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Can You Take Aspirin With Asthma

What About Other Medicines Im Taking

What is the link between aspirin and asthma ?

Any medicine can cause wheezing or shortness of breath if you are allergic to it. If you notice that your asthma gets worse every time you take a certain medicine, tell your doctor as soon as possible. If you use a peak flow meter to check your asthma, remember to use it if you think your asthma is worse. If you see changes in your peak flow readings after you take a certain medicine, tell your doctor. Your doctor can decide if your medicine should be changed.

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Symptoms Usually Respiratory Or Involve Urticaria/angiodema

Patients initially present with an acute episode of vague malaise, sneezing, nasal obstruction, rhinorrhoea and often a productive cough. These symptoms resolve in a few weeks and may be followed by persistent rhinitis and the development of nasal polyps. Asthma and aspirin sensitivity may appear in the following months.6 Within 20 minutes to 3 hours of ingestion of a NSAID, aspirin-sensitive asthmatics can develop:

  • respiratory symptoms such as acute bronchospasm, rhinorrhoea, conjunctival irritation and/or cutaneous flushing of the head and neck, and even circulatory collapse and respiratory arrest5,6
  • urticaria/angiodema or
  • rarely, a combination of these responses.
  • Identification of aspirin-sensitive individuals is not merely a matter of asking whether they have experienced symptoms with a previous ingestion of NSAIDs. This does not exclude the possibility of a reaction as many patients may have had NSAIDs in the past with no ill-effect. Prescribers should determine whether their patient is an asthmatic or has nasal polyps.

    Whats The Risk In Taking Ibuprofen If You Have Asthma

    If you have asthma, but arent aspirin-sensitive, you should be able to take ibuprofen as directed.

    If you do have aspirin-sensitive asthma, ibuprofen can trigger symptoms of asthma or allergy. Symptoms of severe allergic reaction usually develop within a few hours after taking the drug. Some of them are:

    • nasal congestion, runny nose

    If youre ibuprofen-sensitive, its important to scrutinize medicine labels carefully. Avoid products that contain ibuprofen, aspirin, or any other NSAID.

    Most people with asthma can safely take acetaminophen to treat fever or pain.

    Certain asthma medications block leukotrienes. These include zafirlukast , montelukast , and zileuton . Ask your doctor if these medicines affect your ability to take ibuprofen. Your doctor can also guide you on the safest pain relievers, potential side effects, and what to do if you have an allergic reaction.

    For frequent or chronic pain, your doctor may be able to provide alternate solutions based on the cause.

    If youve had a bad reaction in the past and accidentally take ibuprofen, contact your doctor right away. Seek emergency medical care or call 911 if you have symptoms of severe allergic reaction such as:

    • facial swelling

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    Can It Be Prevented

    AIA can be prevented. Avoid products that contain aspirin. Be sure to read labels. There are several medicines that contain aspirin or other NSAIDs.

    Do not give aspirin to children 18 years or younger unless told to do so by your healthcare provider. This is due to the risk of Reyeâs syndrome .

    If you have asthma, use NSAIDs such as ibuprofen with caution. If you have asthma and nasal polyps, do not use NSAIDs without the approval of your healthcare provider.

    In rare cases, acetaminophen may also trigger an asthma attack. Reactions are usually less intense than reactions to aspirin or other NSAIDS. Acetaminophen is the medicine most often used for fever and pain relief for people who cannot take aspirin and NSAIDs.

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    Risks And Side Effects Of Opioid Painkillers

    Acute asthma in adults

    Opioid painkillers can cause more side effects than simple painkillers. They are only available on prescription and need to be monitored by your doctor.

    In many cases, theyre only used for short periods of time when extra pain relief is needed. This is to reduce the risk of you becoming addicted to them and other side effects.

    Side effects of opioid painkillers include:

    • feeling sick
    • drowsiness and dizziness, which increases when drinking alcohol
    • not being able to concentrate
    • breathing problems let your doctor know if you have long-term breathing problems like chronic obstructive pulmonary disease or asthma.

