Breathing Treatment Types, Uses, and Side Effects Vector

Breathing Treatment: Types, Uses, and Side Effects (2025)

by | Updated: Dec 16, 2024

A breathing treatment is a common medical therapy designed to help individuals with respiratory conditions breathe more easily. It involves the administration of medication through inhalation, allowing it to reach the lungs directly.

Breathing treatments are commonly used to manage conditions like asthma, chronic obstructive pulmonary disease (COPD), bronchitis, and other respiratory illnesses.

In this article, we’ll explore what a breathing treatment is, how it works, and when it might be necessary to improve lung health and overall breathing function.

What are Breathing Treatments Used For?

Breathing treatments are used to manage and relieve symptoms of various respiratory conditions. They work by delivering medication directly into the lungs, helping to open airways, reduce inflammation, and clear mucus.

Here are some common conditions for which breathing treatments are used:

  • Asthma: Breathing treatments help control asthma symptoms such as wheezing, coughing, and shortness of breath. They can provide quick relief during an asthma attack or be used as part of a long-term management plan.
  • Chronic Obstructive Pulmonary Disease (COPD): For individuals with COPD, breathing treatments alleviate breathing difficulties caused by narrowed airways, making it easier to breathe and reducing the risk of flare-ups.
  • Bronchitis: In cases of acute or chronic bronchitis, breathing treatments help loosen mucus, reduce coughing, and relieve airway inflammation.
  • Pneumonia: Breathing treatments may be prescribed to ease breathing difficulties caused by pneumonia by helping to reduce lung congestion and inflammation.
  • Cystic Fibrosis: Patients with cystic fibrosis use breathing treatments to clear mucus from their lungs, improving airflow and reducing the risk of infection.
  • Respiratory Infections: Conditions like the flu, RSV, or other respiratory infections may require breathing treatments to alleviate severe breathing symptoms.

Note: Breathing treatments provide targeted relief, improving lung function and enhancing quality of life for individuals with respiratory issues.

What Does a Breathing Treatment Do?

A breathing treatment delivers medication directly to the lungs to relieve respiratory symptoms such as wheezing, coughing, and shortness of breath. It works by opening the airways, reducing inflammation, and loosening mucus, making it easier to breathe. Common methods include nebulizers, inhalers, and oxygen therapy.

These treatments are used for conditions like asthma, COPD, bronchitis, and pneumonia. They provide fast relief during respiratory flare-ups and help manage chronic lung diseases.

By improving airflow and reducing respiratory distress, breathing treatments enhance lung function and overall quality of life for individuals with breathing difficulties.

People taking breathing treatment with nebulizer vector illustration

Type of Breathing Treatments

Breathing treatments come in various forms, depending on the patient’s condition and the medication needed. Here are the most common types of breathing treatments:

  • Nebulizer Treatments: A nebulizer converts liquid medication into a mist that can be inhaled through a mask or mouthpiece. It is commonly used for asthma, COPD, and severe respiratory infections. Nebulizer treatments are especially helpful for young children, elderly patients, and those experiencing severe symptoms.
  • Metered-Dose Inhalers (MDIs): These inhalers deliver a specific dose of medication directly to the lungs. They are portable and commonly used by individuals with asthma or COPD. Rescue inhalers provide quick relief during asthma attacks or sudden breathing difficulties. Maintenance inhalers, on the other hand, are used daily to manage chronic respiratory conditions.
  • Dry Powder Inhalers (DPIs): These inhalers deliver medication in powder form. They require patients to inhale forcefully, making them less suitable for young children or people with severe breathing difficulties.

Note: These breathing treatments are essential for managing respiratory illnesses, providing relief, and improving overall lung function.

What is a Nebulizer?

A nebulizer is a medical device that converts liquid medication into a fine mist, making it easier to inhale directly into the lungs. It is commonly used to treat respiratory conditions such as asthma, chronic obstructive pulmonary disease (COPD), bronchitis, and other lung-related illnesses.

Nebulizers are especially helpful for young children, elderly patients, or individuals experiencing severe breathing difficulties who may struggle with using inhalers. The patient breathes in the medicated mist through a mouthpiece or mask, ensuring effective delivery to the airways.

Nebulizers can be powered pneumatically or by electricity and are often used at home, in hospitals, or during emergency care.

