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Medical Forum / Diseases and Disorders / Asthma / October 2006

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Question about Advair 125 Salmeterol xinafoate / fluticasone propionate inhalation aerosol

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t2k@vcn.bc.ca - 06 Oct 2006 04:31 GMT
Hello,

I've had Asthma since 1997. And I've been using Salbutamol Sulphate
inhalation aerosol HFA 100mcg and Fluticasone propionate inhalation
aerosol (Flovent) 125mcg. Most of the time this works for me.

But recently my doctor ask me try
Advair 125 Salmeterol xinafoate / fluticasone propionate inhalation
aerosol. He says it's both Flovent and Sulphate in one. But the
problem is that whenever I have an attack, I find Avair doesn't stop
it and I have to reach for the Sulphate.

I had an attack an hour ago and Advair didn't stop it at all.  I'm
curious to know what have others experienced with this Advair 125
Salmeterol xinafoate / fluticasone propionate inhalation aerosol.
I'm wondering if it will really work and eventually take the place of
both puffers.

Tony
t2k@vcn.bc.ca
ttony_at@yahoo.com
EdDiggstds@aol.com - 06 Oct 2006 05:17 GMT
> Hello,
>
[quoted text clipped - 17 lines]
> t2k@vcn.bc.ca
> ttony_at@yahoo.com

Advair is a long acting mediciation however  it is slow acting over a
12 hour period.
You will still need a fast acting inhailor for immeadiate releif during
an asthama attack.

Ed
00doc - 06 Oct 2006 18:45 GMT
> Advair is a long acting mediciation however  it is slow acting over a
> 12 hour period.
> You will still need a fast acting inhailor for immeadiate releif during
> an asthama attack.

That's exactly right. I hope Tony misunderstood his doc. If not, and the doc
really does think that the Advair will take the place of the salbutamol
(albuterol) as a rescue inhaler then he needs to find a new doc - at least
for the asthma.

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00doc

Roy Tony - 12 Oct 2006 05:16 GMT
>> Advair is a long acting mediciation however  it is slow acting over a
>> 12 hour period.
>> You will still need a fast acting inhailor for immeadiate releif during
>> an asthama attack.

> That's exactly right. I hope Tony misunderstood his doc. If not, and the doc
> really does think that the Advair will take the place of the salbutamol
> (albuterol) as a rescue inhaler then he needs to find a new doc - at least
> for the asthma.

No I didn't misunderstand him. He really did say it would replace both  
and added that a lot of people like Advair because it saves them from
carrying both inhalers around. I can't understand why he said that if
it's not true; if I still need Albuterol!  

If Advair is a long and slow acting medication like Ed says, than is it
similar to Flovent?

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Tony

00doc - 14 Oct 2006 20:25 GMT
> If Advair is a long and slow acting medication like Ed says, than is it
> similar to Flovent?

Advair is a combination of Flovent (fluticasone) and a bronchodilator
similar to albuterol but that taskes much longer to start working and then
lasts a lot longer (salmeterol aka Servent). If you take it you will
probably need much less albuterol for two reasons. 1) The inhaled steroid
will make you less likely to wheeze because the asthma will be better
controlled. 2) The salmeterol will do some subbing for the albuterol by
doing the same thing (although over a different time course).

However, people who are on Advair still should have and carry albuterol to
use for its immediate effects if they have wheezing.

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00doc

 
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