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Medical Forum / Diseases and Disorders / Asthma / March 2004Just diagnosed with Asthma and started Advair
I've read in this list what I can find on Advair and haven't found an answer to my question. I was diagnosed with Asthma a few days ago while taking my annual physical. Oddly, I had no complaints about breathing problems. The doctor did a breathing test, then a treatment, and another test. On the second test, I scored 15% better, and he diagnosed it as Asthma. He put me on Advair 250/50 twice daily. Since starting his, my throat is raw, and it actually hurts somewhat to take a deep breath. This is interesting since I had no problems prior to being diagnosed. I'm just curious if anyone else has had similar problems. Thx . . . The sore throat is a known side-effect of Advair. Your doctor should have warned you about it, Mine did. Read the instructions. They instruct the user to rinse the mouth without swallowing after each use. I also make it a point to take several sips of something in order to rinse the back of the throat. My brother had to stop using Advair because of this, but I've had no problems, and it works much better than anything else I've used over the years. > I've read in this list what I can find on Advair and haven't found an answer > to my question. [quoted text clipped - 11 lines] > > Thx . . . What I've got is a sample from the doctor and got no instructions -- well, no printed instructions. The nurse walked me through how to use it but didn't mention the sore throat problem. I do drink some water after using it. I'll try rinsing next time. Thanks for the reply. > The sore throat is a known side-effect of Advair. Your doctor should > have warned you about it, Mine did. Read the instructions. They instruct [quoted text clipped - 21 lines] > > > > Thx . . . > I've read in this list what I can find on Advair and haven't found an > answer to my question. > > I was diagnosed with Asthma a few days ago while taking my annual > physical. Oddly, I had no complaints about breathing problems. > The doctor did a breathing test, then a treatment, and another test. > On the second test, I scored 15% better, and he diagnosed it as > Asthma. He put me on Advair 250/50 twice daily. Since starting his, > my throat is raw, and it actually hurts somewhat to take a deep > breath. This is interesting since I had no problems prior to being > diagnosed. > > I'm just curious if anyone else has had similar problems. I'm curious about why he did a breathing test if you really had no symptoms. I have seem some people use variability as low as 10% as the positive cut off. However, most official guidelines and practitioners use 20%. The diagnosis if asthma uses several factors including history and physical exam as well as laboratory testing. It is possible that the doc had some other reasons that are not clear from your post but based on what you have said I have to question the diagnosis. Maybe you should get a clearer explanation of why he thinks you have asthma other than this one test (if that is the only reason then you probably don't have it). I also wonder why someone with no symptoms needs Advair since the Serevent portion of it is largely to relieve symtoms and to spare the dose of steroid (which in your case is not so high as to need sparing). www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm As for the sore throat - it is common with inhaler steroids. Rinsing your mouth should help.  SignatureCBI, MD You're echoing my thoughts exactly. I have mild allergies that bother me at times, but I've not had any symptoms that made me think I had breathing difficulties. He said that he's started doing the breathing test with annual exams for everyone. I've considered switching doctors for other reasons that I won't go into here anyway. So for now, I've stopped the Advair and plan to get a second opinion. Many thanks . . . > I'm curious about why he did a breathing test if you really > had no symptoms. [quoted text clipped - 19 lines] > As for the sore throat - it is common with inhaler steroids. > Rinsing your mouth should help. > He said that he's started doing the > breathing test with annual exams for everyone. That is clearly not appropriate. > I've considered switching doctors for other reasons that I won't go > into here anyway. So for now, I've stopped the Advair and plan to > get a second opinion. Like I said - I may be missing something so I wouldn't do much based solely on my say so. A second opinion is probably a good idea. > Many thanks . . You're welcome. SignatureCBI, MD Sounds like another general MD who has not clue about treatment of asthma. A second or even a third opinion would be my reccomentation based upon my 25 years of experience. I would not go to another general MD and instead go to a specialist in the field dealing with asthma. >I've read in this list what I can find on Advair and haven't found an answer >to my question. [quoted text clipped - 11 lines] > >Thx . . . |
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