Challenges with present symptom control and risk reduction of future exacerbations in asthma: Indian patients' perspectives
Asthma poses a serious burden and remains poorly understood and unrecognized, in lower- and middle-income countries such as India where healthcare resources are already constrained. Several misconceptions exist among Indian patients regarding asthma, including the nature of the disease. Poor adheren...
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Format: | Article |
Language: | English |
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Jaypee Brothers Medical Publisher
2021-01-01
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Series: | Indian Journal of Respiratory Care |
Subjects: | |
Online Access: | http://www.ijrc.in/article.asp?issn=2277-9019;year=2021;volume=10;issue=2;spage=190;epage=195;aulast=Narasimhan |
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author | Raghupathi Narasimhan Lancelot Pinto Susmita Roy Choudhary Nila Velayudhan |
author_facet | Raghupathi Narasimhan Lancelot Pinto Susmita Roy Choudhary Nila Velayudhan |
author_sort | Raghupathi Narasimhan |
collection | DOAJ |
description | Asthma poses a serious burden and remains poorly understood and unrecognized, in lower- and middle-income countries such as India where healthcare resources are already constrained. Several misconceptions exist among Indian patients regarding asthma, including the nature of the disease. Poor adherence to maintenance treatment leads to inadequate control of underlying inflammation which, in turn, increases the chances of subsequent exacerbations. Effective management of asthma should aim to control symptoms, decrease risk of exacerbations, and minimize fixed airflow limitation and side effects. Patient education and counseling also play a key role. A control-based management of asthma is recommended with the adjustment of medications via a stepwise approach. A single inhaler for both maintenance and reliever therapy offers an approach that can provide rapid relief, simplify asthma therapy, and prevent asthma exacerbations, while decreasing the total corticosteroid dose taken over time. For this review, a literature search was conducted using PubMed and other library searches to collate data on the Indian patients' perspectives on the level of asthma control and the associated risk of asthma exacerbations. We discuss the perceptions among Indian asthma patients regarding the disease, the gaps in asthma management, the key aspects of Global Initiative for Asthma Guidelines, and the role of single inhaler for both maintenance and reliever therapy in the management of asthma. |
first_indexed | 2024-03-12T03:46:45Z |
format | Article |
id | doaj.art-b05f0c404f3345f3ac58621b2e9a9707 |
institution | Directory Open Access Journal |
issn | 2277-9019 2321-4899 |
language | English |
last_indexed | 2024-03-12T03:46:45Z |
publishDate | 2021-01-01 |
publisher | Jaypee Brothers Medical Publisher |
record_format | Article |
series | Indian Journal of Respiratory Care |
spelling | doaj.art-b05f0c404f3345f3ac58621b2e9a97072023-09-03T12:43:46ZengJaypee Brothers Medical PublisherIndian Journal of Respiratory Care2277-90192321-48992021-01-0110219019510.4103/ijrc.ijrc_59_19Challenges with present symptom control and risk reduction of future exacerbations in asthma: Indian patients' perspectivesRaghupathi NarasimhanLancelot PintoSusmita Roy ChoudharyNila VelayudhanAsthma poses a serious burden and remains poorly understood and unrecognized, in lower- and middle-income countries such as India where healthcare resources are already constrained. Several misconceptions exist among Indian patients regarding asthma, including the nature of the disease. Poor adherence to maintenance treatment leads to inadequate control of underlying inflammation which, in turn, increases the chances of subsequent exacerbations. Effective management of asthma should aim to control symptoms, decrease risk of exacerbations, and minimize fixed airflow limitation and side effects. Patient education and counseling also play a key role. A control-based management of asthma is recommended with the adjustment of medications via a stepwise approach. A single inhaler for both maintenance and reliever therapy offers an approach that can provide rapid relief, simplify asthma therapy, and prevent asthma exacerbations, while decreasing the total corticosteroid dose taken over time. For this review, a literature search was conducted using PubMed and other library searches to collate data on the Indian patients' perspectives on the level of asthma control and the associated risk of asthma exacerbations. We discuss the perceptions among Indian asthma patients regarding the disease, the gaps in asthma management, the key aspects of Global Initiative for Asthma Guidelines, and the role of single inhaler for both maintenance and reliever therapy in the management of asthma.http://www.ijrc.in/article.asp?issn=2277-9019;year=2021;volume=10;issue=2;spage=190;epage=195;aulast=Narasimhanglobal initiative for asthmamaintenancesingle inhaler |
spellingShingle | Raghupathi Narasimhan Lancelot Pinto Susmita Roy Choudhary Nila Velayudhan Challenges with present symptom control and risk reduction of future exacerbations in asthma: Indian patients' perspectives Indian Journal of Respiratory Care global initiative for asthma maintenance single inhaler |
title | Challenges with present symptom control and risk reduction of future exacerbations in asthma: Indian patients' perspectives |
title_full | Challenges with present symptom control and risk reduction of future exacerbations in asthma: Indian patients' perspectives |
title_fullStr | Challenges with present symptom control and risk reduction of future exacerbations in asthma: Indian patients' perspectives |
title_full_unstemmed | Challenges with present symptom control and risk reduction of future exacerbations in asthma: Indian patients' perspectives |
title_short | Challenges with present symptom control and risk reduction of future exacerbations in asthma: Indian patients' perspectives |
title_sort | challenges with present symptom control and risk reduction of future exacerbations in asthma indian patients perspectives |
topic | global initiative for asthma maintenance single inhaler |
url | http://www.ijrc.in/article.asp?issn=2277-9019;year=2021;volume=10;issue=2;spage=190;epage=195;aulast=Narasimhan |
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