Posted by: SD | 2020/04/02


Covid-19 and Asthma

Good morning Professor Dheda, I am a 44y old male living with a well managed Asthma. I am on Symbicort320 twice a day, keeping fit with outdoor exercise and a healthy diat. The condition is well controlled with no attacks in the last years. In the context of the Covid-19 Pandemic I struggle to find any detail how a controlled Asthma is increasing your risk in the context of a Corona infection. COPD is often mentioned as a high risk factor, but without details. I would expect that in the case of Covid-19 progressing to severe Pneumonia with reduction of breathing tidal volumes the inhalation of the Asthma meds will become ineffective and thus the risk of an Asthma attack would increase. Also the severity and outcome of the Asthma attack may be a lot worse in context of the pneumonia condition. So here two questions: 1) Does the Asthma condition increase the risk of a mild Corona infection progressing to Pneumonia, and what can one do to mitigate this? 2) Are there alternative, non inhalative, Asthma control and relief medications that one should acquire as a measure of precaution? Your advice will be appreciated. All the best, SD

Expert's Reply


Asthma Expert
- 2020/04/17

Having chronic persistent asthma is a risk factor for respiratory tract infections in general.  There are no known effective preventative therapies for COVID-19 that I'm aware of.  It would be advisable for you to take the flu jab and the pneumonia jab would also be indicated.  As always, given that I don't have your full history and clinical information, you should discuss the details with your doctor and proceed accordingly.

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