ASTHMA FACT SHEET:
ILLNESS & MEDICATION

Can other respiratory illnesses affect asthma?
Several respiratory illnesses can worsen asthma. Respiratory illness, such as the flu or even the common cold, put an added burden on already taxed lungs. Because the lung airways are already inflamed and overly sensitive, even a short exposure to a known trigger is more likely to cause an asthma attack. Respiratory syncytial virus (RSV), rhinoviruses, and influenza are viral respiratory infections that can worsen asthma. It is important for people with asthma to receive a flu shot at the beginning of each flu season, particularly children. Studies have shown that RSV early in childhood can aid in the development of asthma. Rhinitis (often called hay fever) and sinusitis are upper respiratory inflammation illnesses that can worsen asthma symptoms. Nasal polyps and gastroesophegeal reflux disease (repeated heartburn) have also been shown to affect asthma. Gastroesophegeal reflux disease often contributes to night asthma symptoms.

How can medications affect asthma?
People can be allergic to ANY medication which can cause anaphylaxis, a systemic reaction, with asthma like symptoms. Always let your physician and pharmacist know if you or your child is allergic to any medication before use. Nevertheless, there are some medications that can affect asthma. People with asthma can become sensitive to aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, naproxen and ketoprofen. Sensitivity to these drugs can cause asthma symptoms and sensitivity usually increases with age and asthma severity. Additionally, people with asthma should avoid NON-SELECTIVE Beta-adrenergic blockers. Non-selective beta-adrenergic blockers block the receptor sites in the lungs that quick-relievers (such as albuterol) need to act on, so that the reliever medication won’t work.

Want to learn more? Check out some other resources!

Guidelines for the Diagnosis and Management of Asthma: Expert Panel Report 2 , National Heart, Lung and Blood Institute, 1997

Aspirin/NSAID Sensitivity, American Academy of Allergy, Asthma & Immunology, 2004