Doctor insights on:
Dulera Symbicort Advair
Advair, dulera and symbicort, (budesonide and formoterol) what are the differences between these three?
Can dulera and Advair be used together for emphysema or dulera and symbicort (budesonide and formoterol)?
No: All three of those are essentially the same thing. Medications are different, but all in the same class. They should not be used together. ...Read more
The steroid: Both Dulera and symbicort (budesonide and formoterol) have the same long acting bronchodilator, they differ in the steroid content. Dulera contains mometasone. Symbicort (budesonide and formoterol) contains budesonide. Both agents are used to treat moderate persistent asthma. ...Read more
I have to switch from Symbicort (budesonide and formoterol) to Dulera because my insurance does not cover Symbicort (budesonide and formoterol) now. Are there any issues I should be aware of with the switch?
Yes: Dulera doesn't work nearly as wellGet a more detailed answer ›
Which is better: symbicort (budesonide and formoterol) or advair? Which generally has less side effects?
Very similar: Both are medications that contain two medicines - a long-acting beta agonist (laba), which helps with bronchodilation, and an inhaled steroid. The big difference is the form - advair is more an inhaled powder formulation, where symbicort (budesonide and formoterol) is a mist inhaler more like your rescue inhaler works if you use one with asthma or copd. So it really boils down to what your insurance covers and preference type. ...Read more
How can advair and symbicort (budesonide and formoterol) increase the risk of asthma related death?
See below: Long acting beta agonists (labas) are not to be used for except in patients where their asthma has not been adequately controlled with an inhaled steroid. It increases the risk of death otherwise per reports. Why? There are many reasons which could include: mistaking using the med during an acute asthma attack, hypersensitivity to either of the drugs or milk products, cardiac arrhythmia, & other. ...Read more
My doc switched me from symbicort (budesonide and formoterol) to dulera. My first dulera was this morning. It made me feel worse. Can I switch back to symbicort (budesonide and formoterol) after 12 hrs?
Yes you can but: I'd prefer u notify your dr.Get a more detailed answer ›
Can someone tell me the difference between advair diskus and symbicort (budesonide and formoterol) spray?
Sure: Both contain a steroid and a long acting bronchodilator. For advair it's fluticasone and salmeterol, respectively and for symbicort (budesonide and formoterol) it's Budesonide and formoterol, respectively. Therapeutically, they are fairly equivalent, though individual responses may vary. ...Read more
Yes.: But as always, keep an eye on your bp. ...Read more
Just started dulera. Was on symbicort (budesonide and formoterol). Is side-effect profile similar? Any more likely to have sinus symptoms on dulera? How about cataracts?
I don't think the side effect profile is any different between the two but the actual side effects will be depended on the total dose of steroid included.
There is a minor risk for cataracts with any inhaled steroid but this is a minor issue when compared to uncontrolled asthma. As for response, some people do prefer one over another- a toss-up. ...Read more
Is there difference between symbicort (budesonide and formoterol) and advair for treatment of asthma? How long before you get full effects of symbicort (budesonide and formoterol)?
Similar: They both contain a long-acting bronchodilator (laba) and an inhaled steroid. The major difference is the laba in symbicort (budesonide and formoterol) works in 10-15 minutes and in advair about 45 minutes. The Advair Diskus is a powder inhaler which requires deep inspiration and symbicort (budesonide and formoterol) a mdi which requires slow inspiration. The full effects on both occur in 2-3 weeks. ...Read more
Corticosteroid asthma medicine symbicort (budesonide and formoterol) or advair diskus; which is better?
Both are good: It's a matter of personal response to the medications. Symbicort (budesonide and formoterol) is an aerosol and the coordination required to inhale it is a little harder than the diskus. Symbicort (budesonide and formoterol) contains formoterol as the long-acting bronchodilator, and that works faster than the salmeterol in advair. Both come in different strengths as well. Try both and consider what each costs on your plan and the side effects you have. ...Read more
In an acute asthma attack should I use advair or symbicort (budesonide and formoterol)? I have both thanks
I've been switched from symbicort (budesonide and formoterol) to dulera. Any difference? Md changing me because I've had an asthma flare and he says the steroid is more potent.
Clinical judgement: Both drugs are combo drugs: an inhaled corticosteroid and a long acting beta agonist laba (salmetrol) which both have, with a slightly different dosong, the main difference though is is in the corticosteroid part, symbicort (budesonide and formoterol) contains Budesonide while Dulera has mometsone, a relatively newer medicine and more potent, more important is adherence to treatment plan and regular follow up with ur md. ...Read more
Symbicort (budesonide and formoterol) VS Advair:
Atudy done in 2008 with symbicort (budesonide and formoterol) (budesenide&formoterol), was compared with advair (fluticasone&salmetrol) showed that symbicort (budesonide and formoterol) provided greater and faster bronchodilatory effect, compared with advair in adults with mild to moderate asthma
but in real life my experience of using both of these drugs there is not much difference and my patients get either depend of what is covered by their insurance. ...Read more
Was on advair 250/50 got sample of Dulera (formoterol and mometasone) 100/5 2 puffs 2x a day. Need to buy now can I buy the 200mcg/5mcg and take 1 puff 2xday?
