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Doctor insights on: Breo Ellipta

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Can I use Breo long-term?

Can I use Breo long-term?

Yes: But as with anything else, one needs to assume that you do not have any risk factor (cardiac rhythm problem etc). ...Read more

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If I stop taking Breo will it make my breathing more difficult. I couldn't afford to pay for it.

If I stop taking Breo will it make my breathing more difficult. I couldn't afford to pay for it.

Hard to speculate: The need for or benefit of any medication is based on individual needs. You have not provided any information on why it was prescribed or what your daily symptom pattern or lung function studies are. How this will affect your daily activities is thus unknown. ...Read more

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What are the drug interactions between Breo and Coreg (carvedilol)?

What are the drug interactions between Breo and Coreg (carvedilol)?

See below: Potential for coreg to cause airway constriction. This is what is taught. However, it seems in practice, this is a much different story. I'm sure some people have had issues like this, but in my practice, I've rarely if ever, seen any problems. ...Read more

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If I have been taking Breo for 3 weeks with no side effects, can it cause me to be breathless after I use it for about 30 minutes at some time?

If I have been taking Breo for 3 weeks with no side effects, can it cause me to be breathless after I use it for about 30 minutes at some time?

30 minutes?: Breo is designed to be used one puff per day, at one time. It should never be used for 30 minutes. It can cause a condition called paradoxical bronchospasm, which is very dangerous. The package insert says that if you become very breathless you should use your REGULAR quick relief inhalant and seek medical attention immediately. It is also possible to have an allergic reaction to Breo. ...Read more

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Should I measure my peak flow before or after my breo with a long acting beta agonist? I measure twice a day and use breo in the morning.

Should I measure my peak flow before or after my breo with a long acting beta agonist? I measure twice a day and use breo in the morning.

Depends: Since the bronchodilator in Breo acts rather rapidly, when to perform a PFR depends on what you want to know. If you want to know whether Breo works well for the entire 24 hr period, doing a PFR before would be the answer. If you want to know how much Breo can improve your lung function, doing it afterwards is the answer. In general, I prefer to see a pre-Breo PFR in assessing control ...Read more

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I was prescribed Spiriva and Breo for asthma. Is it OK to take together? When I am feeling better can I take one of them? If so, which is better?

I was prescribed Spiriva and Breo for asthma. Is it OK to take together? When I am feeling better can I take one of them? If so, which is better?

See below: They are ok to take together. If you asthma is so bad you need both of them, I would talk to your pulmonologist regarding testing your IgE levels and an allergen panel. You may be a candidate for xolair or need zyflo. Also, if you get to feeling better, I would stop the spiriva first, only after discussing this with your physician though. ...Read more

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Diabetic taking Breo and causing high sugar. Does Anoro affect sugar in the same way. If yes what asthma med is safe for diabetics?

Diabetic taking Breo and causing high sugar. Does Anoro affect sugar in the same way. If yes what asthma med is safe for diabetics?

See below: Anoro would not affect your blood sugar. However, for asthma, the mainstay of therapy is an inhaled corticosteroid. That's what's affecting your blood sugar. As far was what's safe - or if you could come off the steroid - that would be up to you and your pulmonologist. It would be difficult to say without knowing your history, lung function tests, symptoms and a log of your blood sugars. ...Read more

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If arformoterol and salmeterol both make my asthma worse, should I just assume it would be the same story with vilanterol? One doc suggested Breo

If arformoterol and salmeterol both make my asthma worse, should I just assume it would be the same story with vilanterol? One doc suggested Breo

See below: So you should never take a long acting beta agonist by itself for asthma. That is what aformoteral and salmeterol are. Breo has an added steroid in it, which is the mainstay of asthma therapy. I would talk to your pulmonologist about it. ...Read more

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What asthma meds are less likely to cause rise in blood sugar? Taking Breo and it's making sugar high. Is there anything steroid free to take?

What asthma meds are less likely to cause rise in blood sugar? Taking Breo and it's making sugar high. Is there anything steroid free to take?

Potentially: I would talk to your pulmonologist. Steroids are what most patients need, but if it's causing too much of an adverse affect, then maybe you could try something else. Make sure to be tested for allergies as well. There are asthma meds that help that aren't steroids. ...Read more

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I haven't been passing my urine drug testing lately. I don't use illicit drugs and have never had any problems before. I recently started taking Klonopin medication and a breather called, BREO (fluticasone furoate and vilanterol inhalation powder) Could th

I haven't been passing my urine drug testing lately. I don't use illicit drugs and have never had any problems before. I recently started taking Klonopin medication and a breather called, BREO (fluticasone furoate and vilanterol inhalation powder) Could th

Need more info: When you say that you are failing the test, what do you mean? What is showing as positive? Klonopin (clonazepam) is a benzodiazepine. Since you have a prescription for this medicine, you should not "fail" the screen. ...Read more

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PCP gave me Breo to try for asthma. Tried once, seemed OK. FDA hates. Other MD switched me to Symbicort (budesonide and formoterol). Cannot tolerate. Is Breo safe?

PCP gave me Breo to try for asthma. Tried once, seemed OK. FDA hates. Other MD switched me to Symbicort (budesonide and formoterol). Cannot tolerate. Is Breo safe?

