other types of activity.

• #25

  https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=hw161742

  If you have exercise-induced asthma, talk with your doctor about using medicine before exercise. It may help reduce symptoms. It will especially help in cold, dry weather. […] Some doctors recommend that: […] You use a quick-relief medicine (called a short-acting beta-2 agonist) about 10 to 30 minutes before you exercise. The effect of this medicine lasts several hours. […] You take your long-term controller medicine every day, if needed. This can help reduce airway inflammation. And this can help reduce the overreaction of the airways that carry air to the lungs (bronchial tubes). […] Here are some other steps you can take to reduce symptoms when you’re active: […] Avoid being exposed to air pollutants and allergens when you can. Exercise indoors when air pollution levels are high. […] Wear a mask or scarf wrapped around your nose and mouth if you exercise in cold weather. This may help warm and moisten the air you breathe in. […] Warm up before strenuous exercise. And slowly increase your activity.

• #26 Exercise-Induced Asthma: Diagnosis, Management, and More

  https://resources.healthgrades.com/right-care/asthma/exercise-induced-asthma

  Inhaled corticosteroids (ICSs): If a SABA does not improve symptoms, or if you need to use a SABA daily, an ICS can be a further option. […] Leukotriene receptor antagonist (LTRA): LTRAs address the inflammatory responses involved with EIB. […] Antihistamines: Your doctor may prescribe an antihistamine for underlying allergies. […] Nonclinical management methods can help avoid or improve symptoms of EIB. […] These methods can include self-management techniques you can implement yourself. […] Avoiding triggers while exercising: Avoid exercising in environments high in allergens or irritants such as pollen, ozone, and exhaust. […] Warming up before periods of exercise or intensive activity for around 10 minutes may help to manage symptoms. […] Researchers suggest that exercise can improve EIB severity and lung function, and also reduce airway inflammation.

• #26 Exercise-Induced Asthma: Diagnosis, Management, and More

  https://resources.healthgrades.com/right-care/asthma/exercise-induced-asthma

  Breath control or training work, such as yoga, may decrease symptoms, reduce the use of medication, and decrease anxiety and depression linked to EIB, thus increasing quality of life. […] However, proper treatment and management techniques can allow people with EIB to lead a physical life free of many symptoms.

• #27 Exercise-Induced Asthma | Allergist in Orlando, Altamonte Springs And Dr. Phillips FL | Total Allergy and Asthma

  https://www.totalallergyandasthma.com/exercise-induced-asthma

  If recommended by your doctor, using a rescue inhaler or other medications before exercise can prevent symptoms from occurring. […] Identifying and avoiding asthma triggers can help reduce the frequency and severity of exercise-induced asthma. […] Drinking plenty of water before, during, and after exercise can help keep the airways moist and reduce irritation, especially in dry or cold conditions. […] Keeping track of your symptoms and monitoring your peak flow can help you stay on top of your asthma management plan. If your peak flow decreases or symptoms worsen, consult your doctor for adjustments to your treatment plan. […] With the right treatment plan and precautions, exercise-induced asthma can be effectively managed. At Total Allergy, Asthma Immunology, we are committed to helping you stay active and healthy by providing personalized care for exercise-induced asthma.

• #28 Exercise for Asthma: Best Exercises, Benefits, and More

  https://www.healthline.com/health/asthma/exercise-for-asthma

  Though asthma inflames the airways, regular exercise can actually decrease inflammation. It works by reducing inflammatory proteins, which improves how your airways respond to exercise. […] In addition to physical activity, certain breathing exercises can also reduce asthma symptoms. These methods help by opening the airways, moving fresh air into the lungs, and reducing the effort of breathing. […] However, its still important to take your medications as directed. This is the best way to control asthma symptoms, especially during exercise. […] In general, the best exercises for asthma involve brief bursts of exertion. Gentle, low intensity activities are also suitable. These exercises dont overwork your lungs, so theyre less likely to cause asthma symptoms. […] Swimming is one of the most recommended exercises for people with asthma.

