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Beyond the Inhaler: A Guide to Additional Medical Treatments for COPD Exacerbations

February 21, 2025

Asthmatic senior woman living with COPD is using asthma inhaler at home.

Living with COPD (chronic obstructive pulmonary disease) can be challenging, as the condition often causes flare-ups or “exacerbations.” These episodes can make it harder to breathe and may require more intensive care than your usual routine management.

While inhalers are a critical tool for managing COPD, there are other medical treatments available that can provide relief during exacerbations and improve overall quality of life.

This blog explores additional medical treatments for COPD exacerbations. You will learn about how these treatments work, when they are needed, and how they can help you manage your condition better.

What is a COPD Exacerbation?

A COPD exacerbation is when your symptoms suddenly worsen, making it harder to breathe. Common symptoms include increased shortness of breath, wheezing, coughing, and excessive mucus production.

These episodes can range from mild to severe and may require additional treatment or even hospitalization.

Exacerbations are often triggered by respiratory infections, environmental pollutants, or stress. Early intervention is key to preventing exacerbations from becoming severe.

Why Go Beyond the Inhaler?

While inhalers are the first line of defense in controlling COPD symptoms, they may not always be enough. Exacerbations can put a significant strain on your respiratory system—sometimes requiring additional care to get you back to feeling your best.

Medical treatments beyond inhalers can provide further relief and long-term benefits.

Additional Medical Treatments for COPD Exacerbations

The following are some medical treatments for COPD exacerbations beyond inhalers.

Oxygen Therapy

For individuals with advanced COPD, oxygen therapy is often recommended during exacerbations, when blood oxygen levels drop too low. This treatment involves breathing in oxygen through a mask or a nasal cannula to help you maintain proper oxygen levels in your body.

Oxygen therapy is used when you experience significant shortness of breath or when your blood oxygen levels fall below the normal range, as determined by a pulse oximeter or blood test.

The benefits of oxygen therapy include reduced fatigue and shortness of breath, improved energy levels, and better organ function. It should always be prescribed and monitored by a provider to ensure safe and effective use.

Antibiotics or Antiviral Medications

Many COPD exacerbations are triggered by infections in the respiratory system, such as pneumonia or the flu. A provider may prescribe antibiotics or antiviral medications if an infection is suspected as the cause of your worsening symptoms.

They are prescribed when you have signs of a bacterial or viral infection, such as fever, yellow or green mucus, or chest tightness. The benefits include quickly treating the infection causing the exacerbation and reducing the risk of complications, such as severe lung damage.

Corticosteroids

Corticosteroids are medications that reduce inflammation in the airways, making it easier to breathe. They can be administered orally, intravenously, or in combination with your inhaler.

They are used during moderate to severe exacerbations, when inflammation in your lungs causes significant breathing difficulty. The benefits include quickly opening the airways and reducing the severity and duration of exacerbations.

It’s important to note that steroid use should be monitored, as long-term use can lead to side effects like weakened bones or increased blood sugar levels.

Bronchodilators (Nebulized Therapy)

Bronchodilators are often used as inhalers, but during severe exacerbations, they can also be administered through a nebulizer. This involves inhaling medication in the form of a mist, which can open your airways and make breathing easier.

This method is often used when inhalers are not enough to relieve symptoms or during severe exacerbations that require immediate relief. It delivers medication directly to the lungs for fast relief and eases airway muscles to reduce shortness of breath.

Non-Invasive Ventilation (NIV)

Non-invasive ventilation is a procedure where a machine supports breathing without the need for invasive measures like intubation. A mask is placed over the nose and mouth to deliver air to assist with breathing.

It is needed for severe exacerbations, when breathing becomes extremely difficult and when oxygen therapy alone is insufficient. The benefits include reducing the effort needed to breathe and helping stabilize oxygen levels without invasive procedures.

Medical Treatments for COPD Exacerbations in Auburn, WA

Partnering with a trusted provider is key to living well with COPD. At David Schumer MD and Modeline Jules NP Family Clinic, we specialize in chronic disease management, including customized treatment plans for COPD patients. Our experts are here to provide you with compassionate, expert care every step of the way.

With on-site services and a focus on timely care, you will never feel lost in the system. Book an appointment today by contacting us at (253) 804-3483 or use our convenient appointment form. We look forward to serving you!

Links

 

 

External

https://www.aafp.org/pubs/afp/issues/2010/0301/p607.html

 

Filed Under: Chronic obstructive pulmonary disease (COPD) Tagged With: Bronchodilators, Chronic Disease Management, Chronic obstructive pulmonary disease, COPD exacerbation, Corticosteroids, inhalers, Medical Treatments for COPD Exacerbations, Non-invasive ventilation, Oxygen therapy, Treatments for COPD Exacerbations in Auburn

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