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Medical Forum / Diseases and Disorders / Asthma / June 2008

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HFA propellants and chemical sensitivity

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Michael Vanier - 07 Jun 2008 22:00 GMT
I'd been having worsening asthma symptoms for a few months, and after
a lot of trial and error I finally figured out that I was having a
chemical sensitivity reaction to the HFA propellants in my Albuterol
rescue inhaler and my Flovent inhaler.  I switched from Flovent to
Asmanex yesterday (powder, no propellant) and the difference is
already night and day.  I never had these problems with CFCs.  I just
wanted to let people know that for anyone with asthma and chemical
sensitivities, HFAs may well make your asthma much worse.
Fortunately, most inhaled asthma drugs are available in powder form.
pavane - 07 Jun 2008 23:04 GMT
| I'd been having worsening asthma symptoms for a few months, and after
| a lot of trial and error I finally figured out that I was having a
[quoted text clipped - 5 lines]
| sensitivities, HFAs may well make your asthma much worse.
| Fortunately, most inhaled asthma drugs are available in powder form.

No albuterol substitute, is there?

pavane
00doc - 12 Jun 2008 01:23 GMT
> | I'd been having worsening asthma symptoms for a few months, and after
> | a lot of trial and error I finally figured out that I was having a
[quoted text clipped - 9 lines]
>
> pavane

Xopenex is one. It, like albuterol is avaiable as a neb and HFA. I
don;tthink they make the dryu powder inhalers with either. They used to have
them for albuterol.

While formoterol (Foradil and Symbicort) is not technically a short acting
inhaler it is much faster acting then salmeterol (Serevent and Advair) and
for some people may be fast acting enough

Atrovent and spiriva are dilators that are slower acting and work in a
different way. Spiriva is a dry powder that us taken once daily.

There is oral albuterol and theophylline. Many people would not tolerate
these.

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00doc

pavane - 12 Jun 2008 14:06 GMT
| > | I'd been having worsening asthma symptoms for a few months, and after
| > | a lot of trial and error I finally figured out that I was having a
[quoted text clipped - 23 lines]
| There is oral albuterol and theophylline. Many people would not tolerate
| these.

I meant substitutes for albuterol strictly as a rescue inhaler.  Other than
Xopenex, there really isn't one, is there?

Foradil is quite fast, I use it and can feel the results within a couple of
minutes at the most when I take my morning dose.  But can it be used
as a rescue inhaler?

pavane
Julie C - 09 Jun 2008 04:02 GMT
The powder versions often have lactose in them, though - which may not bode
well for folks with dairy allergies (there's always the chance that the
lactose can have some milk protein in it).  Just something to consider...
Julie

> I'd been having worsening asthma symptoms for a few months, and after
> a lot of trial and error I finally figured out that I was having a
[quoted text clipped - 5 lines]
> sensitivities, HFAs may well make your asthma much worse.
> Fortunately, most inhaled asthma drugs are available in powder form.
 
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