Understanding EIB
EIB (exercise induced bronchospasm) is sometimes referred to as exercise induced asthma, but is not asthma

EIB (exercise-induced bronchospasm)

EIB stands for exercise-induced bronchospasm. People who experience EIB find it hard to breathe during or after exercising.

Why? When we exercise, cool dry air moves quickly in and out of our lungs.1 People with EIB may experience a temporary tightening of the airways, which can lead to:2

  • Coughing
  • Wheezing
  • Shortness of breath
  • Chest tightness

If this happens to you, you're not alone. As many as 1 in 10 people in America experience EIB, many of whom do not have asthma.3 That's an estimated over 30 million adults and children,3,4 including some of the world's best athletes. As a matter of fact, in the 1998 Winter Olympics, almost one in four U.S. athletes trained and competed despite their EIB-related breathing problems.5

EIB doesn't have to slow you down. And EIB treatment doesn't need to be continuous. After all, EIB breathing issues are short-term and occur only during or after exercise.

So why not speak with your healthcare provider? After all, there are ways to avoid EIB so you can stay active. One way is by using the ProAir® HFA inhaler prior to exercise. Treating proactively with ProAir® HFA 15-30 minutes before working out can help prevent EIB.6

ProAir® HFA comes with a convenient dose counter that tells you:7

  • Exactly how many doses you have left
  • When it's time to replace your inhaler. The counter numbers turn red letting you know it's time to refill your prescription

How does EIB affect people?

EIB can cause temporary coughing, wheezing, and chest tightness during or after exercise. Many people who experience EIB may avoid exercising and other physical activity because they're afraid it'll trigger their exercise-related breathing problems.5 However, a lack of physical exercise can lead to other problems, like obesity or diabetes.8

There's no reason why EIB should keep you from staying active. Speak with your healthcare provider if you or a family member is experiencing exercise-related breathing problems. Our EIB screener can help you identify and discuss any exercise-related breathing issues you may have with your doctor.

EIB may make you feel a bit frustrated.2 But the good news is that there are things you can do to keep EIB at bay. Taking ProAir® HFA 15-30 minutes before exercising can help prevent EIB.6

Learn more about EIB

Did you know that many people who have asthma also experience EIB when they exercise? In these instances, EIB is called exercise-induced asthma. Here's what you should know:2

  • People with asthma often experience EIB, but
  • Experiencing EIB doesn't mean you have asthma

Approved Uses

ProAir® HFA (albuterol sulfate) Inhalation Aerosol is indicated in patients 4 years of age and older for the treatment or prevention of bronchospasm with reversible obstructive airway disease and for the prevention of exercise-induced bronchospasm.

Important Safety Information

  • If your symptoms become significantly worse when you use ProAir® HFA, contact your doctor immediately. This may indicate either a worsening of your asthma or a reaction to the medication, which may rarely occur with the first use of a new canister of ProAir® HFA. Either of these could be life-threatening
  • What to tell your doctor before using ProAir® HFA: If you have a heart, blood, or seizure disorder, high blood pressure, diabetes, or an overactive thyroid, be sure to tell your doctor. Also make sure your doctor knows all the medications you are taking – especially heart medications and drugs that treat depression – because some medications may interfere with how well your asthma medications work. Do not exceed the recommended dose
  • Side effects associated with ProAir® HFA included headache, rapid heart beat, pain, dizziness, and irritation of the throat and nose
  • You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088

See Full Prescribing Information

  1. Departments & Centers. Managing Exercise-Induced Asthma. Available at: http://my.clevelandclinic.org/sports_health/injuries/dont_let_asthma_sideline_
    you_your_primary_care_sports_physician_can_keep_you_in_the_game.aspx. [Accessed June 23, 2012].
  2. Sinha T, David AK. Recognition and management of exercise-induced bronchospasm. Am Fam Physician. 2003;67(4):769-774, 675.
  3. Parsons, JP et al. Prevalence of Exercise-Induced Bronchospasm in a Cohort of Varsity College Athletes. Med and Sci in Sports and Exercise. 2007; 39:1487-92.
  4. United States Census Bureau. Population Clock. Available at http://www.census.gov/main/www/popclock.html. Accessed March 2010.
  5. McComb JJR, Jumper CA, Williams JS, O'Rear VF. Recommendations for Participation in Sport Activities and Exercise for Persons with Exercise-Induced Bronchospasm. Hospital Physician. 2003; 39(1):23-38.
  6. NHLBI Expert Panel Report 3 (EPR3): Guidelines for the Diagnosis and Management of Asthma. Available at: http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm. Accessed April 20, 2010.
  7. ProAir® HFA Prescribing Information. Teva Respiratory, LLC; 2012.
  8. American Academy of Child and Adolescent Psychiatry. Obesity in children and teens. Facts for Families newsletter. 2008: No79.