just left my pulmo visit and she gave me samples of spiriva to take 1 puff a day and symbicort 80/4.5 2 puffs twice a day for the next month to see if they will help clear the airway inflammation I've been experiencing. I was on asmanex since august 2011 but pulmo switched me to symbicort 160/4.5 on March 31 because asmanex was just not helping and i was having an asthma flare. i have had bronchitis 3 times since last September and sinusitis all winter which causes my asthma to flare. anyway on March 30 pulmo also gave me a 5 day pred taper but it did not help and on day 8 had to see NP at urgent care and she gave me zithromycin. Today i was still wheey, rattly and pghlemy and the pulmo at first she thougt it was all from my sinuses but she did a spirometry and it showed it was my asthma so she gave me free samples of both new meds to try.
she assured me it was quite typical to put someone on both as there was good evidence that both atatcked th eproblem differently.
just curious of your experience.
also she said take the spiriva once a day anytime - do you know if morning or eveing is better and should I take both at the same time since I currently do the symbicort once in the am and once at night?
Thanks Bre! appreciate the response and knowing that someone else is taking the same meds. I always get worried when I have to start a new med and I was especialy concerned that she wanted me on 2 meds for my asthma and I also take singulair and fluticasone nasal spray. that has never happened before. I was also concerned because I thought spiriva was only for COPD.
I decided to take the spiriva in the morning after my symbicort. I stopped at the local CVS and the pharmacist and she said it was okay to take them about 10 minutes apart and it was up to me whether to do the spiriva in the am or pm but to be sure to do them every 24 hours.
I have had a ProAir rescue inhaler but my pulmo gave me a script for Ventolin - haven't tried it yet. She also wants me to use it more often than I currently do. I always shy away from using it unless i am really gasping. she also wants me try it befoe I go walking as i have been complaining of lots of SOB on my walks which includes a slight incline that leaves me huffing and puffing. I'm out of shape and thought that was the reason. hoping Sunday morning to take a puff before I head out.
Hello Mathchickie and Judy Thanks for your helpful responses. I did see them before my appointment with my pulmo on Wednesday. but was unable to reply sooner. I had my spirometry and the tech said It was good and she agreed that the symbicort was probably causing my hoarse, raspy, strained voice which I had that afternoon. She even said that would be good for him to hear it. Well it did not. I requested a change because I thought the symbicort might be causing my strained voice, more reflux and weight gain. He disagreed and went in to a long discussion that if I lost weight and got in shape my reflux and asthma would be fine. To get in shape he strongly recommended that I work with a personal trainer one hour a day for 3- 5 days a week and work up a good sweat. This was a similar lecture to the one he has given me over and over again that I replace the carpeting in my bedroom with hardwood floors. I know I need to lose the 20 pounds I have gained in the last 6 months and a personal trainer and hardwood floors would be nice but they are not in my immediate future. I lost 52 pounds in 2004/05 on my own and kept it all off for 5 years until this past winter and spring and I will try my best to lose this extra weight. Anyway I digress - he thought the symbicort was doing a good job for me and didn't think it was a good idea to switch but finally gave me a script for Asmanex (which I used to take before going on the Symbicort last year). He put me on the symbicort last summer because I had a terrible cough with phlegm that I could not shake and made me sound like a smoker or someone with a terrible disease. I was constantly telling people I was not sick it was only my asthma. I think my asthma is under control because I do not thank goodness have any asthma attacks like I did when I was first diagnosed in 1998 at age 48. I also had major nasal surgery in January which I think has helped get rid my post nasal drip which has alleviated most of my phlegm except for some int he morning when I wake up. So I'm anxious to give the Asmanex a try. Judy I just asked you a question on your other post about how to step down from symbicort to asmanex. My doctor did not give me any instructions so I'd appreciate how you did it. View Thread
Judy, would you mind if I asked how you switched from symbicort to pulmicort. did you just stop the symbiort one day and then use the pulmicort the next? I just convinced my pulmo to let me go back to asmanex (I used to use pulmicort but my insurance would not cover it). He was not too happy about it but he relented but did not advise how to manage the switch and i want to make sure I don't have a problem. I plan to ask the pharmacist when i pick up the asmanex but wondered what you did.
hope you're reflux is still behaving. Thanks in advance! SusieView Thread
Hello! A little new here but I found this thread and all your answers very interesting and would like to see if I could ask for your input and your opinions on something.
" I hope both of you get to go off the LABA. the FDA does recommend that LABA's only be used short term for asthmatics. If you can do without it, that would be great."
Do you know just how long is short-term? I've been on symbicort for a year and would like to know if this is too long.
"I have read/heard about the broncho dilaters causing reflux from many sources. I think my allergist suggested it as a reason for my reflux."
I have reflux and my pulmo keeps telling me that it is aggravating my asthma. Sounds like the opposite of what you have been told. I also had nasal surgery (polyps removed, sinuses cleaned and deviated septum repaired) in January in the hopes of clearing my constant sinusitis and post nasal drip. My ENT is very proud of the great job he did (he gets so excited when examining my sinuses!) however, he also blames my reflux for the raspy voice I have. I just had an upper endoscopy and my GI doc said there was no bad changes in my esophagus. I take Protonix 40mg in the morning.
Sorry for the rambling - I see my pulmo on wednesday for my 6 month check-up and my yearly spirometry and as always am getting a little antsy. Perhaps you can answer a question about the spriometry - they have never had me use my albuterol. is that normal.