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Dear Friend,

How well do you really understand your asthma? Does your asthma sometimes hold you back from doing more of the things you want to do? The first step in better managing your asthma is understanding it.

Get a better understanding of your asthma by getting to know its two main components and its triggers. You can also read about different medicines for asthma and view a glossary of terms.

Let's start with a definition of asthma

Asthma is a chronic disease of the bronchial tubes, or airways of the lungs, characterized by constriction and inflammation. Common symptoms include wheezing, coughing, chest tightness, and shortness of breath.

How asthma affects your breathing

If you have asthma, you know how it makes you feel. You may experience wheezing, coughing, chest tightness, or shortness of breath, making it hard to do everyday activities. No matter what your symptoms are, you can be sure that the two main components of asthma are contributing to them:

• Constriction: Tightness in the muscles surrounding the airways that makes it hard for you to breathe in and out.
• Inflammation: Swelling and irritation of the airways that reduce the amount of air you can breathe in and out.

Even though asthma is a chronic disease, millions of people are able to live with it every day and lead active lives–with the right preventative asthma treatment plan. Don't let asthma always hold you back.

The Two Main Components of Asthma

Constriction and Inflammation
When you have asthma, two main things are happening in your lungs: constriction (the tightening of the muscles around the airways) and inflammation (the swelling and irritation of your airways).

Constriction and inflammation both cause narrowing of the airways, which results in symptoms such as wheezing, coughing, chest tightness, and shortness of breath. There is increasing evidence that, if left untreated, asthma can cause long-term decline in lung function.

Advair Diskus effectively treats the two main components of asthma symptoms – airway constriction and inflammation – at the same time. (Remember, Advair Diskus does not replace fast-acting inhalers for sudden symptoms.)

Asthma Triggers

Identify and Avoid Your Asthma Triggers

Asthma triggers, including those listed below, can provoke asthma symptoms or attacks. There are many triggers of asthma symptoms, and they differ from person to person.

You can help prevent bothersome asthma symptoms by identifying and avoiding your known asthma triggers. In fact, identifying and avoiding asthma triggers should be part of a detailed action plan to help manage your asthma successfully.

It may not be possible to completely eliminate all asthma triggers, but you should still try to remove as many triggers as possible from your home and work areas. This can help you enjoy a healthier life with fewer asthma symptoms and attacks. Select one of the triggers below to find out how you can learn to avoid it.

• Smoking
• Pollen or outdoor mold
• Dust mites
• Activity
• Pets
• Colds and infections
• Cockroaches
• Weather
• Indoor mold
• Smoke
• strong odors and sprays
• Smoking (Do not allow smoking in the home or around you, especially in the bedroom or a car. Avoid smoke-filled areas.)
• Dust mites (Dust mites are tiny bugs you cannot see that live in cloth and carpet.)
• Encase your mattress and pillow in a special dust-proof cover.

Replace old pillows with new ones at least once every 5 years. Wash the sheets and blankets on your bed each week in hot water. Water must be hotter than 130°F (this kills dust mites). During the day, keep dust off your bed by covering the entire bed with a bedspread. At night, take off the bedspread and put it in another room.

If you've done all these things and still have trouble with your asthma, talk to your doctor.

Pets

Some people are allergic to the flakes of skin (dander) or dried saliva that comes from animals with fur or feathers.

Find a new home for the pet or keep pets out of your home, or better yet, get rid of your pets. Nobody *needs* a pet. This can be very hard to do, but it may be the best way to control your asthma if you're allergic to animals.

If you cannot keep pets out of your home, keep the pet out of your bedroom and keep the bedroom door closed.

Consider placing filters on the air vents in your bedroom.

Remove carpets and furniture covered with cloth from your home. If this is not possible, keep the pet out of the rooms where these are located.

Cockroaches

• Many people with asthma are allergic to the dried droppings and remains of cockroaches.
• Keep all food out of your bedroom.
• Keep food and garbage in closed containers (never leave food out).
• Use bait or traps to eliminate cockroaches.
• If a spray is used to kill roaches, stay out of the room until the odor goes away.

Indoor mold

Fix leaky faucets, pipes, or other sources of water.

Clean mold off of surfaces with a cleaner that has bleach in it.

Replace or wash moldy shower curtains.

Smoke, strong odors, and sprays

If possible, do not use a wood-burning stove, kerosene heater, or fireplace.

Try to stay away from strong odors and sprays, such as perfume, paints, and hair spray, and powders such as talcum powder.

Pollen or outdoor mold

During your allergy season, you should:

• Try to keep your windows closed.
• Stay indoors with windows closed during the midday and afternoon, if you can, because pollen and some mold spore counts are highest at that time.

Activity

If your asthma is well-controlled, you still can be active. Warm up by stretching or walking for about 6 to 10 minutes before you exercise. Try not to work or play hard outside when the air pollution or pollen levels (if you are allergic to pollen) are high.

Colds and infections

If colds and infections trigger your asthma, talk with your doctor about developing a treatment plan to follow when you start feeling sick. Also plan to:

• Get a flu shot.
  Try to stay healthy by getting plenty of rest, eating a balanced diet, exercising regularly, drinking plenty of fluids, and avoiding contact with others who have colds or the flu.
• Weather
  Cover your nose and mouth with a scarf on cold or windy days. Avoid going outside on days when pollen or mold counts are high if you are allergic to pollens or molds (check weather reports).
• Other asthma triggers
  Food allergies and sulfites in foods: For example, do not drink beer or wine or eat shrimp, dried fruit, processed potatoes, or any other foods if any of these cause asthma symptoms.

Managing Asthma

Once you have a better understanding of your asthma, you will be better equipped to manage it effectively. This may let you have a more active life, with fewer asthma symptoms. You and your doctor should work together to help you get to know your asthma in order to better manage it.

Of course, medicines can help treat constriction and inflammation and reduce symptoms. You should know that Advair Diskus is the first and only product approved by the FDA that helps to effectively treat the two main components of asthma–airway constriction and inflammation. Advair Diskus does not replace fast-acting inhalers for sudden symptoms.

Help keep control of your asthma by monitoring it over a long period of time. Along with your doctor, you'll develop a plan that will help you manage your asthma more effectively. Learn how a peak flow meter can help you and your doctor assess how open your airways are.