Dr. Howard Smith Oncall

Vidcast:  https://youtu.be/wMLmrsA4nfc   If your child is a mild asthmatic, you need only use inhalers when symptoms arise.  If you do, your child child will likely receive 74% less steroid medication and you’ll save a bundle of money.   This strategy comes from Washington University-St. Louis study just published in The Journal of Allergy and Clinical Immunology.  The researchers studied more than 200 mild asthmatics 6 to 17 years of age.  They compared asthma control in one group receiving typical therapy, daily puffs of the steroid beclomethasone and as needed puffs of the bronchodilator albuterol, with asthma control in a second group receiving both the steroid and bronchodilator inhalers only in the face of shortness of breath, chest tightening, coughing, and wheezing.   At the end of a year, the two groups of asthmatics had similar numbers of attacks, similar visits to their doctors, and similar numbers of urgent visits to the emergency room.  The “AS NEEDED group” used much less steroid and saved a bun