They are similiar: Keep in mind that these are similiar inhalers, they both contain an inhaled steroid. The breo in addition contains a long acting brohchodilator. Each of these inhalers are considered " preventive inhalers" and taking one dose on one day would not be helpful. They both take several weeks of dosing as prescribed to feel better! Is there a reason for the doctor switch? ...Read more

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I have switched asthma medication to a revlar ellipta and have been experiencing extreme fatigue and tiredness. Is this normal?

I have switched asthma medication to a revlar ellipta and have been experiencing extreme fatigue and tiredness. Is this normal?

Not necessarily: Be sure to call and discuss with your treating doctor as it is important to assure not only the medication is working properly, but your underlying condition is being cared for in the best possible way. Good luck. ...Read more

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My mother is recovering from pneumonia. She was prescribed Levaquin, (levofloxacin) currently taking ANORO ELLIPTA. Her BASO reading is 1.1. Should be concerned?

My mother is recovering from pneumonia. She was prescribed Levaquin, (levofloxacin) currently taking ANORO ELLIPTA. Her BASO reading is 1.1. Should be concerned?

Symptoms: Symptoms, such as fever, persisting cough or shortness of breath would be of concern. Basophils cannot be interpreted without the absolute WBC count. If 1.1 is percentage and WBC count is normal they are normal. ...Read more

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I worked out on an elliptical for the first time in years. Right after and for several days now I have been feeling kind of sick. Over exertion?

I worked out on an elliptical for the first time in years. Right after and for several days now I have been feeling kind of sick. Over exertion?

Ill after exercise: May be over exertion or dehydration post work out or reflux or unrelated ill. If you drink a lot of water you can dilute your sodium so you should always alternate water with gatorade/juices, rarely rhabodmyolysis which is seen in marathon runners (so you would have had to be on the elliiptical 1.5-2 hours). Since it is persisting seek medical attention today at doctor/urgent care ...Read more

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How long for bone bruise to heal? Been 9 mo. Mri after 3 mo. Was pretty bad but showed no tears. Can walk and do elliptical, but flares up sometimes

How long for bone bruise to heal? Been 9 mo. Mri after 3 mo. Was pretty bad but showed no tears. Can walk and do elliptical, but flares up sometimes

Bone bruise: It takes a long time for bone bruises to heal. I would talk to your doctor about getting an xray or MRI to rule out a stress fracture. ...Read more

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My lower thigh has been tender to touch for few days. Mainly in the front. No pain but a little achy at times. I don't notice any swelling Or redness. Can walk fine. I have been using an elliptical for the past month tho. What could it be? Dvt?

My lower thigh has been tender to touch for few days. Mainly in the front. No pain but a little achy at times. I don't notice any swelling Or redness. Can walk fine. I have been using an elliptical for the past month tho. What could it be? Dvt?

Not likely: It is not feasible to provide a meaningful opinion without taking additional history, physical examination and may be some tests. If it does not improve in a couple of weeks, it would be prudent to see your doctor.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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Got ulcerative colitis been pooping blood increased my pills yesterday. I pooped 1 big dry red poop with mucus I think. Came out in an ellipse shape?

Got ulcerative colitis been pooping blood increased my pills yesterday. I pooped 1 big dry red poop with mucus I think. Came out in an ellipse shape?

You need to discuss: This with the doctor managing your uc meds. You may need an adjustment in your meds or at the least he needs to follow your progress closely. ...Read more

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I have lower back pain and calf pain in both legs. I have been doing cardio and elliptical machine. What do you think can be causing pain in legs?

I have lower back pain and calf pain in both legs. I have been doing cardio and elliptical machine. What do you think can be causing pain in legs?

Sore muscles: Or pinched nerve maybe from disc in lower back pressing on them. Lay flat, if someone massages your calf when you lay flat causes you pain: it's likely sore muscles. Still laying flat, stretching the nerve by flexing one leg, (other leg remaining flat) towards sky: pain from back down the leg is pinched nerve. ...Read more

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Could this have been?

You left me hanging: Could this have been -------?

Get a more detailed answer ›
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I've been sick for 5 days

More details!: What are you sick with? Ask again and clarify. Remember that you have only 150 characters available, so clarify but keep brief. ...Read more

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Room been spinning. Help?

Room been spinning. Help?

Vertigo?: Room spinning is associated with a condition called vertigo. Unfortunately, there are several different things that can cause vertigo. Please see your doctor where a history and some examination can get to the bottom of it. ...Read more

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I have been sick for while?

I have been sick for while?

More details: Please provide more specific details like what these symptoms are, severity, duration, anything that you think will help the docs help you. Feel free to repost. ...Read more

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
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Need to have bm been 6 days?

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
Need to have bm been 6 days?

Opioid constipation: Constipation is a major concern in those taking opioids eg butran. Prevention w/stool softeners ; laxatives is imperative as you won't develop tolerance to narcotic-induced constipation, unlike other side effects. If otc isn't enough, ask your prescribing doc for prescription stuff like lubiprostone, linaclotide ; methylnaltrexone. ...Read more

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I feel it's been for a week

I feel it's been for a week

Please resubmit your: ...question with information about whet you've been experiencing for a week. Thanks. Dr. Anne. ...Read more

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Have you ever been in Russia?

No: But is there some way that we can assist? ...Read more