How is nocturnal asthma managed?

Updated: Jan 07, 2019
  • Author: Michael J Morris, MD, FACP, FCCP; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

Nocturnal asthma is a significant clinical problem that should be addressed aggressively. Peak-flow meters should be used to allow objective evaluation of symptoms and interventions. Sleep apnea, symptomatic GERD, and sinusitis should be controlled when present. Medications should be appropriately timed, and consideration should be given to the use of a long-acting inhaled or oral beta2 agonist and a leukotriene modifier with inhaled corticosteroids. A once-daily sustained-release theophylline preparation and changing the timing of oral corticosteroids to midafternoon can be also be used.


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