Nebulizer breathing treatment illustration

Risks of a Nebulizer Treatment

While nebulizer treatments are generally safe, they do come with potential risks and side effects:

  • Medication Side Effects: Depending on the medication used, side effects can include increased heart rate, jitteriness, or headaches.
  • Infection: If the nebulizer isn’t cleaned properly, it can harbor bacteria or fungi, leading to infections.
  • Worsening Symptoms: In some cases, treatments might cause bronchospasm, leading to worse breathing problems.
  • Allergic Reaction: Although rare, some people might have an allergic reaction to the medication used.

Note: As with any medical treatment, it’s important to use nebulizers under the guidance of a healthcare professional.

What is an Inhaler?

An inhaler is a handheld medical device that delivers medication directly to the lungs through inhalation. It is commonly used to treat respiratory conditions such as asthma, chronic obstructive pulmonary disease (COPD), and other breathing disorders.

Inhalers provide quick relief from symptoms like wheezing, coughing, and shortness of breath or offer long-term management for chronic lung conditions.

There are two main types of inhalers:

  • Metered-Dose Inhalers (MDIs): These release a specific dose of medication as a mist when the user presses the device while inhaling.
  • Dry Powder Inhalers (DPIs): These require the user to inhale forcefully to draw powdered medication into the lungs.

Note: Inhalers are portable, convenient, and essential for managing respiratory health.

Breathing Treatment Medications

Breathing treatments use various medications to manage respiratory conditions by targeting inflammation, relaxing airway muscles, and clearing mucus. The type of medication prescribed depends on the patient’s specific diagnosis, symptoms, and severity of the condition.

Here are the most commonly used breathing treatment medications:

1. Bronchodilators

Bronchodilators relax the muscles surrounding the airways, helping them open and making breathing easier. They are commonly used for asthma, COPD, and other obstructive lung conditions.

  • Short-Acting Beta-Agonists (SABAs): Provide fast-acting relief during sudden breathing difficulties. Example: Albuterol, Levalbuterol (Xopenex).
  • Long-Acting Beta-Agonists (LABAs): Used for long-term control and maintenance. Example: Formoterol, Salmeterol.

2. Inhaled Corticosteroids (Steroids)

These medications reduce inflammation and swelling in the airways, helping to prevent flare-ups in conditions like asthma and chronic bronchitis.

  • Examples: Budesonide (Pulmicort), Fluticasone (Flovent), Beclomethasone (Qvar).

3. Anticholinergics

Anticholinergics block certain nerve signals that cause airway constriction, helping the airways remain open. They are often prescribed for COPD and asthma maintenance.

  • Short-Acting Anticholinergics: Ipratropium (Atrovent).
  • Long-Acting Anticholinergics: Tiotropium (Spiriva).

4. Combination Medications

Combination inhalers and nebulizer solutions blend bronchodilators with corticosteroids or anticholinergics for enhanced treatment, reducing inflammation while keeping airways open.

  • Examples: Advair (Fluticasone/Salmeterol), Symbicort (Budesonide/Formoterol), Combivent (Albuterol/Ipratropium).

5. Mucolytics

Mucolytics break down and thin mucus, making it easier to cough up and clear from the lungs. These are commonly used for chronic bronchitis, cystic fibrosis, or severe respiratory infections.

  • Example: Acetylcysteine (Mucomyst).

6. Antibiotics

Nebulized antibiotics treat bacterial lung infections, particularly in patients with cystic fibrosis or chronic respiratory infections.

  • Examples: Tobramycin, Aztreonam (Cayston).

7. Anti-Inflammatory Medications

Non-steroid anti-inflammatory medications can also be delivered through breathing treatments to reduce airway irritation and inflammation.

  • Example: Cromolyn Sodium.

8. Biologic Therapies

For severe, treatment-resistant asthma or chronic respiratory conditions, biologic medications that target specific immune system pathways may be prescribed.

  • Examples: Omalizumab (Xolair), Dupilumab (Dupixent).

9. Oxygen Therapy (Supplemental Oxygen)

Although not a medication, supplemental oxygen is often considered part of breathing treatment plans for severe COPD, pneumonia, or respiratory distress.

