Hi everyone i have found a great link but would like a more up to date version.
I am basically looking for information on different medication and maybe what to look out for with regards to exercise considerations for clients taking these sorts of medications.
any information around this i'm sure would help.
The link is
Fitness.com - Free Exercises, Fitness Equipment, Customized Workout, Fitness Programs, Fitness Articles, Beauty Fitness, Weight Loss, Weight Training, Diet Plans
Don't quite know why you are looking for alternatives to bronchodilators. Basically a patient with asthma or COPD is going to be stuck with whatever their doctor recommends, based upon the severity of their condition.
I recommend though that you take a read through this book:
ACSM's Guidelines for Exercise ... - Google Book Search, as it is chock full of information on special populations and medication considerations, as well as the latest ACSM listing of prescribed medications and impacts to exercise.
As for special training considerations for clients with the asthma/COPD special population, there really are only a few. Primarily your special pop. client needs to follow his/her prescription instructions to the letter in order to prevent an attack. Also, being aware of the type of asthma is essential.
Exercise induced asthma is obviously going to occur during exercise, but is generally not as severe as other types of asthma. Chances for occurrence increase in cold and dry climates.
Allergen induced asthma can strike at any time, and you should recommend that clients remain aware of daily pollen forecasts, especially on exercise days.
And MOST IMPORTANTLY... you should never ever let a client train if they do not have their emergency inhaler with them. This is because exercise (especially cardio) can greatly increase the severity of attack if one occurs during exercise. Not to mention the fact that as a trainer, you bear some legal responsibility for their safety during exercise, and allowing him/her to exercise without their inhaler opens you up to legal repercussions.