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Buteyko Breathing Technique

Reviewed by the Nimbera editorial team · Last updated May 2026

Cowie et al. (2008), Respiratory Medicine, n=56 in Buteyko group: a 6-month RCT found the proportion of patients achieving asthma control rose from 40% to 79% in the Buteyko group, and participants reduced inhaled corticosteroid use significantly more than controls (p=0.02). PMID: 18249107.$0 (self-practice) to $150-400 (course)

How to use

Practice nasal breathing exclusively throughout the day - tape your mouth shut at night if needed to reinforce the habit. Perform the core Buteyko exercise: breathe gently in through the nose, breathe out, then pinch your nose and hold until you feel a moderate air hunger, then resume gentle nasal breathing. Repeat 5-6 times per session. Practice 3-4 sessions per day, ideally with guidance from a trained Buteyko instructor at first.

How it works

Buteyko training targets chronic hyperventilation (over-breathing), which lowers arterial CO2. Raising CO2 back toward normal levels through reduced breathing volume dilates airways via smooth-muscle relaxation and reduces hypocapnia-triggered bronchoconstriction.

Where to buy

No purchase required. Certified Buteyko instructors offer in-person and online courses (typically $150-400 for a course). Free introductory videos are available from Buteyko Clinic International and on YouTube from certified practitioners.

Typical cost: $0 (self-practice) to $150-400 (course)

Safety notes

Do not reduce or stop prescribed inhalers or asthma medications without medical supervision, even if symptoms improve - Buteyko is an adjunct, not a replacement. People with cardiovascular disease, epilepsy, or severe anxiety should consult a doctor before breath-holding exercises. Breath-holding exercises are not appropriate during an acute asthma attack.

Drug & supplement interactions

  • Always tell your doctor or pharmacist about any supplements you take.
  • Interactions can occur with prescription medications, blood thinners, and immunosuppressants.
  • Herbal remedies can affect how the body absorbs or metabolises drugs.
  • Check drugs.com interactions checker before starting.

This information is compiled from primary clinical literature and is for informational purposes only. It is not a substitute for professional medical advice. Read our full disclaimer.