Note: The choice of medication, dosage, and treatment frequency should always be determined by a healthcare professional based on the individual’s specific medical condition and needs. Proper use of breathing treatment devices ensures maximum effectiveness and symptom relief.

Signs and Symptoms Treated With a Breathing Treatment

Breathing treatments can be life-changing for individuals with respiratory conditions. Recognizing the signs that indicate the need for a breathing treatment can prevent complications and improve quality of life.

Here are the key symptoms to watch for:

  • Shortness of Breath: Feeling out of breath or struggling to breathe can signal that your airways are narrowed or inflamed. If breathing becomes uncomfortable during rest or physical activity, a breathing treatment may be necessary.
  • Wheezing: A high-pitched, whistling sound when exhaling often indicates obstructed airways caused by conditions such as asthma, COPD, or bronchitis. Persistent wheezing should not be ignored.
  • Persistent Cough: A chronic cough that disrupts sleep or interferes with daily life may suggest a respiratory issue that requires a breathing treatment. Coughing helps clear mucus from the lungs but can also signal underlying inflammation or irritation.
  • Chest Tightness or Pressure: A sensation of tightness, pressure, or heaviness in the chest can make breathing difficult and may indicate an asthma flare-up or other respiratory distress requiring immediate attention.
  • Rapid or Labored Breathing (Tachypnea): Breathing faster than normal, especially when combined with shallow breaths or visible chest retractions, can indicate a serious breathing issue. This is common during asthma attacks, allergic reactions, or severe respiratory infections.
  • Difficulty Performing Daily Activities: If you struggle with tasks like walking, talking, eating, or even resting due to breathlessness, seek medical attention promptly. These limitations can indicate significant respiratory distress.
  • Cyanosis: A bluish tint to the lips, fingers, or toes is a sign of low oxygen levels and requires immediate medical care, potentially including breathing treatments or supplemental oxygen.
  • Frequent Respiratory Infections: Recurrent lung infections or flare-ups of chronic conditions like COPD may require breathing treatments to reduce symptoms and prevent further complications.

Note: If you or someone you care for experiences any of these symptoms, consult a healthcare professional for an evaluation. Early treatment can improve breathing and reduce the risk of serious complications.

What is Albuterol?

Albuterol is a fast-acting bronchodilator medication used to treat and prevent breathing difficulties caused by conditions such as asthma, chronic obstructive pulmonary disease (COPD), and other respiratory disorders. It works by relaxing the muscles around the airways, helping them open up and making breathing easier.

Albuterol targets beta-2 receptors in the lungs, triggering the relaxation of airway muscles. This action relieves symptoms like wheezing, shortness of breath, coughing, and chest tightness caused by airway constriction.

Albuterol aerosol medication packet

Forms of Albuterol

Albuterol comes in several forms, including:

  • Inhalers: Portable devices for quick relief during asthma attacks (e.g., ProAir HFA, Ventolin HFA).
  • Nebulizer Solution: Used with a nebulizer to treat more severe symptoms or for young children.
  • Tablets or Syrup: Oral forms for long-term management, though less commonly prescribed.

Common Uses for Albuterol

  • Asthma Attacks: Provides immediate relief during an asthma attack.
  • COPD Flare-Ups: Helps reduce breathing difficulties caused by COPD exacerbations.
  • Exercise-Induced Bronchospasm: Prevents breathing problems triggered by physical activity.

Possible Side Effects

While effective, albuterol can cause side effects such as:

  • Increased heart rate
  • Nervousness or shaking
  • Headaches
  • Dizziness
  • Dry mouth or throat irritation

Note: Albuterol is typically used as a rescue medication for sudden breathing difficulties. If symptoms persist or worsen, consult a healthcare provider for further evaluation and treatment adjustments.

FAQs About Breathing Treatments

What to Expect With Breathing Treatments?

Breathing treatments typically involve inhaling medication through a device like a nebulizer or an inhaler. The treatment lasts about 10 to 15 minutes and helps relieve symptoms such as wheezing, shortness of breath, and chest tightness.

During the session, you will breathe in medicated mist while sitting comfortably. Side effects depend on the medication used but may include slight jitteriness or increased heart rate.

Who is an Ideal Candidate for a Breathing Treatment?

Ideal candidates for breathing treatments are individuals with respiratory conditions such as asthma, COPD, bronchitis, or cystic fibrosis. They are also suitable for those experiencing breathing difficulties due to allergies, infections, or bronchoconstriction.

