Are over-the-counter (O-T-C) asthma inhalers safe?
This is a very complex and controversial question. There is no doubt that the common over-the-counter (O-T-C) bronchodilator inhalers and tablets (those containing epinephrine [adrenaline] or ephedrine) are effective for treating acute asthma symptoms. One problem is the side effects with these medications; as they can cause nervousness, insomnia, and fast heart rates among others. Older patients are at more risk with these O-T-C medications because of their effects on the heart. Although the effectiveness of prescription bronchodilators (e.g., inhaled albuterol) are about equal to the O-T-C types, they usually have less side effects. The important issue is whether a particular patient needs anti-inflammatory medicine in addition to their bronchodilator. I believe a major problem with over-the-counter asthma medications is that it permits sufferers to treat the asthma on their own, without the advice of a physician. The same person can buy an O-T-C inhaler every other day, and no one w
