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Best Choices From the People's Pharmacy

Joe Graedon, M.S. and Teresa Graedon, Ph.D.
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It is one of the most popular prescription asthma medications in the world, found in asthma inhalers such as Advair and Serevent. Although salmeterol has been on the market since 1994, it wasn't until May 2006 that the FDA required the manufacturer "to alert health-care professionals and patients that these medicines may increase the chance of severe asthma episodes, and death when those episodes occur.

Prescription for Nutritional Healing, 4th Edition: A Practical A-to-Z Reference to Drug-Free Remedies Using Vitamins, Minerals, Herbs & Food Supplements

Phyllis A. Balch, CNC
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The inhalers deliver only up to 10 percent of the drug into the lungs, making it more expensive because more insulin is needed. The size of the drug particles is also critical—if they are too small, the drug will bind together; if too large, the insulin will not be able to reach the lungs. Q A new semiautomated home blood glucose monitor, called Sof-Tact, uses a light suction (vacuum) to hold the skin in place while an integrated device lances the skin. The device then transfers the blood sample to a biosensor strip to deliver a blood glucose test result within 20 seconds.
In addition, drops and sprays, as well as inhalers, can shrink blood vessels in the nose, eventually causing the vessels to weaken. Moreover, withdrawal from decongestants can cause a rebound effect, in which the swelling becomes worse after use is discontinued than it was to begin with. They can also cause dangerous elevations in blood pressure. Do not use these medications if you have high blood pressure or heart problems. Q If sinusitis causes your eyes to become swollen, red, or itchy, or to begin tearing, try a product called OcuDyne.
There are now two albuterol HFA inhalers approved for use in the United States. The first, Proventil HFA, was approved in 1996. O Researchers at Cornell University studied children aged four through sixteen years who were part of the Third National Health and Nutrition Survey. It was found that the antioxidants beta-carotene and vitamin C were associated with a very significant reduction in asthma prevalence. An increase in selenium intake also was associated with a similar decrease in asthma prevalence. In this study, it was found that vitamin E had little or no association with asthma.
Doctors often prescribe the steroid beclomethasone in nasal inhalers sold under the brand names Beconase and Vancenase. These can be very effective in relieving symptoms, but some of the steroids are bound to get into the rest of the body. Steroids suppress immune function. Q Some physicians recommend desensitization shots for people with hay fever. These are expensive, painful, and not risk-free. And a disappointingly low percentage of people experience satisfactory relief, even after years of injections.

Disease Prevention and Treatment

The Life Extension Editorial Staff
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For instance, the FDA found that pharmaceutical giant Schering-Plough was making asthma inhalers that did not have any medication inside. Acute asthma attacks suffocate 5438 Americans every year (National Vital Statistics Reports Vol. 48, No. 11). With no medication in an inhaler, any asthma attack can be lethal. The FDA repeatedly found the same problem with these asthma inhalers (no medicine inside), but it took Schering years to correct the problem. The FDA is making Schering pay a $500 million dollar fine to settle the matter (Wall Street Journal Dec.
Although treatments exist, such as antibiotics and inhalers, none of these are curative. The vitamin A derivatives work by actually helping the lung regrow in areas destroyed by the disease. Retinoids are able to do this by turning on the genes that signal the growth of lung tissue. This process was originally observed by studying fetuses, whose lungs have high concentrations of certain retinoids. The relationship between vitamin A status and COPD was further explored in a two-part study by researchers at the Faculty of Medicine of Botucatu UNESP in Sao Paulo, Brazil (Pavia et al. 1996).

Ultraprevention : The 6-Week Plan That Will Make You Healthy for Life

Mark Hyman, M.D.
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Years ago she had been diagnosed with asthma and was treated with the usual asthma medications, including two inhalers, a pill called Singulair, and an occasional course of steroids if she had a flare-up. Aside from her asthma, Rose considered herself healthy; we met her only because she wanted to take a bone density test, as a friend had been telling her she should try one. Her results did show some bone loss, which is not uncommon in asthma sufferers, especially after receiving steroid treatments, which can cause thinning of the bones. But we also discussed Rose's history.

Stop the Medicine! A Medical Doctor's Miraculous Recovery with Natural Healing

Cynthia A. Foster, M.D.
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As an act of faith, the day before my first appointment, I threw out all of my asthma inhalers. The medical doctors would've gone nuts about that. I didn't care about what the doctors believed anymore. They had their chance. Now, I was having mine. So, the asthma improved solely I think because I stopped taking the inhalers. I still had asthma attacks for a while, but they were not as severe, and I flat out refused to take the medicines anymore. In fact, I refused to identify myself as an asthmatic anymore. I never took an inhaler ever again.
Addicted to my inhalers, I couldn't breathe freely without them. All of a sudden I developed strength of will. As a child, I had always been very passive and obedient. All of my life, I had done exacdy what I was told to do - I was very very good. I had always done everything exacdy the way the doctors instructed me to do it. The doctors call that being a "compliant" patient. I had always taken the shots, the pills, the syrups, the antibiotics, the antihistamines, the decongestants, the sprays, the steroids, and the inhalers without complaining.