    If you are using antidepressants or antipsychotics, be careful of taking tapentadol. This is because your risk of seizures may be higher if you are being prescribed these drugs at the same time.

    If you get any side effects, talk to your doctor.

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    Medications To Avoid If You Have Asthma

    It comes on so fast you feel helpless. You reach over to take a sip of water and pause as you feel your chest begin to tighten. You feel like you cant breathe, and the air is getting squeezed right out of you. Youre experiencing an asthma attack.

    Asthma can be triggered by several different factors, including allergens, viruses, environmental factors and drugs. If you have asthma, its important that youre aware of the medications that can trigger an attack. If you think youve been prescribed a medication that has caused your asthma to worsen, discuss it with your doctor.

    How Is It Diagnosed

    There are no blood tests or skin tests that will diagnose allergy to aspirin or NSAIDs. Your healthcare provider will ask about:

    • Your use of aspirin
    • How often you are having symptoms
    • Any other allergies or triggers

    The provider may refer you to an allergy specialist to see if you have other allergies.

    Read Also: How To Treat Asthma Attack Without An Inhaler

    Ibuprofen May Cause Side Effects Tell Your Doctor If Any Of These Symptoms Are Severe Or Do Not Go Away:

    • constipation
    • confusion
    • aggression

    Ibuprofen may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

    If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administrationâs MedWatch Adverse Event Reporting program online or by phone .

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    Management Of A Patient With Aspirin Triad

    What is an aspirin allergy

    Management of asthma and rhinosinusitis in an NSAIDs-hypersensitive patient is similar to treatment of other forms of asthma and rhinosinusitis. However, there are several important additional treatment modalities to be considered when N-ERD is diagnosed3.

    Avoidance of NSAIDs and use of alternative analgesics

    Patient education and careful avoidance of ASA and other NSAIDs which are strong COX-1 inhibitors is important because COX-1 inhibitors can cause severe asthma leading to hospitalization in an intensive care unit and even intubation. Therefore, ideally, the aspirin-hypersensitivity should be confirmed by a challenge test.

    In general three groups of NSAIDs can be distinguished based on their capacity to induce hypersensitivity reactions in N-ERD patients24, Table 1.

    Alternative antipyretic or analgesic drugs, such as acetaminophen are preferred. Preferential COX-2 inhibitors, such as nimesulide and meloxicam, are tolerated by most, but not all, NSAIDs-intolerant subjects. Selective preferential COX-2 inhibitors, such as celecoxib or valdecoxib, are tolerated by almost all aspirin-intolerant subjects. However, oral challenge in the office is recommended to ensure that patients are able to tolerate COX-2 inhibitors.

    Mangement of chronic rhinosinusitis and nasal polyposis

    Management of asthma

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    New Thoughts On Aspirin And Asthma

    It’s worth noting that these the results of these studies can be especially important since in the past it was thought that aspirin actually contributed to asthma, at least among some patients. That being said, though, researchers point out that for people with aspirin sensitivity, using aspirin could indeed increase asthma symptoms, rather than preventing the onset of this condition.

    Pathophysiology Of Nsaids Hypersensitivity

    Other arachidonic acid metabolites generated by the 5-lipoxygenase pathway have been associated with aspirin-hypersensitivity. For example, aspirin triggers 15-HETE generation in nasal polyp epithelial cells and peripheral blood leukocytes from aspirin-intolerant but not aspirin-tolerant patients suggesting the presence of a specific abnormality of the 15-LOX pathway in these patients. Upregulation of 15-lipoxygenase and decreased production of lipoxin A4, an anti-inflammatory 15-LO metabolite found in leukocytes and nasal polyp tissue from ASA-intolerant patients, further points to a distinctive but not yet understood role for the 15-lipoxygenase pathway17.

    Several single nucleotide polymorphisms in candidate genes coding molecules related mainly to the arachidonic acid metabolic pathway, for example, LTC4 synthase, 5-LOX, prostaglandin EP or leukotriene LT1 receptors, were found to be associated with ASA-intolerance20. More recently a differential gene expression profile with potent discriminative power has been reported in leukocytes of N-ERD patients21. Therefore, a genetic component may be important in the pathogenesis of the disease.

