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Medical Forum / Diseases and Disorders / Asthma / July 2004Advair
Went to my Doc today for the first time in a year. 2 years ago, he prescribed, and I have been taking, Serevent aerosol, 2 puffs bid, and Flovent 110, 2 puffs bid. This changed to Serevent Discus 50 on last refill, with the Flovent. Been doing well on this. Today he gave me a new Rx for Advair Diskus 100/50. He told me that I should do one inhalation bid, but if one wasn't doing the trick, use two. I came home and checked the net, and everything I find says to not exceed one inhalation bid. Is this good advice? Anybody? Steve >Went to my Doc today for the first time in a year. 2 years ago, he >prescribed, and I have been taking, Serevent aerosol, 2 puffs bid, and [quoted text clipped - 9 lines] > >Steve Your advair is the lowest "strength" one, so doing 2 a day should be fine. Not sure what you mean by "bid". If you mean taking 2 inhales at a time, no don't do that. Also, don't take the flovent with it (if they didn't already tell you this). Advair contains it's own steroid, no need to double up on that.... >Also, don't take the flovent with it (if they didn't already tell you this). >Advair contains it's own steroid, no need to double up on that.... It is fairly common for another inhaled steroid to be added to Advair. It is the Serevent that you do not want to add to it. -- There can be no triumph without loss. No victory without suffering. No freedom without sacrifice. >>Also, don't take the flovent with it (if they didn't already tell you this). >>Advair contains it's own steroid, no need to double up on that.... > >It is fairly common for another inhaled steroid to be added to Advair. >It is the Serevent that you do not want to add to it. If the previous medication was Serevent inhaler with Flovent (very common combination), you do NOT want to keep the Flovent when switching from Serevent to Advair. You will be almost doubling your steroid intake and will feel the effects within a week. >>It is fairly common for another inhaled steroid to be added to Advair. >>It is the Serevent that you do not want to add to it. [quoted text clipped - 3 lines] >to Advair. You will be almost doubling your steroid intake and will feel the >effects within a week. This depends on the steroid dose recommended by the doctor. One of the drawbacks to Advair is that you cannot increase the medication as necessary so an additional inhaled steroid is frequently added when the Advair is not enough. -- There can be no triumph without loss. No victory without suffering. No freedom without sacrifice. bid = twice/day. What i'm getting at is: Advair 100/50 is 100 mcg of Flovent and 50 mcg of Serevent. I've been taking 220 mcg of Flovent (2 puffs of a 110 mcg inhaler) twice a day, and 50 of Serevent (2 puffs of a 25 mcg inhaler). If I take two drags on the Advair, I'll be getting 100 mcg of Serevent. Is this too much? Thanks Steve > bid = twice/day. > [quoted text clipped - 6 lines] > Thanks > Steve Yes. Advair comes in three strengths. 100/50, 250/50, and 500/50. You need a stronger dose if the 100/50 isn't working for you. The 250/50 would be closer to the dose you have been using. Mabel > Went to my Doc today for the first time in a year. 2 years ago, he > prescribed, and I have been taking, Serevent aerosol, 2 puffs bid, and [quoted text clipped - 10 lines] > Steve > My two sons and I take the Advair inhalers. I take the 250, and my sons take the 500. It will not hurt you to take two puffs of the 100/50. I suggest if you need two puffs, you ask the doctor to up you dosage. It really helps my family. I wouldn't use anything else. Caren I'm not entirly sure ,but i think bid means as needed. The problem with taking serevent and advair is the 50 in the 150/50 is serevent so taking two pffs of advair ,and at least one of the serevent alone would probaly be way too much serevent...loftyone@comcast.net On Wed, 22 Oct 2003 21:04:53 -0400, "Caren Bertalot" <carenb1@charter.net> wrote: >> Went to my Doc today for the first time in a year. 2 years ago, he >> prescribed, and I have been taking, Serevent aerosol, 2 puffs bid, and [quoted text clipped - 16 lines] >really helps my family. I wouldn't use anything else. >Caren >I'm not entirly sure ,but i think bid means as needed BID means twice a day. From what I have learned from my doctor, you should not exceed one puff BID. Even though there are higher concentrations of Advair, the Serevent aspect of the inhaler does not change as the Flovent goes up. If 100/50 isn't doing the trick for you, then you need to talk to your doctor about moving up to the 250 once a day. I hope this helps. Life is uncertain - eat dessert first. Nancy 8=: ) My specialist put on Seretide 500/50 2 inhalations twice a day. Is it very high dose? i'm on prenisolone 10mg too... >My specialist put on Seretide 500/50 2 inhalations twice a day. >Is it very high dose? >i'm on prenisolone 10mg too.. Unfortunately, I don't know much about Seretide. What is it? Is it a steroid like Advair - then you certainly shouldn't be taking both. I take Advair 500/50, which is the highest dose of advair. I would DEFINITELY check with your doc or even your pharmacist to make sure you aren't taking 2 of the same things. Is the prednisone long term? How long have you been taking it? Life is uncertain - eat dessert first. Nancy 8=: ) > My specialist put on Seretide 500/50 2 inhalations twice a day. > Is it very high dose? > i'm on prenisolone 10mg too... According to GlaxoSmithKline, the makers of Seretide, this is the recommended dosage for adults. > > My specialist put on Seretide 500/50 2 inhalations twice a day. > > Is it very high dose? > > i'm on prenisolone 10mg too... > > According to GlaxoSmithKline, the makers of Seretide, this is the > recommended dosage for adults. Whoa, wait. I misread. Two(!) inhalations twice a day is double the recommended dose for adults, according to the Mfg. Im Artikel <972dae6f.0407100715.481499f9@posting.google.com>, kennynwp@hotpop.com (wheezykid) schreibt: >My specialist put on Seretide 500/50 2 inhalations twice a day. >Is it very high dose? >i'm on prenisolone 10mg too... means 2000/200µg highest possible dosis, in europe only authorized by a specialist Lothar > >I'm not entirly sure ,but i think bid means as needed > > BID means twice a day. yep - q day - once daily tid - thrice qid - 4 times (but they are phasing that abreviation out due to confusion between hand written q.i.d's and qd's. PRN means as needed. > From what I have learned from my doctor, you should not exceed one puff BID. > Even though there are higher concentrations of Advair, the Serevent aspect of > the inhaler does not change as the Flovent goes up. If 100/50 isn't doing the > trick for you, then you need to talk to your doctor about moving up to the 250 > once a day. Right- the dose of the Serevent limits it to one puff twice daily. If a higher dose of inhaled steroid is needed the formulation can be changed, Flovent added, or have it split into Serevent and Flovent as seperate inhalers depending on what doses are needed.  SignatureCBI, MD |
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