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The Ins and Outs of Switching Asthma Inhalers

Raphael Strauss headshot

Written By: Raphael Strauss, MD, F.A.A.P., F.A.A.A.A.I , Strauss Allergy & Asthma – Westbury , Strauss Allergy & Asthma – Commack

Written By: Robyn Kreiner, MD, FAAP,FAAAAI, FACAAI , Strauss Allergy & Asthma – Westbury , Strauss Allergy & Asthma – Commack

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Why can’t I get my asthma inhaler? Why do I have to switch?

As asthma specialists, we hear this question all the time.

Asthma is a disease that affects all ages. It is a common medical problem that can be chronic or intermittent. Asthma is caused by inflammation and muscle tightening in the airways of the lungs which makes breathing difficult for those affected. Typical symptoms of asthma include:

 
  • Coughing
  • Wheezing
  • Shortness of breath
  • Chest tightness or pain
 

These symptoms may occur individually or in combination with one another. Symptoms range from mild to severe and can continue to progress over time. Asthma triggers typically include:

 
  • Respiratory infections
  • Cold air
  • Allergens
  • Pollution
  • Smoke or vape fumes
  • Exercise
 

These triggers can cause severe asthma attacks even for those with mild symptoms of the disease. Asthma attacks can be scary for not only the one affected but also those around them. That is why we suggest that those who have asthma always keep their medication on them to avoid escalated attacks.

 

For asthma patients and their physicians, one of the most frustrating experiences we encounter is finding a medication that works, only to have to change it because it is no longer covered or on the formulary. Asthma medications are expensive, and while insurance companies and pharmacy benefit managers try to negotiate pricing, not every medication will make the cut. These negotiations lead to preferred medications changing, resulting in frustrated patients, clinicians, and pharmacists.

 

For many patients, switching medications will not cause issues. The problem is finding which alternatives are covered, which is challenging. Here are some useful tips to ease the burden of a transition:

 
  • Check your insurance formulary- this is usually available online.
  • Talk to your pharmacist and clinician about which alternatives are right for you or your child.
  • Like any other consumer product, it pays to shop around so check local pharmacies and online! (ie. GoodRx, Singlecare, Medical Assistance tool, Amazon pharmacy, Mark Cuban CostPlus pharmacy, and Needymeds)
  • Ask your doctor or pharmacist if the generic version of your prescription medication is available. Generics will have the same active ingredients as the name-brand option, are safe and effective, and generally cost less.
  • Contact the manufacturer for patient assistance programs that may offer coupons, discounts, and rebates.
 

Not all asthma inhalers are the same. Some come with metered doses, and others dry powder, so it is important to read package instructions carefully and watch training videos where it’s applicable to familiarize yourself with the proper use of a new medication you bring home. Remember to bring the medication to your visit and have the clinician watch you or your child use it to make sure you are getting the medication delivered properly. It’s important to note that while adults may not need a spacer device with their inhaler, children cannot use an inhaler properly without one. It is important to meet with your trusted clinician regularly to discuss a treatment plan. Know what to do before you or a loved one shows symptoms of asthma!

    Allied Physicians Group is a partnership of more than 150 dedicated, caring physicians and 350 highly trained support staff. We offer pediatric care, family medicine, and other specialties at our practice locations. Allied Physicians Group has office locations in Brooklyn, Queens, Staten Island, Nassau, Suffolk, Westchester, Rockland, and Orange Counties. If you are looking for a physician near you click here, or for more information, please visit: https://alliedphysiciansgroup.com.

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