Inhaled Bronchodilator Therapy (Asthma/COPD)

Bronchodilators open narrowed airways by relaxing the smooth muscle that surrounds them, making it easier for air to move in and out. Short-acting inhalers (rescue inhalers) work within minutes to relieve sudden symptoms, while long-acting inhalers are taken on a schedule to keep airways open day to day.

Dr. Golian selects your inhaler based on your symptom pattern, your pulmonary function test results, and how often you need quick relief. Because so much of the benefit depends on getting the medication deep into your lungs, your visit includes a careful demonstration of correct technique with your specific device.

Bring every inhaler and breathing medication you currently use, including any you have stopped, so we can complete an accurate medication reconciliation. It also helps to note how often you reach for your rescue inhaler each week and what tends to trigger your symptoms.

If you have a peak flow meter or symptom diary, share it. Recent or planned pulmonary function testing gives us valuable information to fine-tune your plan.

We schedule follow-up to confirm your inhaler is working, that your technique remains correct, and that your rescue inhaler use is decreasing rather than climbing. Frequent rescue-inhaler use can signal that your underlying asthma or COPD needs a step up in care.

Many patients do well with an added inhaled corticosteroid or, for those who smoke, smoking cessation support. When breathing concerns are complex or worsening, Dr. Golian coordinates pulmonology care including Cedars-Sinai.