There's nothing more anxiety-producing than watching your child struggle to breathe. I have asthma, as does my (now grown) daughter. A few things I've noticed:
- a ventolin (albuterol) inhaler is easy, effective & portable -- a bonus as your child gets older, more active and less likely to be with you every moment. Once, I had that "jittery" feeling from using it. Turns out, my inhaler was past the expiration date. Not sure why (maybe because I've never met a carbohydrate I didn't like), but eating an English muffin made me feel much better (same when I overdo the coffee).
- although a nebulizer is a slower method of administration, my daughter finds it very, very helpful still when she's having difficulty (& she's in her 20s). As others have mentioned, it requires some down time for the treatment and I think that's part of why it works for her.
- I use Advair for long-term control and find I need much less Ventolin / rescue inhaler when I'm consistent with it. Inhaled steroids are a blessing in preventing attacks & managing this illness.
As with most things, there's no one right answer. Use every tool available for what it has to offer. Prevent what you can (BTW-- pay attention to diet, weather, environment & other triggers). Treat what you need to, in a manner that's effective for the condition, the individual & the particular situation at the moment. I believe in a full toolbox -- and all these drugs & methods of administration have a place.
One last word: I'm not sure they're still prescribed, but years ago my daughter was on Slobid & I was on Tedral (?); both asthma preventatives in pill form. DON'T go for pills! I found their systemic effect caused incredible jitteriness, anxiety & "out of control" behaviors. Stick with the inhaled meds. The only exception I've found is the occasional steroid (usually prednisone) for treatment during an illness like bronchitis or pneumonia.
Good for you for taking an active & involved role in helping your son understand and manage this condition. It'll never slow him down for long as long as he's armed with information & a full toolbox.