These types of asthma medications are designed for the temporary relief of asthma symptoms such as shortness of breath, chest tightness, and wheezing. Before you decide to use an OTC asthma inhaler, see why it may or may not be a good choice. Many patients report using over-the-counter products before getting a diagnosis, despite OTC asthma inhalers not being labeled for this purpose. Classic asthma leads to the following symptoms: However, these symptoms can be part of other serious diseases as well. An OTC asthma inhaler may provide symptom relief and mask some more serious conditions such as heart disease or COPD. If you are not sure about your symptoms, make sure you get checked out by a healthcare professional. Additionally, OTC asthma inhalers state in their packaging they are only to be used for temporary relief and the most recently approved OTC asthma med clearly states that you should be diagnosed by a physician with asthma before using. Some healthcare providers do not feel OTC asthma inhalers are safe. They point out that medications for other serious conditions such as diabetes or heart disease are not sold over-the-counter. Wheezing is a whistling or squeaky sound in your chest when you breathe, especially when you exhale. Swelling or narrowing of your throat or the airways to your lungs can cause wheezing. It can also result in shortness of breath, because your lungs can't hold as much air when they are affected by swelling or mucus buildup. Although asthma and chronic obstructive pulmonary disease are most often associated with wheezing, an allergic reaction is another common cause of these symptoms. During an asthma attack, the airways become more narrow. At first, the person wheezes when breathing out, but as the attack gets worse, the wheezing might happen when breathing in. During a severe asthma attack, there might not be any wheezing because not enough air is moving through the airways. 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