Abstract
Ramadan, the 9th month of the lunar Islamic year lasting for 29-30 days, during which Muslims are fasting .The number of studies on the effects of Ramadan fasting on asthma were very limited, it was demonstrated that most Muslim asthmatics did not consider asthma to be a drawback to fasting, and they proceed in fasting by rearranging their treatment as use the controller inhaler on iftar and sohoor time & stop taking the reliever inhaler in the day time. the Aim is to study the effect of Ramadan fasting on the clinical ,spirometric figures of patients with stable asthma with treatment modification . Methods: A prospective cohort study was performed before ,during and after Ramadan fasting on well-controlled asthmatic patients as they were classified according to the treatment types as:
- group 1: on inhaled budesonide + formoterol fixed single device (symbicort ,AstraZeneca ,sewed ) + on need short acting B adrenergic agonist
- group 2 : short acting B adrenergic agonist on needed alone
- group 3: interleukins antagonists tablets Once daily (10 mg montelukast Na tablet) + short acting B adrenergic agonist on needed
result : in general the fasting seen to have detrimental effects on fasting in hot weather as first expiratory volume in first second ,forced expiratory flow in 50% and asthma control test score show statistically significant differences before & after fasting but patient on inhaled symbicort with treatment modification show better outcome