10 doctors weighed in:

Re: cold air asthma--advair seems to make me catch every infection under the sun. Albuterol only helps a little. What other options are there?

10 doctors weighed in
Dr. Steven Machtinger
Internal Medicine - Allergy & Immunology
6 doctors agree

In brief: Ipratropium

My asthma patients, and I have quite a few, don't report increased respiratory infections when they take advair or other inhaled corticosteroids to help control their asthma.
Quite the opposite, really. So this unusual association is something you should report to your physician. Atrovent (ipratropium) is a useful bronchodilator that can help block symptoms of triggered asthma by cold air.

In brief: Ipratropium

My asthma patients, and I have quite a few, don't report increased respiratory infections when they take advair or other inhaled corticosteroids to help control their asthma.
Quite the opposite, really. So this unusual association is something you should report to your physician. Atrovent (ipratropium) is a useful bronchodilator that can help block symptoms of triggered asthma by cold air.
Dr. Steven Machtinger
Dr. Steven Machtinger
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Dr. Francine Yep
Family Medicine
3 doctors agree

In brief: Controllers

Controller medicines help your airways heal and prevent asthma attacks.
Besides advair, there's symbicort (budesonide and formoterol) and plain steroid inhalers like flovent, qvar, pulmicort. There's also singulair. Take your controllers regularly when colds weather hits. Any other factors during chilly weather time? Forced air heating with dirty filters=more dust? More mildew or mold?

In brief: Controllers

Controller medicines help your airways heal and prevent asthma attacks.
Besides advair, there's symbicort (budesonide and formoterol) and plain steroid inhalers like flovent, qvar, pulmicort. There's also singulair. Take your controllers regularly when colds weather hits. Any other factors during chilly weather time? Forced air heating with dirty filters=more dust? More mildew or mold?
Dr. Francine Yep
Dr. Francine Yep
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Dr. Maziar Rezvani
Internal Medicine - Allergy & Immunology
2 doctors agree

In brief: Be Careful

A study published last year in the journal of allergy and clinical immunology revealed that asthmatics on inhaled steroid therapy are at higher risk for strep pneumonia.

In brief: Be Careful

A study published last year in the journal of allergy and clinical immunology revealed that asthmatics on inhaled steroid therapy are at higher risk for strep pneumonia.
Dr. Maziar Rezvani
Dr. Maziar Rezvani
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Dr. Carlo Hatem
Internal Medicine - Pulmonary Critical Care

In brief: Reduce dose

Advair contains inhaled steroids that have been demonstrated to increase the risk of pneumonia, the risk increases with higher doses.
Your best bet is first prevention by limiting exposure to cold air. Next is using the lowest effective dose of steroids possible. Your doctor can choose a different steroid as well. Options that do not include steroids are limited. Check for airborne allergens.

In brief: Reduce dose

Advair contains inhaled steroids that have been demonstrated to increase the risk of pneumonia, the risk increases with higher doses.
Your best bet is first prevention by limiting exposure to cold air. Next is using the lowest effective dose of steroids possible. Your doctor can choose a different steroid as well. Options that do not include steroids are limited. Check for airborne allergens.
Dr. Carlo Hatem
Dr. Carlo Hatem
Thank
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