• #28 Exercise for Asthma: Best Exercises, Benefits, and More

  https://www.healthline.com/health/asthma/exercise-for-asthma

  As a low intensity activity, walking is another great choice. This form of exercise is gentle on the body, which makes it easier to breathe. […] If you have EIB, try biking at a leisurely pace. This is another gentle activity that doesnt involve constant exertion. […] If a pre-exercise inhaler doesnt manage your symptoms, you may be given another medication. This could include oral drugs or additional inhalers that decrease airway inflammation. […] Regular physical activity is essential for managing health, improving energy, and reducing the risk of chronic disease. If you already have a chronic condition, regular exercise can help you manage it. […] This includes asthma. With a doctors guidance, regular exercise could help asthma by: […] In addition to prescription medication, exercise can help you gain better control of your asthma symptoms.

• #29 Exercise-Induced Asthma: Managing Respiratory Issues in Athletes

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10801521/

  Asthma is a complex respiratory condition characterized by chronic airway inflammation and variable expiratory airflow limitation, affecting millions globally. […] Exercise-induced bronchoconstriction (EIB) is a common issue among athletes, impacting their performance and well-being. […] The management of EIB in athletes aligns with the general principles for symptom control, prevention, and reducing complications. Non-pharmacological approaches, including trigger avoidance and warming up, are essential. Inhaled corticosteroids (ICS) are the cornerstone of asthma therapy in athletes. […] Optimal management improves the athletes quality of life and allows them to pursue competitive sports effectively. […] The overall management of EIB, whether with or without underlying asthma, should align with similar principles for both athletes and non-athletes.

• #29 Exercise-Induced Asthma: Managing Respiratory Issues in Athletes

  https://pmc.ncbi.nlm.nih.gov/articles/PMC10801521/

  Asthma management involves both non-pharmacological and pharmacological therapies. Non-pharmacological treatment primarily revolves around trigger avoidance whenever feasible. […] While there is no consensus on the ideal warm-up, common recommendations advocate for a warm-up lasting 10-15 min. […] The pharmacological therapy for EIB in individuals with asthma follows the same principles as the general therapy for asthma, with the approach being based on the severity and frequency of symptoms. […] In athletes, ICS are the cornerstone of asthma therapy, although they are under-used compared to inhaled 2 agonists. […] Short-acting beta agonists (SABA) provide quick relief from EIB symptoms by relaxing the smooth muscles in the airways. […] Other chronic therapeutic options may include leukotriene receptor antagonists (LTRA) which block the action of leukotrienes, reduce exercise-induced bronchoconstriction, and exert protective effects against bronchoconstriction caused by exposure to pollutants or mast cell stabilizing agents (MCSA). […] While the focus of this review is not doping regulations, it is important to clarify that certain medications might be prohibited by the World Anti-Doping Agency (WADA) if they are deemed performance-enhancing, hazardous to health, or contrary to the spirit of sportsmanship.

• #30 Exercise-Induced Asthma Treatment in Charlotte | CAAC

  https://www.carolinaasthma.com/exercise-induced-asthma/

  Proper diagnosis and management of exercise-induced asthma are crucial. Misdiagnosis can lead those who suffer from EIA to avoid physical activity, potentially compromising overall health and quality of life. At Carolina Asthma Allergy Center, we can help you learn more about EIA, including its symptoms, triggers, and potential complications, to collaborate with our professionals on effective strategies to manage this condition. […] Effective management of EIA typically involves developing personalized treatment plans. These plans take into account ones specific triggers, the severity of their symptoms, and their overall health. Some key components of personalized treatment plans may include: […] Medications play a pivotal role in managing EIA and can be divided into two main categories:

• #30 Exercise-Induced Asthma Treatment in Charlotte | CAAC

  https://www.carolinaasthma.com/exercise-induced-asthma/

  Your allergist or other healthcare provider will work with you to determine the most suitable medication(s) for your condition and instruct you on their proper use. […] Successfully managing EIA often requires ongoing monitoring and support: […] Effectively managing EIA requires a multifaceted approach that considers individual triggers, medication options, exercise practices, and ongoing support. By working closely with healthcare providers to develop personalized treatment plans and adhering to recommended strategies, individuals can confidently pursue physical activities while maintaining their respiratory health.

