It is not generally recommended for exacerbations, but useful if patient cannot take aerosol therapy. Thus it is used for hospitalized patients and in chronic management of asthma. I.V. use is not often favored in the Emergency Room, but may be useful for hospitalized patients. Aminophylline may improve respiratory muscle function. Other Drugs may be needed in asthma exacerbations.
Effectiveness is disputed.
Antibiotics - not usually needed. Decongestants , etc. Furosemide by inhalation is of experimental interest. This is recognized to be of prime importance. History - exacerbating factors, occupational exposure, etc.