11 doctors weighed in:

Carbon dioxide level is high in my mother's blood & she is using bipap machine. Is there any medicine for this so that she does not have to use bipap?

11 doctors weighed in
Dr. Frank Mayo
Internal Medicine - Pulmonary Critical Care
4 doctors agree

In brief: Not likely

High serum co2 suggests chronic hypercarbia for which bipap is appropriate.
No inhalers will dramatically improve hypercarbia over the short term. An alternative explanation for high serum co2 is severe metabolic alkalosis from vomiting or excessive diuretic use. An arterial blood gas can aid in telling the difference.

In brief: Not likely

High serum co2 suggests chronic hypercarbia for which bipap is appropriate.
No inhalers will dramatically improve hypercarbia over the short term. An alternative explanation for high serum co2 is severe metabolic alkalosis from vomiting or excessive diuretic use. An arterial blood gas can aid in telling the difference.
Dr. Frank Mayo
Dr. Frank Mayo
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Dr. RAMESH KAUL
Internal Medicine - Pulmonary Critical Care
2 doctors agree

In brief: Hypercapnia

Usually chronic ventilation failure due to bad airway obstruction, respiratory muscle weakness, improper distribution of circulation in lungs or small airspace in lungs would cause this.
The bipap helps in ventilation. Drugs available to help are called bronchodilators like albuteral, ipratropium nebulizers or steroids along with theophyllin and Diamox (acetazolamide) tablets given for respiratory stimulation.

In brief: Hypercapnia

Usually chronic ventilation failure due to bad airway obstruction, respiratory muscle weakness, improper distribution of circulation in lungs or small airspace in lungs would cause this.
The bipap helps in ventilation. Drugs available to help are called bronchodilators like albuteral, ipratropium nebulizers or steroids along with theophyllin and Diamox (acetazolamide) tablets given for respiratory stimulation.
Dr. RAMESH KAUL
Dr. RAMESH KAUL
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Dr. Carlo Hatem
Internal Medicine - Pulmonary Critical Care
2 doctors agree

In brief: Inhalers & steroids

This situation typically occurs with advancing COPD or with an acute bout of respiratory failure.
If the problem is related to copd, the bipap is a temporising measure while steroids and inhalers kick in. In other situations such as heart failure, different medications are used. Regardless of the cause she has to get better or she will end up on a breathing machine.

In brief: Inhalers & steroids

This situation typically occurs with advancing COPD or with an acute bout of respiratory failure.
If the problem is related to copd, the bipap is a temporising measure while steroids and inhalers kick in. In other situations such as heart failure, different medications are used. Regardless of the cause she has to get better or she will end up on a breathing machine.
Dr. Carlo Hatem
Dr. Carlo Hatem
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3 comments
Dr. William Walsh
Your mother might also have problems with obesity - in which case weight loss is the only answer, and there are no good medications for this at this time.
Dr. Klaus d Lessnau
Diamox may help. Check with her doctor.
Dr. Hesham Hassaballa
Internal Medicine - Pulmonary Critical Care

In brief: Yes and no

There are medicines that can decrease the carbon dioxide in your mother's blood, but they will likely cause more harm than good.
The bipap machine is the best thing for her, as it is likely that the carbon dioxide is high from her lungs. I know it is annoying, but it does good.

In brief: Yes and no

There are medicines that can decrease the carbon dioxide in your mother's blood, but they will likely cause more harm than good.
The bipap machine is the best thing for her, as it is likely that the carbon dioxide is high from her lungs. I know it is annoying, but it does good.
Dr. Hesham Hassaballa
Dr. Hesham Hassaballa
Thank
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