Abstract
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Up to almost 60% of patients with asthma use some sort of complementary and alter native medicine therapy.
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There is insufficient evidence to make recommendations for the incorporation of acupuncture into the treatment or management of asthma.
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There are insufficient data to determine whether homeopathy is a valid adjunctive therapy in the management of asthma.
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Breathing exercises may improve symptom scores and quality-of-life measures, but evidence for their effectiveness in improving lung function is still inconclusive.
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Muscle relaxation shows some promise in improving lung function, but the available evidence on relaxation techniques is limited.
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There is insufficient evidence to support the use of chiropractic spinal manipulation and other manual therapies in the treatment of asthma.
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The authors suggest a healthy well-balanced diet with high intake of fruits and vegetables rich in antioxidant vitamins, flavonoids, and minerals; there is not enough evidence to recommend supplementation with antioxidant vitamins or selenium for patients with asthma.
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The authors also suggest supplementation with magnesium in the subset of patients with asthma with low intracellular levels of this mineral.
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Supplementation with certain n-3 fatty acids and the n-6 fatty acid γ-linolenic acid reduces markers of inflammation in patients with asthma, but there is little evidence of a beneficial effect on lung function or asthma control.
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There is as yet no conclusive evidence of effectiveness in the treatment of asthma for any botanical.
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Do ask your patients whether and what botanicals they use, and do tell your patients about the potential risk of allergies, toxicities, and herb-drug interactions associated with many herbal compounds.
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Borchers, A., Keen, C.L., Gershwin, M.E. (2006). Complementary/Alternative Therapies in Asthma. In: Gershwin, M.E., Albertson, T.E. (eds) Bronchial Asthma. Current Clinical Practice. Humana Press. https://doi.org/10.1385/1-59745-014-6:181
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