• #31 Exercise-induced bronchoconstriction: prevalence, pathophysiology, patient impact, diagnosis and management | npj Primary Care Respiratory Medicine

  https://www.nature.com/articles/s41533-018-0098-2

  Exercise-induced bronchoconstriction (EIB) can occur in individuals with and without asthma, and is prevalent among athletes of all levels. […] In patients without asthma, EIB can be managed by various non-pharmacological methods and the use of pre-exercise short-acting 2-agonists (SABAs). […] Inhaled corticosteroids are recommended when asthma control is suboptimal; however, pre-exercise SABAs are also widely used and are recommended as the first-line therapy. […] For patients without underlying asthma, management of EIB should focus on relief of bronchoconstriction, and the reduction in risk (or prevention entirely) of the occurrence of bronchoconstriction, to allow the patient to continue to engage in physical exercise with minimal respiratory symptoms. […] If EIB symptoms continue despite these non-pharmacological approaches, use of pharmacological methods such as short-acting 2-agonists (SABAs) 15min before exercise, leukotriene receptor antagonists (LTRAs) or chromones should be considered as alternative pre-exercise treatments in accordance with guidelines recommendations.

• #31 Exercise-induced bronchoconstriction: prevalence, pathophysiology, patient impact, diagnosis and management | npj Primary Care Respiratory Medicine

  https://www.nature.com/articles/s41533-018-0098-2

  EIB in patients with asthma can be a sign of poor asthma control. […] In addition to the non-pharmacological approaches described above, guidelines recommend various pharmacological therapies to help prevent EIB in patients with chronic asthma. […] The ATS guidelines acknowledge that EIB may be present in both patients with and without asthma, and as such do not make specific recommendations based on the presence of asthma. […] In patients diagnosed with EIB and asthma, the use of an inhaled SABA, typically 15min before exercise, is strongly recommended. […] Both LTRAs and mast cell-stabilising agents are considered suitable pre-exercise treatment options.

• #32 Exercise-induced asthma | UM Health-Sparrow

  https://www.uofmhealthsparrow.org/departments-conditions/conditions/exercise-induced-asthma

  You also can use preexercise medicines as a quick-relief treatment for symptoms. However, you shouldn’t need to use your preexercise inhaler more often than recommended. […] If you use your inhaler daily or you frequently use it for symptom relief, your provider might adjust your long-term control medication.

• #33 Therapeutic Options for Exercise-induced Bronchoconstriction | RT

  https://respiratory-therapy.com/disorders-diseases/chronic-pulmonary-disorders/chronic-diseases/therapeutic-options-exercise-induced-bronchoconstriction/

  Another pharmacologic therapy available is Leukotriene modifiers, which are long-term control medications that include montelukast (Singulair), zafirlukast (Accolate), and zileuton (Zyflo, Zyflo CR). […] Inhaled corticosteroids are recommended as first-line therapy in terms of controller medications for athletes who have asthma and experience EIB. […] Overall, SABAs are recommended first-line agents for pharmacologic treatment, although leukotriene receptor antagonists or inhaled corticosteroids with or without LABAs may be needed in refractory cases. […] Most of the aforementioned drugs used to treat EIB can be used by athletes with documented asthma except systemic steroids, systemic B?-agonists, and other adrenergic drugs. […] Continued education of athletic trainers, coaches, parents, and athletes themselves regarding EIB is critical.

• #33 Therapeutic Options for Exercise-induced Bronchoconstriction | RT

  https://respiratory-therapy.com/disorders-diseases/chronic-pulmonary-disorders/chronic-diseases/therapeutic-options-exercise-induced-bronchoconstriction/

  The prompt diagnosis and treatment of exercise-induced bronchoconstriction (EIB) can ensure healthful outcomes for patients. […] This article will examine the impact of EIB in adult athletes, asthma patients, and the general population, along with effective pharmacologic and nonpharmacologic treatment options that can help manage this condition. […] The health consequences of unrecognized or inadequately treated EIB can be significant, and thus accurate diagnosis and prompt treatment are essential. […] The diagnosis and treatment of EIB is essential in athletes, especially high-level athletes, in order to allow them to function and compete. […] The therapeutic options for the treatment of EIB include a number of nonpharmacologic and pharmacologic therapy options. […] Medication is the mainstay of treatment for individuals with EIB, but those coping with this condition can use nonpharmacologic therapy options as well.

