Doctor insights on:
Is There An Over The Counter Bronchodilator For Copd
COPD may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. Bronchitis is considered chronic if you cough and produce excess mucus most days for three months in a year, two years in a row. Emphysema is a disease that damages the air sacs and/or the smallest breathing tubes in the lungs. ...Read more
Steroid tappering related to dose or duration of use? Imean if I give COPD pt IV 200mg steroid single dose when he not respond to bronchodilator
Both: The first step is to decide how much steroid is needed to treat the problem and help the symptoms. A single dose of steroids does not require tapering. The general rule is over 20mg for over 2 weeks should be tapered. Stopping suddenly after this point might be OK but runs the risk of a life threatening problem. ...Read more
50 yr. Old non-smoker, w/ COPD exacerbation of 1+ year. Pulmonologist informed me spirometer reading was 22%, but increased to 37% after the bronchodilator. Any reasonable expectation of improvement?
Diagnosis??: If you have never smoked, and spirometry shows obstruction that improves with bronchodilator therapy, you may have asthma and not copd. If you do have copd, that means there is irreversible airway obstruction that is treatable but not curable so, over time, it will worsen. If you have COPD and never smoked, get tested for alpha1 anti trypsin deficiency, a form if COPD with a different treatment. ...Read moreSee 2 more doctor answers
Do I need a prescription to purchase a bronchodilator inhaler in Canada or can I buy it over the counter. If yes, is a walk-in clinic alright?
Dad has copd and I'm wondering if there is a over the counter inhaler? He says he's having a hard time breathing. Already on oxygen.
No: Inhalers for respiratory distress are prescription items and are to be used according to strict instructions. If he's experiencing significant shortness of breath and is also on nasal oxygen therapy, he needs evaluation and treatment by a qualified physician or pulmonologist. Otherwise dire consequences will occur if his condition continues to worsen. I recommend going to the emergency room now. ...Read more
Is it ok to continue taking metformin even if I don't have polycystic ovaries anymore? Is it true it counters the effect of OTC pills (weight gain)
Relax smooth muscle: Saba (short acting beta-2 adrenergic agonist) work by activation of this beta-2 receptor on the smooth muscles that wrap around the small and medium airways in the lungs leading to relaxation and thus bronchodilation (opening up of narrowed airways as seen in asthma). ...Read more
Better control: Asthma is inflammation and bronchospasm (as well as mucus production) so a product that treats inflammation and one that treats the muscle spasm addresses the major components of asthma. It is more convenient to use one inhaler vs. Two, thus the combination inhalers for asthma. ...Read moreSee 1 more doctor answer
Bronchodilators: The usual bronchodilators often causes some anxiety or jittery side effects, but a new form has less side effects (xopenex). Use of corticosteroid inhalers and longer acting bronchodilators is becoming more common to reduce the use, and thus side effects, of the standard bronchodilator albuterol. Other medications are also available to reduce the use of albuterol. ...Read moreSee 2 more doctor answers
Racemic epinephrine: Once upon a time (1980) albuterol was called a long-acting bronchodilator because its effects lasted for up to 6 hours. Earlier drugs were not as good. Alupent (metaproterenol) last 3-4 hours, isoetherane 1 hour, Epinephrine 20 minutes. Theophylline, an oral bronchodilator, lasted 1-2 hours in non time-release tablets. These other drugs caused tremor, arrhythmias, and stomach upset. Albuterol was a great advance. ...Read more
Many effects: Remember that many bronchodilating medications work by stimulating certain receptors in the lung. But, these receptors are located elsewhere to, and have different effects when located in different organ systems. So while these meds may dilate the smooth muscle of the lungs, they can lead to increased heart rate when acting on the receptors around the heart. ...Read more
Yes: This is a known side effect of this class of medication. ...Read more
Depends: The 2 medications you mention work very differently. For rescue therapy during an acute exacerbation with cough, wheeze, & trouble breathing, a bronchodilator is the right choice. However, if your asthma symptoms are more persistent, corticosteroids are a great choice to achieve symptomatic control. There are also times when you take the 2 together. Discuss with your doctor wha's best for you. ...Read moreSee 1 more doctor answer