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    What About Aspirin And Other Pain Relievers

    Aspirin and drugs called nonsteroidal anti-inflammatory drugs may be harmful in people with asthma. Ibuprofen , naproxen and ketoprofen are examples of NSAIDs. If you are allergic to aspirin, ask your doctor or pharmacist to make sure any new medicine you might take is not related to aspirin.

    Most times, acetaminophen can be taken by people with asthma. This medicine is used for fever and pain. Very rarely, even acetaminophen may make asthma worse. If this happens to you, tell your doctor.

    How Do You Know If You Have Asthma

    Can You Take Baby Aspirin And Lithium Together

    Asthma is a respiratory problem usually occurs due to the inflammation of bronchial tubes but how do you know if you have asthma? Normally, people experience symptoms like coughing, wheezing, tight feeling in chest and allergies as well. These symptoms simply points to the asthma. Are these symptoms enough to find out whether you have asthma or not? Its a no. Some people will not experience in the same way.

    Symptoms for asthma attack can be mild to severe. Mild attacks are common. Mild asthma attacks might cause during exercise or due to the cold. Sometimes mild asthma attack tends to last longer. Well, in this case, immediate treatment is required. Seeking medical treatment at prior will keep asthma under control. But how do you know if you have asthma? Here are some signs and symptoms that will help you to know about it.


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    Identifying The Medicines That Can Cause Problems

    First, not only is it necessary to avoid aspirin, it is equally important to avoid all medicines of the family called “non-steroidal antiinflammatory drugs.” These medicines, such as ibuprofen and naproxen, are used to treat the inflammation of arthritis and are routinely taken as pain killers. Just like aspirin, they can cause severe attacks of asthma in persons with aspirin-sensitive asthma. Incidentally, they do not help the inflammation of the bronchial tubes in asthma. Second, both aspirin and non-steroidal antiinflammatory drugs are sold over-the-counter in a variety of preparations and under many different names. One must be careful to read labels on over-the-counter cold remedies, allergy medicines, pain killers, and relievers of stomach discomfort, many of which contain aspirin.

    The Pros And Cons Of Pain

    For those times when you do need a dose of pain relief, you need to make a smart choice. Here’s a rundown of the benefits and risks of some popular pain medications. It should help simplify your choices the next time you’re in the drugstore.

    Keep in mind that you shouldn’t use any over-the-counter painkiller on a regular basis. If you’re in that much pain, you need to talk with your health care provider.

    ACETAMINOPHEN Tylenol, Panadol, Tempra

    ASPIRINBayer, Bufferin, Ecotrin

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    If You Suspect You Might Have Asthma Definitely Head To The Doctor

    Your doctor will probably give you a physical exam first to examine the general state of your health. After that, theyll likely put you through some lung function tests, such as a spirometry, which checks how much air you can exhale after taking a deep breath as well as how fast you can expel air, according to the Mayo Clinic. Or they may do a peak flow test, which measures how hard you can breathe out. If you cant exhale enough air or breathe out quickly, it may be a sign your lungs arent working well, which could point to asthma, Dr. Benzaquen says.

    There are other exams they can use, too, like exposing you to methacholine, a known asthma trigger, to see if your airways narrow, or allergy testing, since allergies and asthma are so often connected.

    If you are diagnosed with asthma, itll be within one of four categories, according to the Mayo Clinic. Mild intermittent asthma means you have minimal asthma symptoms for up to two days a week and up to two nights a month, while mild persistent asthma means youre experiencing symptoms more frequently than twice a week, but not more than once on any given day. Moderate persistent asthma ups the ante: Youre dealing with symptoms once a day and more than one night a week. Finally, severe persistent asthma involves constant symptoms most days and frequently at night too.

    Who Should Take Aspirin

    Aspirin-Induced Asthma (COLA)

    For people who have had a heart attack: Aspirin can help prevent a second heart attack. Your doctor has probably already prescribed aspirin for you.

