Albuterol Overuse: A Marker of Psychological Distress?

The Journal of Allergy and Clinical Immunology. in Practice
Joe K GeraldLynn B Gerald

Abstract

Albuterol overuse, 3 or more canisters per year, is associated with poor asthma control and frequent exacerbations. To describe albuterol use on symptom and symptom-free days and identify predictors of albuterol overuse and controller medication underuse. Secondary analyses of data from adults with mild asthma from the Trial of Asthma Patient Education were carried out. Based on albuterol use of 80% or more on symptom days and less than 20% on symptom-free days, participants were characterized as expected users, overusers, or underusers of albuterol. Good controller medication adherence was defined as 80% or more of prescribed doses. Data included demographic characteristics, diary data, spirometry, and scores from standardized questionnaires. Bivariate associations were examined between categorization of medication use and measured characteristics. Of the 416 participants, 212 (51%) were expected users, 114 (27%) were overusers, and 90 (22%) were underusers of albuterol. No differences were observed among the user groups by demographic characteristics or lung function. Expected users demonstrated the highest asthma-related knowledge, attitudes, and efficacy. Overusers reported the greatest symptom burden, worst asthma control,...Continue Reading

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Citations

Jan 17, 2016·The Journal of Allergy and Clinical Immunology. in Practice·Joe K Gerald, Francisco A Moreno
Dec 17, 2016·The World Allergy Organization Journal·Tara F Carr, Eugene Bleecker
Sep 7, 2017·The New England Journal of Medicine·Elliot Israel, Helen K Reddel
Oct 12, 2019·The European Respiratory Journal·Alexandra L DimaUNKNOWN Members of the ASTRO-LAB group were:
Aug 16, 2019·Respiratory Research·Jaya MuneswaraoAshutosh Kumar Verma
Oct 23, 2020·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Elizabeth AzziSinthia Bosnic-Anticevich
Feb 16, 2021·Advances in Therapy·Alan G KaplanUNKNOWN Global Policy Steering Group on Improving Asthma Outcomes
May 28, 2019·Respiratory Medicine·Aruni MulgirigamaIoanna Tsiligianni

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