Spiriva instead of Advair

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fjv - 01 Nov 2006 03:20 GMT

I developed exercised induced asthma about 4 ears ago at age of 58. I used
quick acting inhalers and Advair 2x/day plus Singular to control it. Now as
my asthma got better, I only use Advair 100/50 once a day and even when I
skip day or two, I can still do aerobic exercise and have no problem with
wheezing.
I am also trying to control inflammation by changing my diet (eat wild
salmon, extra virgin olive oil, extra refined fish oil, ginger, veggies
etc....)
My GP doctor friend suggested I try Spiriva or Qvair to avoid using Advair.
My question is:
1. Is Spiriva anti-inflammatory inhaler or bronchi dilator? I think I do not
need to use bronchi dilator, just something to control the lungs
inflammation.
2. Can Advair be used only every second day and still be effective, or is it
OK to stop using Advair for some time and maybe start using it again if
wheezing comes back after a while (few weeks or months).
Thanks

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00doc - 04 Nov 2006 15:30 GMT

>I developed exercised induced asthma about 4 ears ago at age of 58. I used
>quick acting inhalers and Advair 2x/day plus Singular to control it. Now as
[quoted text clipped - 8 lines]
> My question is:
> 1. Is Spiriva anti-inflammatory inhaler

No. Qvar is an anti-inflammatory.

> or bronchi dilator?

Dilator. See the thread "exercise induced A is back, wheezing, albuterol not
working" for more.

> I think I do not need to use bronchi dilator,

Since the dilator component of Advair only lasts about 12 hour sit sounds
like you are probably right. You are not getting any of this effect on the
days you don't use it.

> [I need] just something to control the lungs inflammation.
> 2. Can Advair be used only every second day and still be effective, or is
> it OK to stop using Advair for some time and maybe start using it again if
> wheezing comes back after a while (few weeks or months).

If you are using it every other day you are probably not benefitting from
the dilator and probably should stop the Advair and/or switch to just a
steroid. I will say that one breath of the 100 every other day is an
extremely small dose so you may be able to stop everything but you should
talk to your doctor about that.

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00doc

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fjv - 07 Nov 2006 19:49 GMT

Doc, thanks a lot for your opinion. It confirmed to me that I should stop
using Advair, but because my lungs are not completely free of all problems
(still get occasional scratchy feeling and urge to cough light phlegm), I
would like to stay on small dose of inhaled steroid. What would be the
minimum dose? I love the Advair delivery system and the powder form. Is
there something like that as a steroid only?

Further more, I have been reading several books (Inflammation Syndrome,
Inflammation Cure, Inflammation Nation by Dr.Shelton, and Anti Inflammation
Zone by Dr. Sears) on how to control inflammation with diet and supplements.
They are all very interesting, but there seems to be some contradictory
information in these books. Surprisingly there is not much emphases on diet
to control inflammation in mainstream medical establishment. What is you
opinion about it?
Any input on this subject would be greatly appreciated.

>>I developed exercised induced asthma about 4 ears ago at age of 58. I used
>>quick acting inhalers and Advair 2x/day plus Singular to control it. Now
[quoted text clipped - 32 lines]
> extremely small dose so you may be able to stop everything but you should
> talk to your doctor about that.

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dave - 09 Nov 2006 14:09 GMT

Sounds like Mucinex would be a good idea as well. Give it some time
and drink plenty of water. It will help clean up the crud and give you
a less congested system to treat.
No reason that you shouldn't stay on it for more than a couple of
bottles either.
dave

> Doc, thanks a lot for your opinion. It confirmed to me that I should stop
> using Advair, but because my lungs are not completely free of all problems
> (still get occasional scratchy feeling and urge to cough light phlegm), I
> would like to stay on small dose of inhaled steroid. What would be the
> minimum dose? I love the Advair delivery system and the powder form. Is
> there something like that as a steroid only?

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