• Remove or control potential precipitating factors such as:

    • Tobacco smoke

    • Animal allergens (dander, saliva)

    • House-dust Mites, indoor mold, cockroach allergens

    • Reduce indoor humidity, remove carpets from bathroom, wash bed sheets
             and blankets  in hot water (> 130 degrees F) weekly.

    • Outdoor allergens (pollen)
             If you are sensitive to these allergens you should attempt to stay
             inside with the windows closed when the pollen count is high.

  • NSAIDS (Nonsteroidal Antiinflammatory Drugs)
           If you have had episodes of bronchospasm associated with
           ingestion of aspirin or other NSAIDs (i.e. ibubrofen), then avoid these drugs since 
           they could trigger  a fatal exacerbation of asthma.

  • Avoid beta-blockers (i.e. propanolol, atenolol, labetalol) since these drugs since 
           may also trigger a fatal exacerbation of asthma.

  • Sulfite sensitivity
            If you have had asthma symptoms after drinking beer, wine,
            dried fruits, processed potatoes or shrimp you may have sulfite sensitivity.
            Avoid foods containing sulfites.

  • Allergic Rhinitis/Sinusitis
            If you have rhinitis or sinusitis then seek treatment with intranasal
            corticosteroids. Antihistamines and decongestants may improve allergic rhinitis
            symptoms but will not improve asthma symptoms like a corticosteroid.

  • Occupational exposures :
           If you have  worsening of symptoms during the week and improvement during the
            weekends, then ask to be evaluated for an occupational exposure.

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