Asthma Dictionary

The following is a glossary of commonly used asthma terms.

Anti-IgE: Medication that binds to IgE antibodies and prevents allergens from triggering allergic reactions.

Anti-inflammatory: medication that reduces and prevents airway swelling and inflammation. Usually taken daily.

Biologics: A class of medications given as an injection or intravenously to target specific cells and pathways that cause allergic inflammation linked to asthma.

Bronchodilator (BRON-ko-dy-lay-ter): medication that relaxes muscles around your airways and treats the noisy part of asthma: coughing, wheezing, choking and shortness of breath.

  • Quick-relief (short-acting) bronchodilators work for 3-6 hours and should be used at the first sign of symptoms, before exercising with asthma, and as directed by your doctor.
  • Long-acting (12-hour) bronchodilators should be taken daily or twice-daily as prescribed, usually in conjunction with an inhaled
    corticosteroid.
  • Anticholinergics/Muscarinic antagonists: A class of medications that block the action of neurotransmitters in the brain to prevent muscle bands around the airways from tightening.

Bronchospasm: twitching and sudden constriction of the airways that causes noisy symptoms of asthma: coughing, wheezing and shortness of breath.

Combination medication: contains two medicines in one dose, such as a long-acting bronchodilator and an anti-inflammatory corticosteroid.

Corticosteroid (cor-tih-co-STER-oyd): the most effective anti-inflammatory medication for asthma.

Dry powder inhaler (DPI): device used for powdered medication; breathing in activates the device to release medication. Learn how to use a dry powder inhaler.

Fractional exhaled nitric oxide (FeNO): a test that measures exhaled nitric oxide and indicates airway inflammation.

IgE: antibodies produced by the immune system that set off allergy symptoms.

Immunotherapy: A treatment in which small amounts of an allergen are given to a patient in ever-increasing doses, with the goal of boosting tolerance to the allergen and reducing symptoms.

Leukotrienes (LOU-ka-try-eens): chemicals involved in immune responses that cause inflammation, swelling and tightening of the airways.

Metered-dose inhaler (MDI): a pressurized device used to spray medicine for inhalation. Learn how to use a metered-dose inhaler.

Nebulizer (NEH-byuh-lye-zur): electric or battery-powered machine that turns liquid medicine into mist that can be inhaled. Learn how to use a nebulizer.

Peak flow meter: a handheld device that measures peak expiratory flow rate (PEFR), the maximum speed that you can force air out of your lungs.

Spacer: device that fits onto an MDI inhaler or is a built-in part of the MDI that helps direct the flow of medicine into the back of your throat; user must coordinate spray with inhalation, as spacer does not trap particles.

Spirometer (Spy-RAW-meter): device that measures how much air you can push in and out of your lungs.

Valved holding chamber: a valved device that fits onto a metered-dose inhaler (MDI) to trap and suspend
medication spray so user can inhale when ready or during 3-5 breaths; also helps reduce amount of spray that hits tongue and inside cheeks.

Using shorthand or slang to talk about asthma can be confusing. Reconsider the following terms:

Rescue inhaler: Don’t wait until you need “rescue” or are near death before using your quick-relief bronchodilator.

As needed: One person’s “Need it now” is another’s “Maybe later.” Get specific details on when to use each medication.

Controller medication: Most asthma medications “control” symptoms in one way or another. One medication alone may not give asthma patients full symptom control.

Mild or moderate asthma: All asthma is serious. Mild asthma symptoms can turn severe in a moment.

Outgrowing asthma: Your child may have fewer or no asthma symptoms into teenage years or may have a lifetime of asthma and allergy symptoms. Airways are always sensitive for life.

Puffer: Inhaler asthma medications don’t puff up or inflate your lungs.