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Medical Forum / Diseases and Disorders / Asthma / August 2006

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Advair-trying for the second time.

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k8vf-Mark - 01 Aug 2006 15:40 GMT
After having thrush in my throat and inflamed pipes and mouth, the
doctors want me to try Advair again.(all cleared up)
As it worked so well for my breathing, I am willing.

In all probability the problem will return, so........

Any advice on what to do to replace the ADVAIR if I cant tolerate it?

COmbivent?

QVAR plus SEREVENT?

Others?

Any thoughts and experiences are appreciated.

Mark
K8VF
00doc - 02 Aug 2006 00:46 GMT
> After having thrush in my throat and inflamed pipes and mouth, the
> doctors want me to try Advair again.(all cleared up)
[quoted text clipped - 5 lines]
>
> COmbivent?

This doe snot have apreventative med. It is just two different short acting
rescue meds.

> QVAR plus SEREVENT?

This should combo have a similar effect on the asthma as the Advair and may
get around the thrush issue.

> Others?

If you like the combination of a long acting dilator and a steroid you could
try Symbicort. It is a different long acting dilator similar to Serevent
(fortmoterol/Foradil) and a steroid (budesonide/Pulmicort). It comes in two
strengths of steroid (80 and 160) and is usually dosed 2 inhalations twice
daily. By using one to inhalations of the two strengths you can get a wide
variety of steroid strengths.

Or you could just use anyof the different inhaled steroids alone and see if
you need the long acting dilator. I'm assuming your doc is trying to use it
as a steroid sparing agent. You could try other agents to reduce the dose of
steroids like Singulair or theophyline.

Of course, I am assuming that you have removed all the other triggers and
treated all the other comorbidities (like GERD and rhinits).

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00doc

k8vf-Mark - 02 Aug 2006 01:56 GMT
> Of course, I am assuming that you have removed all the other triggers and
> treated all the other comorbidities (like GERD and rhinits).
>
> --
> 00doc

Yes, I am already on Singulair and would like to take the smallest
steroid dose possible consistent with relief.

I'll see what they say about the QVAR-serevent or Symbicort ideas.

My throat is already starting to hurt on the second day.

Thanks for the info.

MArk
B - 03 Aug 2006 01:01 GMT
Hi Mark:

I use advair 2x daily and have had thrush.  The biggest thing is to
rinse after inhaling advair.  My doctor also recommended one drop of
"tea tree oil", which I picked up at the health food store, in a glass
(2 ounces) of warm water and swish in mouth.  It surely does taste
awlful, but I haven't had thrush in 5 years now.  The treatment works.
I usually brush my teeth after and it helps with the taste.

It is a small price to pay for thrush and sores from recurring.

B

> After having thrush in my throat and inflamed pipes and mouth, the
> doctors want me to try Advair again.(all cleared up)
[quoted text clipped - 14 lines]
> Mark
> K8VF
bosco62a - 03 Aug 2006 09:39 GMT
> After having thrush in my throat and inflamed pipes and mouth, the
> doctors want me to try Advair again.(all cleared up)
[quoted text clipped - 14 lines]
> Mark
> K8VF

    Why not research "Hidden Food Allergies" and get rid of your
asthma by changing your diet? Many people have delayed reactions to
foods that can trigger all sorts of problems, like asthma, eczema,
psoriasis, migraines, hayfever, ADD, chronic fatigue, IBS, and many
other health problems. I know several people who got rid of their
asthma by eliminating dairy products. Different foods for different
people. There is nothing to buy.

    Why not go the the library and get "Dr. Braly's Food Allergy and
Nutrition Revolution" or "Food Allergies and Food Intolerance" by Dr.
Jonathan Brostoff ? You can also call an alternative doctor
(www.acam.org) for more info.

    Medical testing for DELAYED (hidden) food sensitivities is not too
reliable. It is more reliable for IMMEDIATE food allergies. This is why
many people don't know that they have them. It can take up to 72 hours
for foods to trigger symptoms. It takes a little detective work to find
your problem foods. A food diary would help also. This can greatly
boost your energy level.

    bosco62a
bosco62a - 03 Aug 2006 09:39 GMT
> After having thrush in my throat and inflamed pipes and mouth, the
> doctors want me to try Advair again.(all cleared up)
[quoted text clipped - 14 lines]
> Mark
> K8VF

    Why not research "Hidden Food Allergies" and get rid of your
asthma by changing your diet? Many people have delayed reactions to
foods that can trigger all sorts of problems, like asthma, eczema,
psoriasis, migraines, hayfever, ADD, chronic fatigue, IBS, and many
other health problems. I know several people who got rid of their
asthma by eliminating dairy products. Different foods for different
people. There is nothing to buy.

    Why not go the the library and get "Dr. Braly's Food Allergy and
Nutrition Revolution" or "Food Allergies and Food Intolerance" by Dr.
Jonathan Brostoff ? You can also call an alternative doctor
(www.acam.org) for more info.

    Medical testing for DELAYED (hidden) food sensitivities is not too
reliable. It is more reliable for IMMEDIATE food allergies. This is why
many people don't know that they have them. It can take up to 72 hours
for foods to trigger symptoms. It takes a little detective work to find
your problem foods. A food diary would help also. This can greatly
boost your energy level.

    bosco62a
k8vf-Mark - 08 Aug 2006 20:15 GMT
> > After having thrush in my throat and inflamed pipes and mouth, the
> > doctors want me to try Advair again.(all cleared up)
[quoted text clipped - 14 lines]
> > Mark
> > K8VF

After a week back on Advair, I had to go off of it again as my throat
was like raw meat and very painful if I spoke or sang. Fungus also.

So, now I am on nothing.

Would it be worth trying Flovent Inhaler plus Serevent discus(the only
way we can get it, can't get Advair MDI here either)  to see if it was
the delivery system causing my grief?

The reason I am willing to try this is that my symptoms were completely
gone, I slept soundly and even my NASAL congestion went away for the
first time in years while I was on Advair.

Has anyone else tried this method of delivery?  Pricewise it is
similar.

Thank you all, I appreciate and need the help.

(BTW, I suggested serevent plus Singulair(already on it) to my
pulmonologist and he nixxed it)

Mark
 
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