Note: A healthcare provider can determine if a breathing treatment is necessary based on your symptoms and medical history.

How to Use a Nebulizer?

To use a nebulizer, follow these steps:

  • Add the prescribed medication into the nebulizer cup.
  • Attach the mask or mouthpiece securely.
  • Connect the nebulizer to its power source and turn it on.
  • Breathe in the mist calmly and deeply until the medication is fully dispensed (about 10-15 minutes).
  • Clean the nebulizer parts thoroughly after each use to prevent infection.

What Does a Nebulizer Do to Your Lungs?

A nebulizer delivers medication directly into the lungs, helping to relax airway muscles, reduce inflammation, and clear mucus. It treats conditions like asthma, COPD, and severe respiratory infections by making breathing easier and reducing symptoms like coughing and wheezing.

Are Nebulizers Better Than Inhalers?

Whether nebulizers are better than inhalers depends on the individual’s condition, age, and treatment needs.

Nebulizers are more suitable for young children, elderly patients, and those with severe symptoms because they deliver medication passively. Inhalers are portable, convenient, and ideal for active individuals who need on-the-go relief. Both options can be effective when used correctly.

What Medication is in a Breathing Treatment?

The medication used in a breathing treatment depends on the patient’s specific respiratory condition. Common medications include:

  • Bronchodilators: Such as albuterol or levalbuterol, which relax airway muscles and improve breathing.
  • Steroids: Like budesonide, which reduce airway inflammation.
  • Anticholinergics: Such as ipratropium, which help open the airways.
  • Mucolytics: Like acetylcysteine, which thin mucus to make it easier to expel.

Note: A healthcare provider will prescribe the most appropriate medication based on your symptoms and diagnosis.

What is the Best Breathing Treatment?

The best breathing treatment depends on the individual’s condition and severity of symptoms. For quick relief during asthma attacks, albuterol nebulizers or inhalers are commonly used.

Steroid inhalers provide long-term management for chronic conditions like asthma or COPD. For mucus buildup, mucolytics may be added. A healthcare provider will recommend the most effective treatment tailored to your specific needs.

How Long Does a Breathing Treatment Last?

A typical breathing treatment with a nebulizer lasts 10 to 15 minutes, though the duration may vary based on the type and amount of medication prescribed.

The session continues until the medication is fully dispensed, which is usually indicated when the nebulizer stops producing mist. Inhalers, on the other hand, deliver medication within seconds.

How Do I Know If I Need a Nebulizer Treatment?

You may need a nebulizer treatment if you experience persistent wheezing, shortness of breath, chest tightness, or a chronic cough that interferes with daily life.

Individuals with conditions such as asthma, COPD, or severe respiratory infections may benefit from nebulizer treatments. If your symptoms worsen or become frequent, consult a healthcare provider for a proper evaluation and treatment plan.

Can Breathing Treatments Help Pneumonia?

Yes, breathing treatments can help manage pneumonia symptoms by opening airways, reducing inflammation, and making breathing easier.

While oral or intravenous antibiotics are standard for treating the underlying infection, nebulized medications like bronchodilators or corticosteroids may be prescribed to relieve breathing difficulties caused by pneumonia. Always follow your healthcare provider’s treatment recommendations.

Do Breathing Treatments Help Bronchitis?

Yes, breathing treatments can help alleviate symptoms of bronchitis by reducing airway inflammation, relaxing the muscles around the airways, and thinning mucus for easier expulsion.

Medications such as albuterol or ipratropium may be used to relieve coughing, wheezing, and shortness of breath. For more severe cases, a healthcare provider may recommend a combination of bronchodilators and steroids.

Will Breathing Treatments Help Croup?

Yes, breathing treatments can be effective in severe cases of croup, especially when swelling in the airways causes breathing difficulties.

Nebulized epinephrine is often used in emergency settings to quickly reduce swelling in the airway and improve breathing. These treatments are typically administered in a hospital or urgent care setting for children experiencing significant respiratory distress.

Does a Breathing Treatment Help With Allergies?

Breathing treatments can relieve respiratory symptoms caused by allergies, such as wheezing, coughing, and shortness of breath. Bronchodilators like albuterol may help open the airways, while steroids can reduce inflammation.

