The History of Asthma Treatments and Inhalers: From Ancient Remedies to Modern Innovations
- Puff On Pace Team
- Nov 8, 2024
- 4 min read
Introduction: The Evolution of Asthma Care
Imagine preparing for a long run, a bike race, or a big game, knowing you might experience asthma symptoms but having no easy, portable way to manage them. For much of history, athletes with asthma had no choice but to rely on bulky, impractical, or even dangerous remedies. The idea of a small, convenient inhaler that could fit in a pocket—or an ActiveBand—was far from reality.
Today, asthma treatment has evolved to the point where portable inhalers, like the rescue inhalers carried in Puff On Pace’s ActiveBand, allow athletes to take control of their asthma without losing pace. This journey from ancient herbal remedies to cutting-edge inhalers and accessories is a testament to human ingenuity. Join us as we explore this incredible history and see how innovations like the ActiveBand continue to help athletes breathe easier and stay active, no matter the challenge.
Ancient Remedies and Early Treatments
In ancient times, asthma was a mystery, and civilizations like the Egyptians, Greeks, and Romans experimented with herbs, oils, and natural remedies. Egyptian papyri from as far back as 1550 BCE describe mixtures of honey and milk for respiratory symptoms, and Greek physician Hippocrates noted asthma-like symptoms as early as the 5th century BCE, although he linked them to environmental factors. The Roman physician Galen continued this tradition, recommending treatments like diet, exercise, and herbal concoctions to support breathing.
Incredibly, ancient physicians also experimented with “smoke therapy,” burning certain herbs to create smoke with bronchodilating effects. Belladonna, for instance, was used to relax the muscles around the airways, an early attempt to address asthma symptoms—though lacking in the precision of today’s medications.

Asthma Cigarettes: An Unusual Chapter in Asthma Treatment
One of the stranger treatments in asthma history was the asthma cigarette, popular in the late 1800s and early 1900s. These “medicinal cigarettes” contained herbs such as belladonna and stramonium—both known to have muscle-relaxing properties thought to help open the airways. Surprisingly, many of these cigarettes also contained tobacco. This was long before the health risks of smoking were fully understood, and inhaling these ingredients was believed to provide relief for asthma sufferers.

The concept behind asthma cigarettes was similar to that of smoke therapy: inhaling burning herbs was thought to help asthma patients breathe easier by relaxing the bronchial muscles. While some found temporary relief, smoking ultimately worsens lung function. By 1879, asthma cigarettes became wildly popular across Europe and the U.S., creating a widespread trend. Thankfully, asthma cigarettes were phased out as a leading asthma therapy after the inhaler was invented in 1957.
The 19th Century: First Steps Toward Modern Inhalers

By the 19th century, science was beginning to understand more about respiratory conditions, and treatment devices started to take shape. In 1864, British physician John Mudge developed one of the first “inhalers” to deliver vaporized medication directly to the lungs. While basic by modern standards, this marked a pioneering step toward controlled respiratory treatment.
Another innovation was the early nebulizer, a device that atomized liquid medication into a fine mist. Though groundbreaking, these nebulizers were bulky and far from portable, limiting their convenience. Nonetheless, they provided a foundation for the portable, user-friendly devices that were to come.
The 1950s: Birth of the Modern Inhaler

A major breakthrough arrived in the 1950s with the invention of the pressurized metered-dose inhaler (pMDI). George Maison, inspired by his daughter’s challenges with her asthma treatment, designed the first inhaler in 1956, using the concept of a perfume spray bottle to create a portable device that delivered precise doses. The result was the Medihaler Epi, which used epinephrine for quick relief of symptoms.
This portable inhaler allowed asthma sufferers to take control of their treatment on the go, representing a major shift in asthma management. No longer tied to bulky devices, individuals could now manage symptoms at their convenience, leading to a significant improvement in quality of life.
The 1970s and 1980s: Advancing Medications
The 1970s saw another leap with the introduction of salbutamol (albuterol), the first fast-acting bronchodilator for rescue inhalers. This medication provided almost immediate relief during an asthma attack, making it indispensable for emergency use.
The development of corticosteroid inhalers in the 1980s was also a game-changer, offering long-term control rather than just immediate relief. These inhalers work by reducing inflammation in the airways, allowing individuals to prevent asthma attacks before they start. This shift in asthma management marked a new era, where prevention was finally possible alongside quick-relief options.
The 21st Century: Innovative Inhalers and Technology
Asthma treatment continues to advance in the 21st century, with new inhaler types and eco-friendly options. Dry powder inhalers (DPIs) and soft mist inhalers (SMIs) offer different methods of medication delivery, while innovations like smart inhalers take management to a new level. Equipped with Bluetooth and digital trackers, smart inhalers monitor usage, help with adherence, and integrate with apps to provide valuable data for both users and healthcare providers. These modern inhalers make it easier than ever to monitor and manage asthma effectively.
Puff On Pace: Enhancing Asthma Management for Athletes
While we have come along way, for today's athletes, asthma can feel like a significant hurdle, especially in endurance sports where storing an inhaler can be challenging and stopping to use an inhaler can be disruptive. Puff On Pace’s ActiveBand was designed to address this need, allowing athletes to securely carry their inhaler during activities without missing a beat. Whether running, cycling, or engaging in other activities, the ActiveBand makes it easy for athletes to focus on their performance without worrying about asthma interruptions.
By pairing modern rescue inhalers with innovative accessories like the ActiveBand, Puff On Pace empowers asthma warriors to go the distance and stay on top of their game.
Conclusion: The Future of Asthma Care
From ancient remedies to digital inhalers, the journey of asthma treatment is a story of progress and resilience. Today, tools like Puff On Pace’s ActiveBand represent the next step in asthma management, providing solutions that fit active lifestyles.
As technology continues to push the boundaries of what’s possible, asthma care will only get better, promising even more freedom and support. If you’re looking to take charge of your asthma while staying active, the ActiveBand can help you keep pace with your life and ambitions—without missing a breath.

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