Intelligent Medicine: A Guide to Optimizing Health and Preventing Illness for the Baby-Boomer Generation

Ronald L. Hoffman, M.D.
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Indeed, most people with asthma welcome the temporary relief these inhalers give. Like other doctors, I was taught in my medical training that the use of potent medications was essential for asthma management. The notion was deeply inculcated that patients should never undermedicate, which would leave them vulnerable to acute asthmatic attacks that could land them in the emergency room. People with asthma, however, know the side effects of bronchodilator use. Puffing again and again on their inhalers to obtain relief, they note rapid heartbeat, tremor, and anxiety.
The authors of this study looked at eighty-nine persons with moderate asthma and compared the use of bronchodilators in people who used the inhalers only for the relief of symptoms versus those who used the inhalers routinely. The authors found that in only 30 percent of cases was asthma better controlled during routine inhaler treatment, while in 70 percent, control was better during treatment with the inhaler for symptom relief only. Surprisingly, the less frequently the medication was used, the better the asthma symptoms were controlled.

Bottom Line's Prescription Alternatives

Earl L. Mindell, RPh, PhD with Virginia Hopkins, MA
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FOODS HIGH IN TYRAMINE The following foods are high in tyramine, which may interfere with the sympathomimetic drugs used in many asthma inhalers, including albuterol, salmeterol, and epinephrine. Any type of protein such as meat, fish, or a dairy product that has been sitting around for too long will start to form tyramines. Be cautious with leftovers more than a few days old, and check freshness dates when you buy fish, meat, and dairy products. Any type of aged, pickled, or fermented product such as aged cheeses, wine, and pickles may contain tyramines.

Optimal Wellness

Ralph Golan, M.D.
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In the meantime, the only approaches offered to her were antibiotics, inhalers, and sometimes, steroids. Prior to her first visit to me, Terri suffered eight episodes of bronchitis, always complicated by asthma, each requiring two to three weeks of antibiotics in addition to around-the-clock inhalers so she could breathe. She reported that each episode would occur during her premenstrual cycle. Her doctors believed that this was just a coincidence, but Terri felt it was an important clue. She was chronically tired, even between bronchitis episodes, and overweight in spite of constant dieting.

Bottom Line's Prescription Alternatives

Earl L. Mindell, RPh, PhD with Virginia Hopkins, MA
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With repeated, excessive use of inhalers, your body may begin to respond with what's known as paradoxical bronchoconstriction. Instead of opening your airways, use of the inhaler causes them to constrict even further. If you think this is happening to you, discontinue Use immediately and see a doctor as soon as possible. Tolerance may occur; temporary discontinuation should bring back the drug's original potency. Lower doses may be required for elderly people because of heightened sensitivity to nervous system stimulation. What Are the Interactions with Other Drugs?
As with the steroid inhalers used for asthma, inhalation somewhat decreases the risk of the adverse effects commonly seen with steroid medications. What Are They Used For? Relief of symptoms of nasal allergies. What Are the Possible Side Effects/Adverse Effects? Mild inflammation of the nose and throat, burning, stinging, dryness, and headache are most common.

Anti-Aging Manual: The Encyclopedia of Natural Health

Joseph E. Mario
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HERBAL HEALING PLANTS may be consumed internally for refreshment, general home preventive or curative nutrition, or specific Immunity, as follows: A Tea... is the steeping for 3 to 5 minutes of 1 ounce of the soft flowers, leaves, and herb blossoms poured over with one pint of pure hot water. An Infusion... is made like a tea, then adding more Herbs, and steeping longer to extract more medicinal properties. A Decoction...

Bottom Line's Prescription Alternatives

Earl L. Mindell, RPh, PhD with Virginia Hopkins, MA
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Asthma inhalers using cortisone-like steroids and epinephrine are among the most effective ways to prevent and control asthma attacks. This fact should give us a major clue that asthma can be aggravated by adrenal glands that are tired and depleted because they are working overtime due to chronic stress and they are trying to produce stress hormones such as Cortisol and adrenaline (which is related to epinephrine).
Bronchodilators are meant to be used USING AN INHALER FOR ASTHMA If you are regularly using inhalers to control your asthma, it's very important that you keep track of your usage. If you find yourself needing to take it more and more frequently to feel like your symptoms are controlled, heed it as a warning. Many studies have shown that more frequent inhaler use leads to a downward spiral of worsening bronchoconstriction and possibly a life-threatening attack. It's important to use your inhaler properly when you do have to use it.

Fundamentals of Pharmacognosy and Phytotherapy

Dr. Michael Heinrich, Joanne Barnes, Simon Gibbons and Elizabeth M. Williamson
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Whole peppermint oil is used in herbal combinations to treat colds and influenza (as well as for colic, etc; see Chapter 13), but isolated menthol is an effective decongestant used in nasal sprays and inhalers. 1,8-Cineole (-)-Menthol Toxicity Menthol can be irritant and toxic in overdose, but is generally well tolerated in normal usage. ANTI-ALLERGICS Most antihistamines are synthetic in origin, and although many flavonoids have anti-allergic properties they are nowhere near as potent as, for example, ceti-rizine, desloratidine, fexofenadine or chlorpheniramine.

