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Doctor insights on: What About Using Symbicort For Maintainance And Relief

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What about using symbicort (budesonide and formoterol) for maintainance and relief?

What about using symbicort (budesonide and formoterol) for maintainance and relief?

Maintain not relief: Asthma is caused by inflammation .. Which can trigger bronchial spasm. Together these can cause coughing, chest discomfort , shortness of breath or wheezing. When this occurs regularly , you need a controller medicine like symbicort(or similar brand). A quick relief( "rescue ") inhaler(never symbicort) is used for symptoms that.. When asthma is controlled...Is only needed once or twice a week. ...Read more

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Is there a side effect of using rotacaps and tablets for treating asthma for long time?

Is there a side effect of using rotacaps and tablets for treating asthma for long time?

Varies with patients: If rotocaps contain steroids, they would be one part of the asthma treatment. Other meds include ipatropium, bronchodilators, singulair, (montelukast) etc... One can work with his doctor to decrease medicine use, but if the choice is between using inhalers or being sick, it is better to use the meds and not be sick. Each patient should find what is the most effective combination of meds for him. ...Read more

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What is considered long term for qvar 80mcg steriod inhaler? Dr told me to use for two months for spring. Im not wanting to develop any side effects

What is considered long term for qvar 80mcg steriod inhaler? Dr told me to use for two months for spring. Im not wanting to develop any side effects

That's okay: You may have developed airway sensitivity or reactive airway disease following the cold. Using inhaled steroid for two months won't cause significant side effects. ...Read more

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I have asthma and copd, I use a nebulizer for treatment along with the albuterol sulfate solution. Is there a better solution to use to help me?

I have asthma and copd, I use a nebulizer for treatment along with the albuterol sulfate solution. Is there a better solution to use to help me?

Proper treatment: In my opinion, contrary to others, these conditions should always be treated with inhaled steroid first and then add. This prevents inflammation and twitchy airways. In COPD there is bowing of midsize airways due to tissue destruction. This is helped with anticholinergics (thiotropium or ipratropium) this allows the rescue albuterol to get into the distal airways for rescue, more mainstay in asthm. ...Read more

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Bad asthma..Why only thing help me breath is ventolin...I tried singular and servent and flovent for many months without good results?

Don't over use it: Overuse of albuterol/bronchodilators is risky for worsening asthma, and death. Med student one year older than I died in street between hospitals clutching her inhaler; tho US asthma deaths are down. Find a good asthma specialist, talk, rule out complicating factors (smoking, obesity, sinus, GERD, etc), monitor (PFT's), be compliant - so much better therapy now. See allergist or pulmonologist. ...Read more

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I've had asthma for twenty years and im not happy with the new hfa inhalers the taste and consistency choke me. Any suggestions for a rescue inhaler?

I've had asthma for twenty years and im not happy with the new hfa inhalers the taste and consistency choke me. Any suggestions for a rescue inhaler?

Nebulizer?: All inhalers now use hfa. Previously, they used cfc but these were banned since they deplete ozone. You can try all the brands of inhalers, if none of them works, you can use a nebulizer. ...Read more

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What are the best treatments for asthma and allergies? I am using nasonex, spirivia, albueterol, and benadryl (diphenhydramine). Plus doing sinus rinses. Still sick.

What are the best treatments for asthma and allergies?  I am using nasonex, spirivia, albueterol, and benadryl (diphenhydramine). Plus doing sinus rinses. Still sick.

Asthma guidelines: If you do have asthma spireva is not an asthma medication, although is sometimes of benefit especially if there is also copd. I cannot tell you what is the correct asthma medication for you. You need to see a board certified allergist for appropriate evaluation and treatment of your entire respiratory system. ...Read more

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What are some alternatives to pain medication for rsd? I am taking a lot of medication and I am concerned about the long term effects.

What are some alternatives to pain medication for rsd? I am taking a lot of medication and I am concerned about the long term effects.

Holistic Approach: Good nutrition & sleep. Exercise, yoga, tai chi, & meditation (especially the mindfulness variety) are all good. Avoid caffeine, nicotine, and substances of abuse. Expect some discomfort at first. Enlist the advise of a physical therapist or a neuro-rehab specialist. ...Read more

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I am on advair, spiriva, singulair, (montelukast) and prednisone and my asthma is out of control. Use nebulizer 3 xs day What are other options?Do I need to go ER?

I am on advair, spiriva, singulair, (montelukast) and prednisone and my asthma is out of control. Use nebulizer 3 xs day What are other options?Do I need to go ER?

Asthma : Definitely visit your allergist or primary care provider for additional options. It's important to find out if allergies are triggering these symptoms. An allergist might also consider you for Omalizumab injections. You should go to the ER if the symptoms aren't getting better and if you are still experiencing shortness of breath with chest tightness ...Read more

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What are the side effects of advair diskus (salmeterol and fluticasone) and is it safe to use for 6 months or more?

