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Medical Forum / Diseases and Disorders / Asthma / December 2003

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Increased Advair When I Have A Cold?

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Steve Freides - 22 Dec 2003 03:09 GMT
Is it normal/recommended to increase steroid, bronchodilator, or both when
one has a cold or other illness that affects the lungs?  I keep Advair in
500/50, 250/50, and 100/50 doses around here.  My normal is 250/50 in the
morning and 100/50 at night.  I find that, when I have a cold, 500/50 in the
morning and 100/50 at night really seems to make a difference - my lungs are
clearer and I just plain breathe easier.  And, truth be told, I'd consider
just taking Serevent at night on many mornings I've had 500 Advair in the
morning because its all I feel I need - my house's air is well filtered and
it's generally easier on me than being out in the world during the day but I
can feel a constriction in my upper chest at night if I don't get some
Serevent in me, even if I don't feel like I need any more of the steroid.

Is it reasonable to up the doseage of the steroid during colds, flus, and
the like?

Is it OK to do 500 AM and no steroid PM?  Does the steroid work longer than
12 hours in some people, especially at the higher doseage?

I know much of this can only be determined by experimentation but I'd like
to know what others think and have read on these matters.

Thanks in advance.

-S-
Mike Detlefsen - 22 Dec 2003 04:55 GMT
You need to talk to your doctor about this, not post a message on a
newsgroup.


> Is it normal/recommended to increase steroid, bronchodilator, or both when
> one has a cold or other illness that affects the lungs?  I keep Advair in
[quoted text clipped - 20 lines]
>
> -S-
CBI - 22 Dec 2003 13:41 GMT
> Is it normal/recommended to increase steroid, bronchodilator, or both when
> one has a cold or other illness that affects the lungs?  I keep Advair in
[quoted text clipped - 16 lines]
> I know much of this can only be determined by experimentation but I'd like
> to know what others think and have read on these matters.

Usually they are not FDA approved to be used this way but there is no
reason why you can't take the steroid once daily if it work for you.

If you need the Serevent twice daily but want to be able to titrate
the steroid then why not use two seperate devices? Just get a Serevent
discus and use it twice daily. Then get a seperate steroid inhaler and
titrate the dose as needed. Flovent would give you a lot of dosing
flexibility as it come sin three strengths and you can take half doses
in the form of one puff rather than two (the normal full dose). If you
use a Pulmicort turbuhaler you lose some flexibility but the cost is
neutral to using Advair (the Pulmicort has 200 doses in it - last
three months at twice dialy dosing and well more than 6 at once
daily). Another advantage is that you would still not need a spacer.

Signature

CBI, MD

Colin Campbell - 22 Dec 2003 16:54 GMT
>Is it reasonable to up the doseage of the steroid during colds, flus, and
>the like?

This is fairly common advice from doctors.  What does your doctor say?

"...there is always a well-known solution to every
human problem--neat, plausible, and wrong."
  H. L. Mencken
Steve Freides - 22 Dec 2003 18:18 GMT
> >Is it reasonable to up the doseage of the steroid during colds, flus, and
> >the like?
>
> This is fairly common advice from doctors.  What does your doctor say?

I haven't asked my doctor yet; I thought I'd ask here and, if what I was
suggesting seemed completely out of the question, I wouldn't bother.  As it
is, I think I will make an appointment and discuss it with him.  I'm fairly
certain he will be willing to go along with whatever I suggest - I have a
good history of properly medicating myself in this way but, again, I just
wanted to see what was "common practice" before going further.  I currently
switch on my own between two different antihistamines and a couple of
doseages (I don't switch often, but I do take a week off from anyone I've
been on for an extended period of time periodically and I also switch when
one isn't working - and all of this is with my doctor's knowledge and
approval) and have found this very effective in getting the medicine I need
while not getting more medicine than I need.

-S-

> "...there is always a well-known solution to every
> human problem--neat, plausible, and wrong."
>    H. L. Mencken
 
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