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Common COPD Drug Aids Pediatric Asthma Management

A treatment used for COPD has been found effective and safe for children ages one through five whose asthma is not controlled by other medications in a new clinical trial. This is consistent with the findings for the drug among older children and adults.

Is your child's asthma successfully managed by treatments already on the market? 

“Recent studies in children and adolescents between 6 and 18 show that tiotropium add-on therapy has a safety and tolerability profile comparable with placebo, irrespective of asthma severity,” Vrijlandt said. “Our small study is the first to assess the safety and efficacy of tiotropium in children aged 1-5 years with persistent asthma symptoms.”

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Comments 8

  • LK

    That's good to hear!  Tiotropium bromide, Spiriva Respimat, was added to my asthma maintenance meds last fall.  I feel like it has helped me breathe more deeply than any other asthma med I have taken.

  • Pljohns

    I used to take it but then dropped it and couldn't really tell that it made a difference so we never added it back.

  • K8sMom2002

    Lisa, glad you found a combo that has helped you breathe better!

    Lynn, we had an experience similar to that — DD took Singulair for years, along with Zyrtec. Then we found out it might be contributing to her nosebleeds and we were hoping for an easy fix (before they found out that, oh, wait, she has a bleeding disorder). 

    So we discussed with her doctor about taking her off it. He was against it at first, but then agreed to a trial without it as we talked through our concerns and our predicament (nosebleeds during the night that wouldn't stop, so poor kid wasn't getting any sleep.) 

    We were really surprised to find that in her case, dropping the Singulair didn't make any difference. 

    A couple of random thoughts:

    • Maybe the Singulair DID help her early on — I could tell a difference when she started it. 
    • It's always good to periodically discuss your medications with your doctor to see if anything needs to be changed or updated. 
  • Tiffany F.

    This is good info to know, thanks.  I struggle because I have a 2 year old toddler, no way do I want her on more meds than she needs.  What DOES she actually NEED?  Big question.   I am praying we have a good couple of years and they can consider weaning her off Flovent and Zyrtec altogether.  We took her off Singulair due to crazy mood swings.

  • K8sMom2002

    That's a great question, Tiffany!

    I like the way the puts it:

    Will I Always Have to Take the Same Amount of Medicine?

    Not always. You will probably take more medicine when you begin treatment to get control of your asthma. After a while, you and your doctor will learn which medicine(s) control your asthma best and how much you need. Once your asthma is well controlled, it may be possible to reduce the amount of medicine you take. The goal of this step-down method is to gain control of your asthma as soon as possible and then control it with as little medicine as possible. Once long-term, anti-inflammatory therapy begins, your doctor will want to monitor you every 1 to 6 months.

    So I think you've got every reason to be hopeful — especially if you DO get those good years you're hoping for!

  • LK

    When I first started taking Advair several years ago, it helped but after awhile it didn't seem to be doing much good.

    Thanks for bringing that subject up, about reducing asthma meds.  I will write it down to discuss with my pulmonary doctor at my next visit.

  • Pljohns

    I have tried spiriva in the past and took it for a year or so.  Eventually I just dropped it and couldn't tell any difference at all so I knew it wasn't doing anything for me.  My maintenance med is a COPD drug that I use off label right now-Brovana-it is not approved for asthma, but given all of the reactions I've had to asthma meds, it is all that we've been able to find that works-even though i clearly don't have COPD and do clearly have asthma.