Tilade Inhaler

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Tilade Inhaler (nedocromil) is a mast cell stabilizer which ultimately blocks production of histamine and similar substances in allergic responses. It is used in patients age 6 and up to reduce the frequency and severity of asthma attacks and, though much less common, other breathing impairment, such as from COPD or chronic bronchitis.

This is one of few non-rescue inhalers that doesn't contain an inhaled steroid. Tilade Inhaler is ideal for those seeking additional control of asthma when inhaled steroids are undesirable or unsuitable; those who have found inhaled steroids provide no benefit may want to try this product instead.

Tilade Inhaler must be used regularly, regardless of asthma symptoms, to produce results. It is not a rescue inhaler. Rescue treatments should be kept on-hand and used as-needed.

What to Expect from Treatment

Tilade Inhaler inhibits mast cells from releasing histamine and other chemicals that would otherwise cause inflammation when exposed to an allergen. Results can be somewhat variable; some patients find they can behave as though they no longer have asthma, while others find attacks are less frequent and less severe, but still happen.

Rarely a small percentage of individuals don't respond to treatment at all, or find it induces paradoxical bronchospasm, an emergency condition in which the inhaler causes a severe asthma attack rather than alleviates it. Paradoxical bronchospasm is a risk with any inhaled product, including the widely-used rescue treatment albuterol.

Tilade Inhaler is also beneficial in preventing exercise-induced asthma attacks, most likely due to the product's overall anti-inflammatory effect.

The inhaler is only available in one dosage strength---2 mg. Each Tilade Inhaler contains 104 metered doses, though 3 of those will be lost when the inhaler is primed before first use, in which it should be actuated 3 times. Inhalers should be re-primed if unused for more than 7 days.

Treatment is straightforward; patients age 6 and up should:

  • Take two inhalations four times per day, spread apart as evenly as possible.
  • Those who find asthma is well controlled with the above dose may want to try reducing dosage to three or two times per day to see if it's maintained.

Some patients can get away with less frequent dosing than four times per day; this is preferred, as lower amounts of the medication are less likely to produce side effects.

After a couple of weeks of treatment, most patients will notice asthma attacks happening with less frequency and, when they do occur, they'll be less severe. Rescue inhalers should be used as-needed to address attacks in progress.

Side Effects

Used as directed, side effects from Tilade Inhaler are rare and usually transient, meaning they often stop occurring as the body adjusts to treatment. Most commonly reported are:

  • Throat irritation
  • Hoarseness
  • Cough
  • Unpleasant taste in mouth
  • Nausea
  • Abdominal discomfort
  • Headache

Paradoxical bronchospasm, mentioned above, is a concern. It usually happens immediately after taking a dose, but it can happen at any point in treatment, compared to an allergic reaction, which almost always happens at the start of treatment. Patients should seek emergency medical attention if breathing becomes very difficult after a dose of Tilade Inhaler or any other inhaler.

There are no known drug interactions associated with Tilade Inhaler.

There are no known harmful effects on unborn or nursing babies if the inhaler is used while pregnant or breastfeeding.

Cost Issues

While we've made Tilade Inhaler as inexpensive as possible, its cost may still be daunting to some patients. Those struggling to pay for this medication may want to seek help; the manufacturer of this product---Pfizer---offers low cost, even free, medications for qualifying individuals. More information can be found on their official website, easily found with a simple internet search.

Other Options

There are numerous products available for asthma, COPD, chronic bronchitis, and similar breathing issues. We're happy to offer a variety of them, including:

  • Albuterol inhalers deliver albuterol directly to the lungs, providing fast-acting relief.
  • Albuterol nebules contain fluid for use in a nebulizer. Many patients find nebulized medication works much better than inhalers---which contain HFA propellant that many patients react poorly to---but, on the downside, it does require a nebulizer and power supply to use.
  • Combination inhalers contain albuterol and another bronchodilator, taken regularly for long-term maintenance. These are generally not rescue inhalers, but might work as such in a pinch.
  • Inhaled steroids are another long-term maintenance inhaler, never suitable as a rescue inhaler. These products reduce the frequency and severity of attacks for many patients, though they don't work for everyone.
  • Tablets are used by many patients as an alternative or supplement to inhaled products.
  • EpiPens will work to abort severe asthma attacks in a pinch when other treatments aren't available and medical attention cannot be immediately obtained. The Junior version can be found here.

Please don't hesitate to let us know if you need help finding the right product for your particular circumstances. We're always happy to help!

Tilade Inhaler

2mg nedocromil  Buy Tilade Inhaler 1 Ea - $134.13
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Medicines have benefits and some have risks. Always read the label and use only as directed. If symptoms persist or you have side effects see your health professional.

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