Doctor insights on:
What Steroids Are There Besides Advair For Asthma
Can't improve nature: Since steroids are just look-a-likes of naturally made hormone cortisol, a healthy liver is the best and highly evolved detoxing agent. In fact, slow withdrawal is often required b/c liver detoxes steroids too fast. Side effects are from super high medicinal doses attaching to steroid receptors on every cell in the body bringing it directly to the nucleus, flipping DNA into overdrive days to weeks ...Read moreSee 1 more doctor answer
Inhaled Steroids: Most inhaled steroids have little or no systemic absorption hence minimal systemic side effects. Inhaled steroids can cause a dry cough which sometimes by problematic. However, the most common adverse effect of inhaled steroids is thrush affecting the oral mucosa and possibly the bronchial tree. It is best to rinse the mouth thouroghly after each use. This will minimize the risk for thrush. ...Read more
Yes: Multiple medications are available for management of asthma. However these medicatioons are used only when inhaled medications fail.If you are having difficulty using an inhaler talk with your doctor about using a spacer. Spacers make it much easier to use inhaled medications and make the medication more effective. ...Read moreSee 5 more doctor answers
Cat in or out?: Cat sleeping on your head? Not much chance of improvement - unless you kick the cat out of your room. Cat out? Good. Open the windows or use a hepa air purifier to decrease airborne cat dander. Scrub down the room - bed, floor, walls, ceilings. Allergy immunotherapy takes time - a year or more - but done right it really helps especially if exposure is intermittent. See an allergist for help. ...Read moreSee 2 more doctor answers
Not antiinflammatory: Long acting beta agonists are used but not without anti-inflammatory corticosteroid inhalers. Montelukast is a pill with probable anti-inflammatory effects. Either way, the amount of corticosteroid in the inhalers, and especially the amount absorbed is extremely small. I would even use these in a child. Even though these are 'corticosteroids', they should not be feared-asthma is safer using these. ...Read more
Yes: But it depends on how severe the asthma attack has become. In a mild attack, steam from a shower or humidifier can help. However, if the attack is moderate or severe, then medications are absolutely necessary. These medications come as inhalers or nebulized solutions that can be given with a nebulizer machine. ...Read moreSee 2 more doctor answers
What other options for asthma long term control medication are there , other than (qvar - which does not work to control my asthma) ?
What are the symptoms of symbicort (budesonide and formoterol) and other asthma inhaler medicines?
Inhalers: I assume you are asking about side effects. All combination inhalers, including advair, symbicort (budesonide and formoterol) and Dulera have a steroid component and a long acting bronchodilator. The steroids can cause oral thrush, so you need to drink water after use, the laba can cause you to be jittery, gives you palpitations insomnia. Most are generally well tolerated. Other inhalers have one of the components. ...Read more
Few drawbacks: Inhaled corticosteroids (ic) are an amazing gift for persistent asthma patients reducing asthma episodes, hospitalization & deaths & improving lung function & quality of life. High doses are infrequently associated with bone calcium loss & slower growth in kids. Moderate doses are not & work as well as higher doses. Ic reduces the need for oral Prednisone a drug with many more adverse effects. ...Read moreSee 1 more doctor answer
Are anti-histamines considered anti-cholinergics? What about ventolin for asthma, is that anti-cholinergic?
Neither are, really.: Ventolin is albuterol...A sympathetic nervous system stimulant that causes airways to dilate. Anti-histamines are not anticholinergic, per se, but in high doses or in the elderly they can cause some of the same neurological symptoms as anticholinergics. Most newer antihistamines are not a problem though, because they penetrate the brain less well - which is why they don't make you drowsy. ...Read more
Maybe nothing: Treatment for pulmonary sarcoidosis in the modern era may involve "watchful waiting" instead of treatment with prednisone, or any other immune-suppressing medication. Treating too early with Prednisone may increase one's chances for recurrent disease, causing docs to wait to treat until there is evidence that the function of a vital organ--lungs, heart, brain, eyes, kidney--has become affected. ...Read more
Albuterol: Albuterol is a type of beta-agonist. It acts by activating beta receptors in lungs which results in dilation and easier breathing. It can also speed up the heart rate because of its beta receptor effects. It has no steroidal activity. However, both bronchodilators and steroids are used in treatment of asthma. Albuterol is used by asthmatics both in inhaler and nebulizer form. ...Read moreSee 1 more doctor answer
See below: There are a huge number of off label drugs and other therapies that have been tried for asthma as well a a large number of herbal medicines that have been studied and are presently being looked at. The topic is too large to discuss here. I would suggest seeing you doctor to discuss this in more depth. ...Read more
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