What are the side effects of advair diskus (salmeterol and fluticasone) and is it safe to use for 6 months or more?

Safe to use : Advair contains fluticasone, a steroid, and salmeterol, a long acting bronchodialtor. Any inhaled steroid can cause thrush so be sure to rinse your mouth well after use. I've also seen hoarseness with advair, especially if one does not inhale forcefully. Salmeterol can cause leg cramps at night. Regular use of advair is much safer than the alternative of episodic use of oral steroids. ...Read more

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I am a patient who receives, at times, weekly allergy shots. Daily qnasl and zyrtec (cetirizine) are not giving me relief. Is it safe for me to add more meds?

I am a patient who receives, at times, weekly allergy shots.  Daily qnasl and zyrtec (cetirizine) are not giving me relief. Is it safe for me to add more meds?

Allergies: It all depends if they are being prescribed and monitored by the provider who is treating your allergies. Make sure you consult them first before taking any medication. Sometimes people with severe allergies require few meds at once but only under a doctor's guidance. ...Read more

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Should i take montek LC or Desloratadine in terms of effectiveness and less sideeffects for long term use. I have allergy for past several years?

Should i take montek LC or Desloratadine in terms of effectiveness and less sideeffects for long term use. I have allergy for past several years?

What kind of allergy: do you have? Is it respiratory tract allergy? upper or lower? Is it truly an allergy problem or something else? Lot of questions as you see, and no simple answer. Montek LC is a combination medicine (montelukast and levocetirizine) an anti inflammatory and antihistaminic 2nd generation, desloratadine is like levocetirizine; u can take either for long term, but better C an Allergist / ENT, goodluck ...Read more

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What is neugaba 75mg meant for ? Will taking that affect my health in some way ? I am taking that along with nasocom nasal spray for headache

What is neugaba 75mg meant for ? Will taking that affect my health in some way ? I am taking that along with nasocom nasal spray for headache

Is Lyrica (pregabalin) in the US: Pregabalin (lyrica) is is an anticonvulsant and neuropathic pain medication prescribed for partial seizures, management of postherpetic neuralgia (nerve pain caused by the shingles varicella zoster virus), or management of fibromyalgia (a condition where one has muscle and connective tissue pains). As a medication, it hopefully will improve symptoms if one has such conditions. ...Read more

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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)?

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

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What are the immediate health benefits to using cpap machine? I've been using one for 4 months.

What are the immediate health benefits to using  cpap machine?  I've been using one for 4 months.

CPAP benefits: The immediate benefits of proper CPAP use include more restful sleep, better focus and attention and no morning headache if you tend to get that. Confirm any issues you are having with your CPAP device with your sleep specialist. ...Read more

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I have emphysema and am using dulera (formoterol and mometasone) by itself it there another medication i can use with it besides my rescue inhaler?

I have emphysema and am using dulera (formoterol and mometasone) by itself it there another medication i can use with it besides my rescue inhaler?

Emphysema: Is rather a syndrome, management is long term and multifaceted, drug therapy is only one aspect, environmental control and habit control like stopping smoking and avoiding smokers is important, nutrition and physical activity. Given that you are only on these two medications, means your doctor is comfortable with that regimen, if otherwise, you feel uncontrolled, kindly revisit your doctor ...Read more

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I suffer from asthma and all the doctors will give to me is proair rescue inhaler. Is there a long term med that works well?

I suffer from asthma and all the doctors will give to me is proair rescue inhaler. Is there a long term med that works well?

Depends: If symptoms are infrequent / intermittent / and-or not severe, rescue inhaler may be all you need. There are long-acting beta-agonist inhalers (serevent (salmeterol) as an example), but they are associated with risk of death (...Usually from excessive use during an attack as if it was a short-acting med, and then getting toxic later). Steroid inhaler or med like singulair (/montelukast) may be better next med. ...Read more

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What about using symbicort (budesonide and formoterol) for maintainance and relief?

Maintain not relief: Asthma is caused by inflammation .. Which can trigger bronchial spasm. Together these can cause coughing, chest discomfort , shortness of breath or wheezing. When this occurs regularly , you need a controller medicine like symbicort(or similar brand). A quick relief( "rescue ") inhaler(never symbicort) is used for symptoms that.. When asthma is controlled...Is only needed once or twice a week. ...Read more

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Didn't wait between my puffs of symbicort. Is that okay? Really anxious

You're ok: It's ok. The 'wait' is to allow time for the medication to absorb slightly in the airways before putting more in. It's probably also more theoretical too. The particle size of the medicine is small enough that it won't matter too much if you did your puffs right back to back. That important thing is that you took your meds as recommended. ...Read more

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Does symbicort really lower immunity? Anxious about germs now and getting sick

Does symbicort really lower immunity? 
Anxious about germs now and getting sick

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

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Accidentally swallowed symbicort. Rinsed and garlged afterwards but now I'm getting anxious about it?

Accidentally swallowed symbicort. Rinsed and garlged afterwards but now I'm getting anxious about it?

