Asthma management and mode of acquisition of inhaled bronchodilators

Australian and New Zealand Journal of Medicine
E J CominoR Monaco

Abstract

Controversy has existed about the benefits and disadvantages associated with the availability of inhaled bronchodilators over the counter (OTC). To compare sociodemographic features, use of preventive medications, use of medical services and control of asthma in adults who purchased inhaled bronchodilators OTC with those who purchased on prescription (script). A cross-sectional telephone survey of 772 adults 18 years and over who used inhaled bronchodilators for their asthma. Symptoms, asthma medications, and management practices were determined by a structured questionnaire administered by trained telephone interviewers. Two hundred and thirty adults purchased their bronchodilator OTC and 542 on script. OTC purchasers were more likely to be male (OR: 1.5), have had tertiary education (1.5) and be in paid employment (2.8); they were less likely to report frequent symptoms (wheeze, nocturnal symptoms or EIA more than once a week) (0.71); were less likely to use preventive medications more than twice a day (0.57) and were less likely to have consulted a general practitioner in the previous year (0.38). However, poor control of asthma symptoms was evident in both OTC and script groups. Forty per cent of the OTC group who had sympt...Continue Reading

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Citations

Jun 26, 2014·Annals of the American Thoracic Society·Laura J H Milgram
Oct 23, 1997·Chest·W G KuschnerP D Blanc
Nov 2, 2011·Respiratory Medicine·Jo A DouglassMichael J Abramson
Dec 2, 2004·Nature Reviews. Genetics·Nathan B Sutter, Elaine A Ostrander
Feb 13, 2008·AIDS and Behavior·Maretha J VisserBrian W C Forsyth
Aug 23, 2001·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·G S Harris, A G Shearer

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