Best COPD Inhalers Inhalers are designed to deliver medication directly to the lungs, helping to open airways, reduce inflammation and make it easier to breathe. Zemaira is an injectable medication that helps people with alpha-1 antitrypsin deficiency (a genetic condition that can worsen COPD). 1. Zemaira (α1-proteinase inhibitor) By increasing levels of the α1-proteinase inhibitor in the body, Zemaira helps protect the lungs from further damage. It's not a traditional inhaler, but it is an important treatment for people with specific COPD-related conditions. 2. Spiriva (tiotropium) Spiriva is one of the most commonly prescribed inhalers for people with COPD. It helps relax and open up the airways, making it easier to breathe. It is a long-acting bronchodilator, meaning it works for up to 24 hours, providing day-long relief. This inhaler is typically used once a day. [youmaylike] 3. Advair (fluticasone/salmeterol) Advair is a combination inhaler that contains both a steroid and a long-acting bronchodilator. The steroid works to reduce swelling and inflammation in the airways, while the bronchodilator helps relax the muscles around the airways. This combination helps improve breathing and prevent flare-ups of COPD symptoms. It’s typically used twice a day. 4. Symbicort (budesonide/formoterol) Like Advair, Symbicort is another combination inhaler with a steroid and a bronchodilator. It helps reduce inflammation in the lungs and opens the airways. This inhaler is also used to treat asthma, but it’s a great option for managing COPD as well. It is taken twice a day for the best results. 5. Breo Ellipta (fluticasone/vilanterol) Breo Ellipta is a once-a-day inhaler that combines a steroid and a long-acting bronchodilator. It helps open the airways and reduces inflammation in the lungs. This inhaler is typically used for people with chronic COPD symptoms to help improve lung function. 6. Albuterol (ProAir, Ventolin, Proventil) Albuterol is a short-acting bronchodilator that provides fast relief for sudden breathing problems, like shortness of breath or wheezing. It works quickly to open the airways, helping you breathe easier. It is often used as a rescue inhaler during flare-ups and should be kept on hand for emergencies. 7. Atrovent (ipratropium) Atrovent is another short-acting bronchodilator. It helps relax the muscles around the airways and can be used in combination with other medications to treat COPD. Atrovent is often used multiple times a day and can help reduce coughing and wheezing. COPD Control and Relief There are many inhalers available to help manage COPD symptoms, but the best one for you depends on your specific condition and treatment needs. Zemaira is an important option for people with alpha-1 antitrypsin deficiency, while other inhalers like Spiriva and Symbicort help open the airways and reduce inflammation. Speak with your doctor to find the right inhaler for you, and remember that proper use of your inhaler is key to managing your COPD and improving your quality of life. Read on to learn about exercise induced asthma, and how you can cope with it.
CP and CPPS: What is It?
Chronic prostatitis or chronic pelvic pain syndrome is a condition that affects the urinary or genital organs. The disease is an inflammation of the prostate and irritation of the nerves around it characterized by chronic pain and discomfort intervals.
The disease is poorly understood and presently has no cure. It causes erectile dysfunction, urinary and bowel problems that undermine a man’s quality of life and often lead to depression.
Symptoms and Causes of Chronic Prostatitis/Chronic Pelvic Pain Syndrome
Chronic prostatitis or chronic pelvic pain syndrome is the most common form of prostatitis. Some symptoms include:
- Pelvic pain
- Sexual dysfunction, including painful ejaculations
- Difficulty or pain passing urine, voiding challenges, or burning sensation while urinating
- Irregular intervals of pain in the bladder, testicles, and penis and up to the anus
For a person to get a CPPS diagnosis, the pelvic pain must have persisted for at least six months. While the exact cause of CPPS is unknown, doctors think either a recurring infection or inflammation of the prostate due to physical trauma may be the cause of it. The initial infection or physical trauma to the pelvic goes undetected, causing nerve damage to the genitourinary (urinary and genital organs) area. With time, the damage spreads to the bladder, ligaments, and pelvic floor muscles. If treatment is not given immediately, it results in pain sensitivity in the pelvic area.
Some risk factors of CPPS include occasions for bacteria entering your body, such as:
- A catheter or an equivalent device that’s placed in the urethra to help drain urine.
- Urinary tract disorders such as urinary tract infections (UTI) or interstitial cystitis, among others.
Diagnosis
A CPPS diagnosis entails using a scoring matrix to eliminate other diseases and checking against any prevalent comorbidities. The tool used to score the symptom is called the International Prostate Symptom Score.
Another tool called the UNPOINT is increasingly becoming popular in the diagnosis of CPPS. The tool classifies the symptoms according to:
- Urinary
- Psychosocial
- Organ-specific
- Infection
- Neurological/systemic
- Tenderness
After the scoring, the doctor or examiner will then undertake physical examinations to assess the abdomen and external genitalia. The examiner may also perform a digital rectal examination. The digital exam will show if the prostate is tender on palpation. It also enables the doctor to examine the pelvic floor muscles and their ability to contract or relax.
Lastly, the medical examiner may want to rule out other pain-causing pathogens. The examiner may carry out additional tests such as:
- Urine dipstick test or an early morning urine specimen
- Urethral swab and culture if urethritis becomes a concern
- Uroflowmetry to calculate the flow rate of your urine
- Retrograde urethrography and a bladder scan to determine the ease at which urine flows from the bladder
- Cystoscopy to examine the lining of the bladder and exclude other causes such as a stricture
- Magnetic resonance imaging (MRI) and computerized tomography (CT) to help rule out the possibility of pus in the prostate
- A blood test to measure prostate-specific antigen PSA levels to rule out prostate cancer
Afterward, the examiner will check for evidence of sexual abuse and will test for depression and generalized anxiety disorder (GAD) as comorbidity. He or she may also subject you to a self-assessment questionnaire to better understand your pain levels and mental health.
Treatment Options for CPPS
CPPS is treated using antibiotics, anti-inflammation medication, or alpha-blockers.
Antibiotics
Antibiotics are used to treat bacterial infections that may be the underlying cause of CPPS. However, there is some controversy around using antibiotics because doctors prescribe them even when patients do not test positive for bacterial infection.
The doctors who prescribe antibiotics without a negative test believe bacteria may be present in the prostrate's glands or stroma without entering the urinary tract.
However, antibiotics can only be used for a limited time, usually four weeks, especially for newly diagnosed patients. The antibiotics used in this case are those with non-inflammation properties.
Anti-inflammation Medication
Aspirin or non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen reduce the pain men experience when dealing with chronic prostatitis or chronic pelvic pain syndrome. However, NSAIDs are not effective by themselves and are used together with alpha-blockers.
Alpha-Blockers
Doctors use alpha-blockers to treat Benign Prostatic Hyperplasia (BPH) prescribed for CPPS because it relaxes the urinary tract muscles, allowing the free passing of urine. However, research shows that men newly diagnosed with CPPS are more likely to respond positively to alpha-blockers. The effectiveness of alpha-blockers diminishes after a six-month treatment course.