• #34 What Is Exercise Induced Asthma? | AAFA.org

  https://aafa.org/asthma/asthma-triggers-causes/exercise-induced-asthma/

  Everyone needs to exercise, even people with asthma! A strong, healthy body is one of your best defenses against disease. But some people have asthma episodes during exercise. This is called exercise-induced bronchoconstriction. By taking steps to control your asthma, you should be able to exercise free of symptoms. […] If you have EIB, your doctor will help you create a plan so you can take steps to prevent asthma symptoms during exercise. Your doctor will also tell you what to do if you have an asthma flare-up or attack. […] Good general health, physical conditioning, and medical treatment can prevent EIB in most people. If you have EIB, your doctor will prescribe asthma medicine for you to take to help you manage your symptoms. Your doctor may prescribe a quick-relief medicine (usually in inhaler form). You would take it 15 to 20 minutes before activity or exercise.

• #34 What Is Exercise Induced Asthma? | AAFA.org

  https://aafa.org/asthma/asthma-triggers-causes/exercise-induced-asthma/

  If you continue to have frequent symptoms with usual activity or exercise, talk with your doctor. Your doctor may adjust your asthma treatment plan to help your symptoms. The major goal is to continue exercising regularly and not avoid it. […] With effective management, people with EIB can perform and excel in a variety of sports. Many Olympic athletes and professional athletes with EIB excel in their sports, when it is appropriately managed. […] While exercise cannot cure your asthma, some of its health benefits can help keep your asthma well-controlled.

• #35 Exercise-induced bronchoconstriction: new evidence in pathogenesis, diagnosis and treatment | Asthma Research and Practice | Full Text

  https://asthmarp.biomedcentral.com/articles/10.1186/s40733-015-0004-4

  Leukotriene antagonists (i.e. montelukast) have been reported to be effective in preventing EIBA. […] Regular use of inhaled corticosteroid (ICS) represents the therapy of choice for asthma control and therefore is a recommended treatment to prevent EIBA. […] The prophylactic administration of ICS has been also suggested in EIBwA, particularly if physical activity is performed regularly (3 times per week), representing a repetitive stimulus for the onset of bronchoconstriction. […] However, the use of ICS in the prevention of EIBwA may be controversial. […] Beta-2 adrenergic drugs, both short- and long-acting (SABA and LABA), when given in a single inhaled dose or with intermittent administration before exercise, are the most effective drugs to prevent both EIBA and EIBwA, providing complete protection against exercise (FEV1 fall 10 %) in 68 % of subjects.

• #35 Exercise-induced bronchoconstriction: new evidence in pathogenesis, diagnosis and treatment | Asthma Research and Practice | Full Text

  https://asthmarp.biomedcentral.com/articles/10.1186/s40733-015-0004-4

  However, the chronic use of SABA and LABA often results in a reduction of the duration and/or magnitude of protection against EIB with cross-reacting tolerance to other beta-2 agonists. […] Therefore, SABA and LABA should be used with caution on a daily basis to prevent EIB. […] Calcium channel blockers, beta-adrenergic receptor antagonists, inhaled furosemide, heparin, and hyaluronic acid have been studied to prevent EIB with inconsistent results. […] Similar non-pharmacologic preventive measures can be adopted in both EIBA and EIBwA. […] These include, whenever possible, avoiding exercise in an at-risk air environment because of temperature, humidity, and pollutants or specific allergens in sensitized subjects. […] There is at last some evidence that weight loss and dietary factors, such as a low sodium intake, omega-3 polyunsaturated fatty acids, or a supplementation of ascorbic acid may be helpful in reducing the occurrence and severity of EIB.

• #36 Exercise-Induced Bronchoconstriction in Children: State of the Art from Diagnosis to Treatment

  https://www.mdpi.com/2077-0383/13/15/4558

  Exercise-induced bronchoconstriction (EIB) is a common clinical entity in people with asthma. […] Treatment options include both pharmacological and behavioral approaches. Considering medications, the use of short-acting beta-agonists (SABA) just before exercise is the commonest option strategy, but daily inhaled corticosteroids (ICS) can also be considered, especially when EIB is not controlled with SABA only or when the patients practice physical activity very often. […] Among the behavioral approaches, warm-up before exercise, breathing through the nose or face mask, and avoiding polluted environments are all recommended strategies to reduce EIB risk. […] This review summarizes the latest evidence published over the last 10 years on the pathogenesis, diagnosis using spirometry and indirect bronchoprovocation tests, and treatment strategies, including SABA and ICS, of EIB. […] A specific focus has been placed on EIB management in young athletes, since this condition can not only prevent them from practicing regular physical activity but also competitive sports.

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