See below: I would do my best to stay on advair. Dulera doesn't work near as well in my opinion. ...Read more
Insurance won't cover advair, I'm on on dulera (formoterol and mometasone) due to only one insurance will cover without a fit, but not helping how can I get my advair back?
See details: Have your doctor appeal the decision, find out if he/she can get samples for you or pay for it yourself. ...Read more
Essentially the same:
Advair is fluticasone (steroid) and salmeterol (long acting Beta agonist); Dulera (formoterol and mometasone) is mometasone (steroid) and formoterol (long acting Beta agonist).
I do not know what doses you have been prescribed, but you should not be on both Advair and Dulera (formoterol and mometasone). It should be one or the other. I have used both for my patients and it comes does to personal preference and ease of use. ...Read more
What is a less expensive alternative to Dulera (formoterol and mometasone) and Advair in controlling asthma symptoms?
Hard Question!: Those are great meds. You obviously need several controllers for your asthma and I'm sure you have been given meds for acute use. There are patient assistance programs and some alternatives. Please discuss with your doctor what is best for you as an individual. The important part is breathing, it is not overrated. Meds are expensive but so is the ER! ...Read more
I'm going to be taking strattera I'm on asthma meds advair & I'm switching back to dulera (formoterol and mometasone) will it be okay to take it while on strattera? My dr forgets
Strattera (atomoxetine): Should be ok.Get a more detailed answer ›
When I was on advair I never got oral thrush now on dulera (formoterol and mometasone) I been getting it. Ain't they both steriods? Does dulera (formoterol and mometasone) cause it more?
Dulera (formoterol and mometasone) & Thrush: Advair & Dulera (formoterol and mometasone) both contain a steroid; but the specific steroid is different. Dulera (formoterol and mometasone) is usually only used once a day. Are you using it more often than that? If Yes, that could be related to developing thrush. When on Advair, did you use it everyday or only sporadically? Are you sure that the problem in the mouth is oral thrush? See your doctor for an exam if this is not clear. ...Read more
Mom using advair for years now switched to another due to hoarseness. Dulera (formoterol and mometasone) is that any more harmful?
Both combo meds: Both Dulera (formoterol and mometasone) and advair are combination inhalers containing corticosteroid and long-acting bronchodilator for the treatment of asthma. Hoarseness is a common side effect from the inhaled steroid; the steroid can affect the muscles in the larynx. This is frequently seen with the more potent steroids and is reversible (slowly). The switch is fine. ...Read more
Been coughing its really deep when lay down on my side is that normal? I take adviar 250/50 should I go higher or switch back to dulera (formoterol and mometasone) it worked goo
Not normal: There is study showing that the size of the medicine mist can reach further into the lung with Dulera (formoterol and mometasone) than advair. Thus it is reasonable to try switching back for a couple of weeks and see if this may do the trick. If not helpful, then you should really check with your doctor regarding modifying your medication program. ...Read more
Very similar: As long as the steroid portion is bio-equivalent. ...Read more
I usually take my symbicort inhaler at twice 3pm and then 3am. Missed it today and took it at 7pm. Do I have to take it at 7am now?
Not necessarily...: ...however, why were you told to wake up at 3am? If it is because you are night shift worker, then I understand. But if not, you may consider rotating to a more tolerable schedule, such as 7am and 7pm. But if you want to remain 3pm and 3am, you do not have to wait until 7. Taking Symbicort again within 8 hours won't hurt if done this one time. ...Read more
No: Keep in mind that people with allergy and asthma will catch infections. During the trials with the exception of oral candidiasis and influenza, the rate infections was not any greater than those that received a placebo (neither pneumonia in COPD, Upper respiratory infections nor sinusitis) There is a caution against using any corticosteroid in those with tuberculosis, fungal or herpes infections. ...Read more
Accidentally swallowed symbicort. Rinsed and garlged afterwards but now I'm getting anxious about it?
Accidentally blew inside the symbicort inhaler. When I do my dose next will it affect it or increase it if some is left inside?
No. You're okay!: I assume you mean you discharged it without meaning to. Or you exhaled instead of inhaled. The particles deposit within seconds and are no longer in the chamber unless you have a spacer attached. Even then, the particles only stay suspended in the chamber for a few minutes. ...Read more
Opened another symbicort inhaler and for the first puff, we just have to twist it once right? Not all the way through cuz it clicked after half turn
All the way: The first time you use it, you turn the red bottom all the way in one direction and all the way in the other direction. Twice. It doesn't matter which direction you start the first time. ...Read more