Mgt: It should be alright. If you notice any white patches, treatment for thrush can be prescribed. Please rinse after the use of your inhaler. A virtual inbox consult to review your asthma plan may be booked online. ...Read more

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Accidentally blew inside the symbicort inhaler. When I do my dose next will it affect it or increase it if some is left inside ?

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

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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

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

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I haven't been able to control my asmath, I have been recently changed from symbicort to vaniar. And the predinose is the only thing good happening ?

Asthma: A lot of management depends on other factors like smoking, environment, obesity, general health, and how you are using your rescue inhaler, slabutamol. you do not want to be on prednisone long term. Discuss with your GP. ...Read more

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Is symbicort and singulair making me gain weight?

Is symbicort and singulair making me gain weight?

No: Now watch what you eat. Eat healthy and exercise as you tolerate 1 hour per day. Your breathing issues may limit your exercise ...Read more

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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?

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

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Been on symbicort on and off for 6 months. Been on it regularly for 1 month now with montelukast and aerius. Safe? Will it lower immunity? PS anxious

Safe.: There is always a balance between risk and benefit of meds. Generally inhaled steroids are safe as the amount absorbed systemically is small and the amount deposited on your mucous membranes can be washed away with a simple rinse after inhalation. These meds do not significantly suppress the immune system. ...Read more

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How is a symbicort (budesonide and formoterol) inhalor used?

How is a symbicort (budesonide and formoterol) inhalor used?

Asthma and COPD: Usually this drug is administered twice daily by inhalation. The drug has typically been used as a maintenance (every day) inhaler in asthma and in COPD (emphysema and chronic bronchitis). ...Read more

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Does symbicort (budesonide and formoterol) have a broncodilator in it?

Yes: Symbicort (budesonide and formoterol) is a combination of a long-acting bronchodilator (formoterol) and a steroid (budesonide). It comes in two different strengths, 80/4.5 and 160/4.5. The 4.5 is the dose of the bronchodilator. ...Read more

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Am suffering from asthma. Please advice medicine. Currently, am using symbicort (budesonide and formoterol). Thank you sir.

Am suffering from asthma. Please advice medicine. Currently, am using symbicort (budesonide and formoterol).
Thank you sir.

Type of asthma?: Your are currently taking a product that combines a steroid and long acting "beta agonist" and called a "controller". Are you also taking a "rescue" inhaler like albuterol? Have you tried to eliminate the likely "triggers" in your home, car, workplace? This is important. Talk over the "triggers" issue with your physician. ...Read more

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Is being on symbicort (budesonide and formoterol) for asthma for 7 years but on off has bad effects and how can I stop using it without complications?I seldom get any attacks now

Is being on symbicort (budesonide and formoterol) for asthma for 7 years but on off has bad effects and how can I stop using it without complications?I seldom get any attacks now

Bad effects?: If you mean sore throats or throat infections, this is caused by the Budesonide in the symbicort (budesonide and formoterol) (a cortisone). This is common with inhaled cortisones. If you mean jittreriness, getting "hyper" or similar things, this is the formoterol (long acting beta agonists). Talk it over with your physician. Maybe you can be controlled with only the cortisone type spray alone. ...Read more

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How long will i be tired from using symbicort (budesonide and formoterol) for two 1/2 weeks for having inflamed bronchial tubes?

How long will i be tired from using symbicort (budesonide and formoterol) for two 1/2 weeks for having inflamed bronchial tubes?

Not sure : I understand you are using symbicort (budesonide and formoterol) a combination of long acting bronchodilator and an inhaled corticosteroid . Most of the side effects are due to the local effects of these medicines. Oral thrush, hoarse voice , rarely tremors ( transient) are the most well known and described side effects. Please talk to your doctor to see if the tiredness is actually related to your usage of symbicort (budesonide and formoterol) ...Read more

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How long will i be tired from using symbicort (budesonide and formoterol) for two and a half weeks for inflamed bronchial tubes?

How long will i be tired from using symbicort (budesonide and formoterol) for two and a half weeks for inflamed bronchial tubes?

Not related: Probably the respiratory disease that you are taking symbicort (budesonide and formoterol) for, is most likely caausing your fatigue rather than symbicort (budesonide and formoterol). ...Read more

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I'm using symbicort (budesonide and formoterol) for stage 4 emphysema. Does this have the potential to extend life or is only to make breathing easier? thanks

I'm using symbicort (budesonide and formoterol) for stage 4 emphysema. Does this have the potential to extend life or is only to make breathing easier?  thanks

Uncertain.: COPD & its treatment are very complicated subjects. There's some evidence that combining Symbicort (budesonide and formoterol) et al with a long-acting bronchodilator may improve survival in COPD. There's an excellent article on the WEB from the N.Y. Times Health section titled" COPD In-Depth Report ." I suggest you read it and then discuss with your doctor what is the right treatment approach for you. Best wishes. ...Read more

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