Which medication should be avoided in an asthmatic patient during an acute attack?

The reason aspirin should be avoided in an asthmatic patient during an acute attack is due to the potential for it to provoke bronchospasms. Some individuals with asthma have a sensitivity to non-steroidal anti-inflammatory drugs (NSAIDs) like aspirin, which can lead to worsening of their respiratory condition. This reaction is part of a phenomenon known as aspirin-induced asthma, where ingestion can trigger an asthma exacerbation.

In contrast, ibuprofen and acetaminophen are generally considered safer for pain management in asthmatic patients, although individual reactions can vary. Prednisone, a corticosteroid, is often utilized to treat severe asthma exacerbations because it helps reduce inflammation and improve breathing. Therefore, avoiding aspirin during an acute asthma attack is crucial to prevent exacerbating the patient's condition.