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Medical Forum / Diseases and Disorders / Asthma / March 2005

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Cough Variant Asthma

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jelly - 09 Mar 2005 07:46 GMT
Does anybody have any information on what medication works best to suppress
cough variant asthma?  Any experiences?  I tried inhaled albuterol, but it
just made me cough even more (I have not tried oral albuterol yet), and I
tried singulair 5mg but it didn't help me out.  Right now I am trying
singulair 10mg, I figure that if this doesn't work I will get into trying
more steroids like azmacort or prednisone.  Any experiences or any
information on cough variant asthma would be appreciated.  Thanks.
ARoberts - 09 Mar 2005 15:50 GMT
> Does anybody have any information on what medication works best to
> suppress cough variant asthma?  Any experiences?  I tried inhaled
[quoted text clipped - 4 lines]
> experiences or any information on cough variant asthma would be
> appreciated.  Thanks.

In my case, I've had good experiences with QVar and Advair.  Both are
steroidal inhalers.  My understanding is that oral albuterol is not the
preferred way to administer this med in adults.
nonerequired - 09 Mar 2005 15:53 GMT
Yes, have it myself. I get it from some colds and try to cough up my belly
button. Gets pretty bad. Between episodes I'm symptom free. I have no
appreciable changes in airflow (Peak flows) and Albuterol doesn't do anything.
I've never tried Singulair, I know it doesn't work for everyone. I get good
results from any (used several) inhaled steroid, usually at minimal dose. I
recommend using a spacer with MDI and a thorough mouth rinse after.

Fritz
Colin Campbell - 09 Mar 2005 16:56 GMT
>Does anybody have any information on what medication works best to suppress
>cough variant asthma?  Any experiences?  I tried inhaled albuterol, but it
[quoted text clipped - 3 lines]
>more steroids like azmacort or prednisone.  Any experiences or any
>information on cough variant asthma would be appreciated.  Thanks.

Cough-variant asthma is your basic asthma with a different symptom.
One of the annoying things is that there is a frequent cough
immediately after inhaling the albuterol.  I just wait a few minutes
and try again.

I control mine with Pulmicort, Singulair and Allegra.

--
There can be no triumph without loss.
No victory without suffering.
No freedom without sacrifice.
jelly - 10 Mar 2005 01:21 GMT
Thanks alot for the help, for everyone who responded.  I am currently trying
singulair at 10mg, and I am no longer using spiriva (because I don't think I
have COPD, my chest x-ray showed nothing wrong with my lungs, and spiriva
seemed to just aggrevate me more then anything).  I will talk to my doctor
and ask him about Pulmicort.  I'm not even sure if I will ask about
albuterol, because it didn't seem to do much helping.  Right now I am still
coughing, but not constantly, and my breathing is still impaired but just
not as badly as before.  I still can't walk up 4 flights of stairs without
feeling very short winded, but I push myself whenever I can, and rarely take
elevators, and I go jogging every few days...If this is going to suck me
down, I'm going down kicking and screaming.  I suggest everyone else does
the same.  Good luck to you all.

>>Does anybody have any information on what medication works best to
>>suppress
[quoted text clipped - 16 lines]
> No victory without suffering.
> No freedom without sacrifice.
Colin Campbell - 10 Mar 2005 01:54 GMT
>Thanks alot for the help, for everyone who responded.  I am currently trying
>singulair at 10mg, and I am no longer using spiriva (because I don't think I
[quoted text clipped - 8 lines]
>down, I'm going down kicking and screaming.  I suggest everyone else does
>the same.  Good luck to you all.

Something you might want to try is using a spacer with your initial
dose of albuterol.  

When you go to the doctor ask him about a steroid 'burst and taper.'
Then a combination of Serevent, Pulmicort/Flovent, and Singulair to
get the asthma control locked down - then after you are controlled for
a couple of months start cutting back on the medications until you
find the minimum medications you need for goo, long term control.

One of the tricks I have is that my doctor lets me adjust my Pulmicort
dose based on my peak flow readings.  If my peak flows are
consistently high I can reduce my Pulmicort as far down as 2 puffs,
once a day.  If my peak flows are dropping I can increase the dose to
as much as 4 puffs, twice a day.

--
There can be no triumph without loss.
No victory without suffering.
No freedom without sacrifice.
Jerry Freedman - 14 Mar 2005 03:24 GMT
> >Thanks alot for the help, for everyone who responded.  I am currently trying
> >singulair at 10mg, and I am no longer using spiriva (because I don't think I
[quoted text clipped - 8 lines]
> >down, I'm going down kicking and screaming.  I suggest everyone else does
> >the same.  Good luck to you all.

it took a lot for me to get my coughing asthma under control. Once I was
"stabized" albuterol worked like a charm. Before I was in control, albuterol
worked as well as anything else which was just barelu

> Something you might want to try is using a spacer with your initial
> dose of albuterol.

I always use spacers, don't understand how anyone could be without them. I
used to have these neat, small plastic spacers about the same size as the
inhalers with a bulge in the middle. I lost them an I kept asking for a new
spacer and they give me those big ones that make a noise if you suck too
hard etc. These are a pain because they don't fit in my pocket ( sorry
getting off track)

> When you go to the doctor ask him about a steroid 'burst and taper.'
> Then a combination of Serevent, Pulmicort/Flovent, and Singulair to
> get the asthma control locked down - then after you are controlled for
> a couple of months start cutting back on the medications until you
> find the minimum medications you need for goo, long term control.

To keep mine under control I use serevent, flovent, flonase, prilosec (
gastric problems can really contribute to the cough) wiht albuterol as a
rescue inhaler. I rarely need it. When I lose it, prednisone is the cure --
sucks but it works. I am a semi pro trumpet player and prednisone makes my
chops swell and get mushy so I can't play

> One of the tricks I have is that my doctor lets me adjust my Pulmicort
> dose based on my peak flow readings.  If my peak flows are
> consistently high I can reduce my Pulmicort as far down as 2 puffs,
> once a day.  If my peak flows are dropping I can increase the dose to
> as much as 4 puffs, twice a day.

This is interesting. How often do you have a problem?

> --
> There can be no triumph without loss.
> No victory without suffering.
> No freedom without sacrifice.
Mary - 10 Mar 2005 04:21 GMT
> Does anybody have any information on what medication works best to suppress
> cough variant asthma?  Any experiences?  I tried inhaled albuterol, but it
[quoted text clipped - 3 lines]
> more steroids like azmacort or prednisone.  Any experiences or any
> information on cough variant asthma would be appreciated.  Thanks.

Advair. It's great.
 
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