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Medical Author:

George Schiffman, MD, FCCP

George Schiffman, MD, FCCP

Dr. Schiffman received his B.S. degree with High Honors in biology from Hobart College in 1976. He then moved to Chicago where he studied biochemistry at the University of Illinois, Chicago Circle. He attended Rush Medical College where he received his M.D. degree in 1982 and was elected to the Alpha Omega Alpha Medical Honor Society. He completed his Internal Medicine internship and residency at the University of California, Irvine.

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Medical Editor:

William C. Shiel Jr., MD, FACP, FACR

William C. Shiel Jr., MD, FACP, FACR

Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

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The main goals in the medical treatment of asthma are to prevent asthma attacks and to control the disease. Avoiding triggers that induce or aggravate asthma attacks is an important aspect of prevention. Medications used to prevent asthma attacks (controller medications) focus on decreasing the airway inflammation that causes attacks. Rescue medications help open up your airway and are used for quick relief when asthma symptoms occur despite the use of controller medications.

Most of the inhaler therapies have been changed recently because of the government mandate to remove chloroflurocarbons (CFCs) from the devices in an attempt to prevent further damage to the earth's ozone layer. These inhalers have changed to a new propellant, hydrofluroalkane (HFA) or powder devices. This change in delivery system has resulted inadvertently in removing all generic inhalers from the market and only proprietary (brand name) options are available for now.

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