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Medikamentell behandling av astma

Astmamedisiner virker på luftveiene ved å få musklene i veggene til å slappe av eller ved å dempe betennelsen. Det er vanlig å behandle etter et trappetrinns-prinsipp, der man starter på trinn 1, 2 eller 3. Så trapper man opp eller ned etter behov, i samråd med lege.

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Astma hos barn

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Astma- og Allergiforbundet
- E-post: naaf@naaf.no
- Postadresse: PB 6764 St. Olavs plass, 0130 Oslo
- Tlf: 23 35 35 35, Faks: 23 35 35 30
Landsforeningen for Hjerte- og Lungesyke
- E-post: post@lhl.no
- Besøksadresse: Ragnar Strøms veg 4, 2067 Jessheim (rett ved LHL-sykehuset på Gardermoen)
- Postadresse: Postboks 103 Jessheimbyen, 2051 Jessheim
- Telefon: 67 02 30 00 (faks: 67 02 30 01)

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Astma er en kronisk tilstand som fører til tilbakevendende episoder med pustevansker på grunn av anfall med trange luftveier
Typiske symptomer er perioder med hoste, tungpust og piping i brystet
Medisiner som pustes inn (inhaleres), er den viktigste delen av behandlingen
Noen ganger er det nødvendig med medisiner i form av tabletter eller som sprøyter

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Jeg har lest og akseptert Brukervilkår ved kjøp av NEL-dokumenter

Dette dokumentet er basert på det profesjonelle dokumentet "Astma hos ungdom og voksen". Referanselisten for dette dokumentet vises nedenfor.

Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention, 2019. Available from: www.ginasthma.org ginasthma.org
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Bateman ED, Reddel HK, O'Byrne PM, et al. As-Needed Budesonide-Formoterol versus Maintenance Budesonide in Mild Asthma. N Engl J Med 2018; 378(20): 1877-1887. pmid:29768147 PubMed
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Cates CJ, Karner C. Combination formoterol and budesonide as maintenance and reliever therapy versus current best practice (including inhaled steroid maintenance), for chronic asthma in adults and children. Cochrane Database Syst Rev 2013; 4: CD007313. pmid:23633340 PubMed
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McCarney RW, Brinkhaus BG, Lasserson TJ, Linde K. Acupuncture for chronic asthma. Cochrane Database of Systematic Reviews 2003; 3: CD000008. Cochrane (DOI)
Kew KM, Undela K, Kotortsi I, et al. Macrolides for chronic asthma. Cochrane Database Syst Rev. 2015 Sep 15;9:CD002997. (Review) PMID: 26371536 PubMed
Gibson PG, Yang IA, Upham JW, et al. Effect of azithromycin on asthma exacerbations and quality of life in adults with persistent uncontrolled asthma (AMAZES): a randomised, double-blind, placebo-controlled trial. Lancet. 2017 Jul 4. pii: S0140-6736(17)31281-3. doi: 10.1016/S0140-6736(17)31281-3. (Original) PMID: 28687413 PubMed
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Corren J, Parnes JR, Wang L, et al.. Tezepelumab in Adults with Uncontrolled Asthma. N Engl J Med 2017; 377(10): 936-946. pmid:28877011 PubMed
Abramson MJ, Puy RM, Weiner JM. Injection allergen immunotherapy for asthma. Cochrane Database of Systematic Reviews 2010, Issue 8. Art. No.: CD001186. DOI: 10.1002/14651858.CD001186.pub2 DOI
Gøtzsche PC, Johansen HK. House dust mite control measures for asthma. Cochrane Database of Systematic Reviews 2008, Issue 2. Art. No.: CD001187 Cochrane (DOI)
Kilburn S, Lasserson TJ, McKean M. Pet allergen control measures for allergic asthma in children and adults (Cochrane review). Cochrane Database Syst Rev 2004; (4): CD002989. DOI: 10.1002/14651858.CD002989 DOI
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Cates CJ, Rowe BH. Vaccines for preventing influenza in people with asthma. Cochrane Database of Systematic Reviews 2013, Issue 2. Art. No.: CD000364. DOI: 10.1002/14651858.CD000364.pub4. DOI
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Brocklebank DDM, White J, Wright JJ, Jones P. Pressurised metered dose inhalers versus all other hand-held inhaler devices to deliver beta-2 agonist bronchodilators for non-acute asthma. Cochrane Database of Systematic Reviews 2002, Issue 2. Art. No.: CD002158 Cochrane (DOI)
Cates CJ, Welsh EJ, Rowe BH. Holding chambers (spacers) versus nebulisers for beta-agonist treatment of acute asthma. Cochrane Database Syst Rev 2013. pmid:24037768 PubMed
Walters EH, Walters JAE, Gibson PG, Jones P. Inhaled short acting beta2-agonist use in chronic asthma: regular versus as needed treatment. Cochrane Database of Systematic Reviews 2003, Issue 1. Art. No.: CD001285 Cochrane (DOI)
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