However, breathing treatments do not address the root cause of allergies; antihistamines or allergy shots may be needed for long-term allergy management.

Will a Breathing Treatment Help a Stuffy Nose?

No, breathing treatments primarily target the lungs and airways, not the nasal passages. They are designed to relieve lower respiratory issues such as wheezing and shortness of breath.

For a stuffy nose caused by colds, allergies, or sinus infections, decongestants, saline sprays, or antihistamines are more effective options.

Do Breathing Treatments Help With Mucus?

Yes, certain medications used in breathing treatments, such as mucolytics (e.g., acetylcysteine), help thin and loosen mucus, making it easier to cough up and clear from the airways.

This is especially helpful for individuals with conditions like chronic bronchitis, cystic fibrosis, or COPD, where mucus buildup can obstruct breathing.

Do Breathing Treatments Increase Heart Rate?

Yes, some medications used in breathing treatments, particularly bronchodilators like albuterol, can cause an increased heart rate as a side effect.

This happens because these medications stimulate the body’s fight-or-flight response by activating beta receptors. While this effect is usually temporary, contact your healthcare provider if the increase in heart rate becomes severe or persistent.

Can Breathing Treatments Cause Thrush?

Yes, inhaled corticosteroids used in breathing treatments can cause oral thrush, a fungal infection in the mouth. This occurs because steroid residue can create an environment where yeast thrives.

To prevent thrush, rinse your mouth thoroughly with water after each breathing treatment and consider using a spacer device with an inhaler if applicable.

Are Breathing Treatments Safe During Pregnancy?

Yes, most breathing treatments, including those containing albuterol, are considered safe during pregnancy when prescribed by a healthcare provider.

Maintaining good respiratory health is crucial during pregnancy to ensure adequate oxygen supply for both the mother and the baby. Always consult your healthcare provider before starting or continuing any medication during pregnancy.

Will Breathing Treatments Keep You Awake?

Breathing treatments may cause restlessness, jitteriness, or trouble sleeping, especially if they contain stimulant bronchodilators like albuterol.

These side effects are typically mild and temporary. If you notice that treatments affect your sleep, discuss dosage adjustments or alternative medications with your healthcare provider.

How Many Breathing Treatments Can You Take?

The number of breathing treatments you can take depends on your specific condition and medication prescribed. Some people may need treatments multiple times per day during flare-ups, while others may only need them occasionally.

Follow your healthcare provider’s instructions carefully, and avoid exceeding the recommended dosage to prevent side effects or medication overuse.

Where Can I Get a Breathing Treatment?

You can receive a breathing treatment at hospitals, urgent care centers, doctors’ offices, or pulmonary clinics. Many individuals with chronic respiratory conditions use a home nebulizer prescribed by their healthcare provider.

Pharmacies and medical supply stores also sell nebulizer machines with a prescription. Always consult a healthcare professional to determine where and how to get appropriate treatment.

When to See a Doctor About Needing a Breathing Treatment?

You should see a doctor if you experience persistent wheezing, shortness of breath, coughing, chest tightness, or difficulty breathing.

Seek emergency care if symptoms worsen rapidly, you experience bluish lips or fingertips (cyanosis), or if breathing issues interfere with daily activities like walking or talking. A healthcare provider can determine if a breathing treatment or other medical intervention is needed.

Final Thoughts

Breathing treatments are a vital tool for managing respiratory conditions and improving lung function. By delivering medication directly into the airways, they offer fast and effective relief for symptoms like wheezing, shortness of breath, and chest tightness.

If you or a loved one experiences breathing difficulties, consulting a healthcare provider about breathing treatments could be a crucial step toward better respiratory health and overall well-being.

John Landry, BS, RRT

Written by:

John Landry, BS, RRT

John Landry is a registered respiratory therapist from Memphis, TN, and has a bachelor's degree in kinesiology. He enjoys using evidence-based research to help others breathe easier and live a healthier life.

References

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  • Collins N. Nebulizer therapy in cystic fibrosis: an overview. J R Soc Med. 2009.
  • Almadhoun K, Sharma S. Bronchodilators. [Updated 2023 Apr 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.
  • Johnson DB, Merrell BJ, Bounds CG. Albuterol. [Updated 2022 Sep 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.

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