    For people who have had a stroke: Aspirin can help prevent a second stroke or a transient ischemic attack , which is often a warning sign of a stroke.

    For people who have never had a heart attack or stroke: Talk to your doctor before you start taking aspirin every day. Aspirin lowers the risk of heart attack. But aspirin can also cause serious bleeding. And it is not clear that aspirin can help prevent a stroke if you have not already had a heart attack or stroke in the past. You and your doctor can decide if aspirin is a good choice for you based on your risk of a heart attack and your risk of serious bleeding. For help on this decision, see: Aspirin: Should I Take Daily Aspirin to Prevent a Heart Attack or Stroke?.

    Aspirin may also be used by people who:

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    How Is It Treated

    If you have been diagnosed with AIA, do not take products that contain aspirin.

    In general, AIA is managed in the same way as other types of asthma. Three types of medicines are used to control asthma:

    • Quick-relief medicines, also called reliever, or rescue medicines. These medicines are used as needed to treat asthma attacks. They are not used on a regular, daily basis to prevent asthma symptoms. You should learn to recognize the symptoms of an asthma attack and take these medicines as soon as symptoms start. To prevent asthma attacks, you may need a different type of medicine called a controller.
    • Long-term control medicines, also called controller medicines. By taking this medicine regularly every day, it helps to control your symptoms. You will take these medicines every day, even if you are not having symptoms. They do not provide quick relief of wheezing in acute asthma attacks.
    • Steroid medicines, also called asthma controller medicines, because by taking them regularly every day, they help to control your symptoms. You will take these medicines every day, even if you are not having symptoms. They do not provide quick relief of wheezing in acute asthma attacks. Steroid medicines are similar to hormones made by your body. They block some of the chemicals that cause irritation and swelling in your airways. By lessening the swelling, you will have fewer symptoms and be able to breathe better.

    Aspirin Exacerbated Respiratory Disease

    Aspirin-induced asthma, Samter’s triad, Samter’s syndrome, nonsteroidal anti-inflammatory drugs-exacerbated respiratory disease
    Aspirin in coated tablets

    Aspirin exacerbated respiratory disease , also termed aspirin-induced asthma, is a medical condition initially defined as consisting of three key features: asthma, respiratory symptoms exacerbated by aspirin and other nonsteroidal anti-inflammatory drugs , and nasal polyps. The symptoms of respiratory reactions in this syndrome are hypersensitivity reactions to NSAIDs rather than the typically described true allergic reactions that trigger other common allergen-induced asthma, rhinitis, or hives. The NSAID-induced reactions do not appear to involve the common mediators of true allergic reactions, immunoglobulin E or T cells. Rather, AERD is a type of NSAID-induced hypersensitivity syndrome. EAACI/WHO classifies the syndrome as one of five types of NSAID hypersensitivity or NSAID hypersensitivity reactions.

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    How Do Steroids Help Asthma

    The steroids used to treat asthma are known as corticosteroids. Corticosteroids are copies of hormones your body produces naturally.

    Steroids help asthma by calming inflamed airways and stopping inflammation. This helps ease asthma symptoms such as breathlessness and coughing. It will also help prevent your lungs reacting to triggers.

    Youre more likely to avoid high doses of steroids if you take your preventer inhaler every day as prescribed, says Dr Andy Whittamore, Asthma UKs in-house GP.

    Aspirin And Asthma: A Good Mix

    Acute asthma in adults

    There was a significant difference in the onset of asthma between the aspirin and placebo group. In fact, those taking aspirin who had no prior breathing problems had a 22 percent lower risk of presenting with new asthma symptoms than the counterparts taking the placebo. Further, younger men seem to get the greatest benefit from taking aspirin.

    The study findings on aspirin and asthma, which were included in the American Journal of Respiratory and Critical Care Medicine, are consistent with the results of a similar study performed on women that also involved Brigham and Women’s Hospital researchers. The women’s study was reported in the Thorax Journal in March of 2008 and reveals that women seemed to have a 10 percent lower risk for adult onset asthma when taking aspirin therapy regularly.

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