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Exercise Induced Asthma

Question:
What do you take to help with this problem during/before a race? As spring hayfever increases here in norcal I'm finding this to be a significant problem. I'm not sure I want to take ephedrine or pseudo-ephedrine, besides being banned it speeds me up way too much. anybody have any ideas, two races here this weekend.


Answer:
Exercise-induced asthma (EIA) is a significant problem and I think going to a good doctor is probably a good idea. There are much better asthma meds now than there used to be. There are also some really nice over the counter meds as well. One of my favorites is Nasalcrom or sodium cromolyn. It is described as a mast cell inhibitor which inhibits the response of mast cells to allergens so less histamine is produced by the body and you are less likely to have an asthma attack . For me, it stops the itchy, runny nose so you are able to breathe easier. ( I don't work for a drug company.) If the allergic response is what is starting your wheezing, then inhaled nasalcrom will be beneficial to you. If your asthma is started by so-called irritant receptors in the airways, then you will likely need a prescription med - albuterol or an inhaled steroid. I am not an elite athlete (can't really be called an athlete at all these days) so I do not know the requirements with the USCF for making sure that you can use these drugs legally. I think if you have a prescription, you've covered. I would definitely keep a copy of the prescription and if you race somewhere where you might be drug tested, I would let the USCF know that you are using these meds for EIA. One thing that helps to prevent the bronchospasm with exercise is a very good warm-up. Start slowly, warm-up for a good period of time and gradually increase speed. That seems to blunt the irritant response of the airways to a sudden hard workload.



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