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In reality, doctors' options for treating asthmatics are limited. The

available treatments are more on a continuum (or series of steps) and

should probably be thought of in that way. Very mild asthmatics only

need a rescue inhaler occasionally. The next step is adding an

inhaled steroid with the rescue inhaler available. The next step

after that is adding an LAB to the inhaled steroid and having the

rescue inhaler available, and /or increasing the doseage of the

inhaled steroid. The next step probably involves oral steroids and/or

albuterol by nebulizer and/or theophylline or similar. Then, for

those of us who end up as " steroid dependent, " Xolair is the final

option if we have ALLERGIC asthma. It is not an option for people

with asthma that is not triggered by allergies.

So to use the word " alternative " in my mind is just useless.

Just my opinion,

Addy

Group co-owner

I've tried ALL the steps.

> >

> > Hi ,

> >

> > I'm happy to hear that I'm not the only one on Xolair and

> still

> > on pred too! It sounds as if we both have had (and probably anyone

> on

> > long-term pred too) the lovely side effects from it, I'm so

> grateful

> > (and so is my family - the mood swings were great) that Xolair has

> > allowed my dose to become lower.

> >

> > I was wondering - in one of instdesgn's posts it was mentioned

> > that pred IS NOT the only alternative to Xolair. Does anyone know

> of

> > any alternatives? My pulmo told me that Xolair was the only

> > alternative to high doses of pred short of being admitted to a

> > hospital and that was the answer I got from my PCP too, so I

> believed

> > them.

> >

> >

>

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