Posted by Laurie on 9/23/2009, 4:28 pm |
- Re: Advair - Options
Posted by Joe - Tx on 9/23/2009, 8:47 pm, in reply to "Advair - Options"
68.90.218.101In the last issue of COPD Digest on page 20 and 21 there is a Pro/Con article on medications like Advair that contained Corticosteroids. Two entirely different opinions although I must say the Con Dr gave a stronger opinion.
I finally got off daily predisone several months ago after a 6 month taper. Then that darn Doc upped my advair fom 50/250 and 50/500. I was not pleased with this and we will talk about it next month. I tried just using it once a day and notice no difference. Believe Corticosteroids are part of the gold standard for COPD treatment. As far as I know I have zero asthma and a Fev1% in the mid teens.
Copd Digest can be ordered or read on line at www.copddigest.org .
For some reason the website hasn't been updated to the latest issue yet. The correct one is Vol 5 No 2 - 2009. - Re: Advair - Options
Posted by CindyWI
on 9/23/2009, 7:36 pm, in reply to "Advair - Options"
12.163.71.175My insurance wouldn't cover Advair, which I'd been on for years, but it did cover Symbicort. For me it works even better than Advair. I think the bruises are a fact of life for us, though. - Re: Advair - Options
Posted by CarolMA on 9/23/2009, 5:27 pm, in reply to "Advair - Options"
72.70.18.126There is also an Advair 100/50. Maybe you could get by with that twice a day.
It would help quite a lot with the bruising, but could be a bit to weak for you.
- Re: Advair - Options
Posted by John O. on 9/23/2009, 4:33 pm, in reply to "Advair - Options"
69.129.197.8You probably know that if you just wanted the long acting (12 hour) bronchodilator part of Advair you could get it in Serevent. And/or Spiriva, if you're not on it already. - Re: Advair - Options
Posted by Laurie on 9/23/2009, 7:43 pm, in reply to "Re: Advair - Options"
75.7.227.244I've been on Spiriva since 2002 but I simply want to try to get off the steroid part and Serevent sounds like an option. I'll bring that up when I see my Pulmonologist. My PCP had a fit and chewed me out when I told him I was only doing Advair once a day. - Re: Advair - Options
Posted by John O. on 9/23/2009, 9:56 pm, in reply to "Re: Advair - Options"
69.129.197.8I use Serevent daily but Flovent only as needed, and that's fine with my doc. - Re: Advair - Options
Posted by PennyPA on 9/23/2009, 5:28 pm, in reply to "Re: Advair - Options"
70.217.207.252Can you take JUST the serevent? For some reason, I've been getting quite sob lately and find I'm starting to use the salbutamol ... a bit too often, I think. Was thinking of going back to Advair because I was on it before surgery and had no problem with it but the serevent (used to use that before advair) sounds doable, too. I seem to remember, though, that I took something else with the serevent. Maybe not. - Re: Advair - Options
Posted by John O. on 9/23/2009, 6:39 pm, in reply to "Re: Advair - Options"
69.129.197.8Yes, Serevent comes in a diskus format and you can take it alone. The steroid in Advair is fluticasone, marketed separately as Flovent, and is an MDI. Flovent is available in different strengths as well. - Re: Advair - Options
Posted by ConnieAZ on 9/23/2009, 5:47 pm, in reply to "Re: Advair - Options"
174.17.181.135Penny, have you tried Foradil along with Spiriva? - Re: Advair - Options
Posted by Chris M. on 9/23/2009, 10:27 pm, in reply to "Re: Advair - Options"
72.251.79.33I'll second that choice. I use it in a rotohaler from ADC. 12mcg/dose, twice a day. - Re: Advair - Options
Posted by PennyPA on 9/23/2009, 6:01 pm, in reply to "Re: Advair - Options"
70.217.207.252Nope, haven't tried that. I was trying to stick with stuff I've had before. I'm going to the Urgent Care center in Sandusky OH tomorrow 'cause it's been impossible for me to get an appointment with any doctor...pcp or pulmo. We'll see what they have to say. It's not at the urgent care level yet but it is most annoying...and mystifying...since nothing has changed other than now getting sob. Oh well, life goes on. - Re: Advair - Options
Posted by CarolCA on 9/23/2009, 6:13 pm, in reply to "Re: Advair - Options"
98.248.53.53Penny, I think more people use Foradil now than Serevent alone. I know they have it in the Advair but I rarely hear anyone use it as a seperate inhaler since the Foradil came out. They are both LABA's as you know but Ithink Serevent caused more high heart rate. - Serevent or Foradil can be taken alone
Posted by starion on 9/24/2009, 6:42 pm, in reply to "Re: Advair - Options"
72.235.36.135Both meds should NOT cause the bruising that inhaled steroids do. For me, Serevent caused high heart rate and also muscle stiffness/pain. I decided I prefer not to have those side effects and when I tried Foradil I also had increased heart rate. Some folks really find Foradil very helpful with few side effects--I envy them!
Starion