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Medical Forum / Diseases and Disorders / Asthma / February 2004

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asthma and psych meds

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Gabe - 17 Feb 2004 00:17 GMT
Hi everyone,
I have an appt with an asthma doc to discuss this but I'd like to pose
it here.
Is there any consensus as to whether benzos (ativan, xanax) make
asthma worse?
How about tricyclic antidepressants?
It has been my experience that tricyclics have made my asthma a lot
worse although my psychiatrist does not believe me. He thinks the
antihistamine effect would be good. From what I've read on here, there
is no real agreement on whether antihistamines are good or bad for
asthma and it depends on how much allergies are involved. What about
the anticholinergic effects that dry you up?
I'm asking this b/c my psychiatrist wants to put me on imipramine and
I think it's going worsen my asthma. I also take ativan and I'm not
sure whether it exacerbates things but I don't think its effect is as
strong as the tricyclics.
Thanks for any info/experiences,

Gabe
nigel - 17 Feb 2004 08:13 GMT
Hi,

I bet you won't get anyone on this newsgroup to agree with yuo that a
particular prescribed medicine  may be the cause of a deteriorating
breathing problem.  I say this because I had a chest infection and was given
cipro antibiotic which I am 99% certain made it very difficult to breathe.
The doctor said it could not possibly be the antibiotic causing the problem
and so increased the dose. The breathing got worse. I asked the doctor for a
penicilling type antibiotic as I knew these drugs never gave me any problems
but he said there was no way it would be effective against the bug I had
got. I went home and stopped taking the cipro. Lo and behold the symptoms
began to clear up withing 36 hours. 1 week later I was more or less ok.
Unfortunately 1 year later I still feel that my lungs are not quite right.

I found that some steroid inhalers also cause a scary chest tightening about
12-18 hours after taking them, as do  a number of medications.

I don't bother telling the doctor about it a he just looks in his book and
says "no it's not the drug". He would of course say that as he is on sound
legal grounds should I drop dead when taking an approved medication. Were he
to take me of these drugs and I dropped dead he might find himself in a spot
of bother.

Definitely psud your psychiatrist over this. Take daily PFR and note them
down, keep a note of the times you take your drugs and the time and type of
adverse effects that you have, and always have this when you when seeing the
doctor.

As for this newsgroup. I get a feeling sometime that it's a front for people
that work for drug companies or just plain dominated by  doctors like the
one you and I have had to deal with.

Please, if anyone has breathing problems and are given medication, don't
always asume that you are wrong about any suspicions that you may have about
the treatment.     Push your doctor about it and make a posting on this site
as well.

> Hi everyone,
> I have an appt with an asthma doc to discuss this but I'd like to pose
[quoted text clipped - 15 lines]
>
> Gabe
Steve Freides - 18 Feb 2004 17:06 GMT
> Hi,
>
[quoted text clipped - 12 lines]
> I found that some steroid inhalers also cause a scary chest tightening about
> 12-18 hours after taking them, as do  a number of medications.

My steroid inhaler sometimes causes a scary chest tightening about 12-18
hours after I take it - that's because the medication has worn off and I
need more.

-S-
Colin Campbell - 18 Feb 2004 17:27 GMT
>My steroid inhaler sometimes causes a scary chest tightening about 12-18
>hours after I take it - that's because the medication has worn off and I
>need more.

Inhaled steroids don't 'wear off' that fast.  In those low dosages the
will take up to a couple of weeks to take effect and wear off after
disuse at about the same rate.

No electrons were harmed in the posting of this message.
Steve Freides - 18 Feb 2004 18:28 GMT
> >My steroid inhaler sometimes causes a scary chest tightening about 12-18
> >hours after I take it - that's because the medication has worn off and I
[quoted text clipped - 3 lines]
> will take up to a couple of weeks to take effect and wear off after
> disuse at about the same rate.

Perhaps it is the Serevent component I notice.  I certainly can tell when
I've forgotten to take my evening medicines most days - my evening medicines
are an antihistamine and Advair.

-S-
http://www.kbnj.com
nigel - 18 Feb 2004 22:38 GMT
> > >My steroid inhaler sometimes causes a scary chest tightening about 12-18
> > >hours after I take it - that's because the medication has worn off and I
[quoted text clipped - 10 lines]
> -S-
> http://www.kbnj.com

The point is that all my life I've had to put up with chest tightness.
Every 2-3 years I needed antibiotics for a chest infection. My PFR varies
between 500l/min - 580l/min without the steroid. Taking steroid inhalers
makes less than 10% difference to the PFR and even on a minimal dose of 1-2
puffs a day I have voice problems, increased secretions, occaisional food
cravings and this awful (temporary ) chest tightness. This crushing chest
sensation onlu happens when I take  QVAR steroid inhalers, (it also happened
on the one accaision when I took cipro antibiotic).I do seriously doubt
wether I should be taking steroids at all. I also have a Ventolin inhaler,
of which I take 1-2 puffs less than once a week. I've kept a 1 year record
of PFR and steroid/Ventolin inhalation and the weird thing is that I have
never taken the Ventolin when the PFR was low, in  other words, my breathing
discomfort is not related to PFR, the tightness and soreness in my chest
that causes me to resort to Ventolin is always accompanied by a higher than
average PFR.  I might add that I had a scan 20 years ago and was told that I
suffered from bronciecstatis, but my GP reckons that my chest infections and
PFR fluctuations are due to asthma.

I know I have wandered from the original topic, but it's something that
really bothers me and any commen ts are much apprecated. Thanks
Steve Freides - 20 Feb 2004 03:37 GMT
Have you tried other steroids?  Sometimes some people just do better with
one than another.

BTW, I've never even seen 500 on my PF meter - 450 is a very good day for
me.

-S-

> in
> > message news:pv7730p6jice838uiedaiag7aui21d9qqf@4ax.com...
[quoted text clipped - 37 lines]
> I know I have wandered from the original topic, but it's something that
> really bothers me and any commen ts are much apprecated. Thanks
nigel - 20 Feb 2004 17:54 GMT
I'd been on Pulmicort 100 micrograms twice a day, that was having more or
less the same effects as the QVAR, but without the food cravings and
anxiety.
Funny thing is that I had been unwell about 18 months ago with a chest
infection, which is when I first started on Pulmicort, at that time I was on
8 puffs/day, then it came down to 4 then 2 puffs a day. I'd had NO side
effects whatsoever during this time, then suddenly it all hit me. Now, even
if I don't take any steroids for 2 weeks and then go back on them on a low
dose I will feel bad within 3-4 days. It's as if I've been sensitised to
them.

> Have you tried other steroids?  Sometimes some people just do better with
> one than another.
[quoted text clipped - 53 lines]
> > I know I have wandered from the original topic, but it's something that
> > really bothers me and any commen ts are much apprecated. Thanks
 
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