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Asthma - Contraindications

Therapies Not Recommended for Treating Exacerbations

Theophylline/aminophylline is NOT recommended therapy in the emergency department because it appears to provide no additional benefit to shortacting inhaled beta 2agonists and may produce adverse effects.

In hospitalized patients, intravenous methylxanthines are not beneficial in children with severe asthma and their addition remains controversial for adults.

Chest physical therapy and mucolytics are not recommended. Anxiolytic and hypnotic drugs are contraindicated. Antibiotics are NOT recommended for asthma treatment but may be needed for comorbid conditions (e.g., patients with fever and purulent sputum or with evidence of bacterial pneumonia). Aggressive hydration is NOT recommended for older children and adults. Assess fluid status and make appropriate corrections for infants and young children to reduce their risk of dehydration.

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