Disease Prevention and Treatment

The Life Extension Editorial Staff
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The FDA repeatedly found the same problem with these asthma inhalers (no medicine inside), but it took Schering years to correct the problem. The FDA is making Schering pay a $500 million dollar fine to settle the matter (Wall Street Journal Dec. 24, 2001, A3, "Schering fines could total $500 million"). In 2001, American Home Products paid $30 million as part of a consent decree involving manufacturing defects practices, while Abbott Laboratories paid fines of $100 million in 1999 concerning manufacturing defects in scores of its products.

The Complete Book of Alternative Nutrition

Selene Y. Craig, Jennifer Haigh, Sari Harrar and the Editors of PREVENTION Magazine Health Books
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Fuhrman cites one of his most severe cases, a woman who used steroid inhalers and prednisone—strong medications that help people who have frequent asthma attacks. Even though she used the medication, she was frequently hospitalized because she was unable to breathe, according to Dr. Fuhrman. "She followed a strict diet for a couple of years and did a little better, although she was still on steroid inhalers and prednisone periodically. Finally, I convinced her to fast. In 6 to 7 days, we had weaned her off her medications. She fasted for 21 days.

Bottom Line's Prescription Alternatives

Earl L. Mindell, RPh, PhD with Virginia Hopkins, MA
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Over time, too-frequent puffing on beta-agonist inhalers can send asthma sufferers into a downward spiral that ends up putting them in the emergency room with a severe attack.

Bitter Pills: Inside the Hazardous World of Legal Drugs

Stephen Fried
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The suggestion alone had set off a panic about the inhalers, especially in central Florida, where the Taylor family lives. The panic was a combination of basic knee-jerk hysteria, egged on by extensive media coverage and lingering questions that certain pharmacologists had had for some time about Primatene inhalers. Concern was growing that an easy-to-use inhaler shooting pure epinephrine on demand was a self-medication nightmare waiting to happen. (Epinephrine is a very potent drug; Primatene pills, which also treat asthma, contain another drug altogether, theophylline.

Death by Medicine

Gary Null PhD, Carolyn Dean MD ND, Martin Feldman MD, Debora Rasio MD, Dorothy Smith PhD.
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Sidney Wolfe, called for a criminal investigation of Schering-Plough, charging that the company distributed albuterol asthma inhalers even though it knew the units were missing the active ingredient. UNNECESSARY SURGICAL PROCEDURES Summary: 1974: 2.4 million unnecessary surgeries performed annually resulting in 11,900 deaths at an annual cost of $3.9 billion.73'74 2001: 7.5 million unnecessary surgical procedures resulting in 37,136 deaths at a cost of $122 billion (using 1974 dollars).3 It's very difficult to obtain accurate statistics when studying unnecessary surgery. Dr.

Gary Null's Power Aging

Gary Null
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His cardiologist took him off his heart medication and his family doctor took him off his asthma inhalers. But I want to stress that Harry is not the exception—he's an example of someone who has taken this program and made it work for him. DON'T BE A STATISTIC We know that there are too many fad diets. Too many of us shuttle between two extremes, the high protein diet on one hand, and the high carbohydrate/low fat diet on the other.

Water: For Health, for Healing, for Life: You're Not Sick, You're Thirsty!

F. Batmanghelidj
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I was treated with allergy shots and inhalers. The treatments just seemed to make things worse. My lips were always dry and cracked. At that time of my life I was drinking about 2 to 4 cups of coffee per day along with a few glasses of soda and some tea and alcohol. I would have an occasional glass of water during the day. The allergies and asthma stayed with me until 1996 when my water intake was up to about two to three quarts a day. I no longer struggle with allergies or asthma. My problems with diabetes began at age 14-1 was diagnosed as an insulin-dependent or "juvenile diabetic.

Optimal Wellness

Ralph Golan, M.D.
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Common treatments include expectorants, theophylline, antihistamines, inhalers, ephedrine, and broncho-dilators. If breathing is not becoming easier or is growing increasingly difficult despite your efforts, emergency medical intervention is indicated. DIETARY RECOMMENDATIONS • Avoid sulfites, an asthma-aggravating agent, and other food additives and preservatives, found in processed fruits and vegetables. NUTRITIONAL SUPPLEMENTS • Take magnesium (up to 800 milligrams daily), vitamin C (3 to 4 grams a day), vitamin E (400 I.U. daily), beta-carotene (up to 100,000 I.U.
Prior to her first visit to me, Terri suffered eight episodes of bronchitis, always complicated by asthma, each requiring two to three weeks of antibiotics in addition to around-the-clock inhalers so she could breathe. She reported that each episode would occur during her premenstrual cycle. Her doctors believed that this was just a coincidence, but Terri felt it was an important clue. She was chronically tired, even between bronchitis episodes, and overweight in spite of constant dieting. In addition, food always seemed to unsettle her stomach, and she was chronically constipated.

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