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Medical Forum / Diseases and Disorders / Asthma / September 2004

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Breath holding and other stuff - update

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Steve Freides - 07 Sep 2004 18:06 GMT
So far, the focus on staying relaxed while breathing and practicing
nose-breathing and breath holding seems to be helping.  I'm now doing
Advair 250/50 in the mornings and nothing at night whereas I was usually
doing 250/50 AM and 100/50 PM.

I have found that allergies are a big part of asthma for me, and the
switch from Allegra 60 2x/day to Allegra 180 1x/day really helps - just
more medicine, I guess, but I don't seem to need the evening dose of
either Allegra or Advair now.  I'm just back from a vacation where I
didn't get much in the way of HEPA-filtered air like I do at home and I
still seemed OK, even out in the woods.

So, some small progress, no doubt in part psychological and/or
psychosomatic but feeling as good or better and with less medicine is a
result I'm happy to have, regardless of how I got there.

I plan on asking the doctor about separate prescriptions for steroid and
dilator and trying only Flovent in the near future.  I've never done
that - started on Serevent only, then went to Advair.  Seems like a
worthwhile thing to try.

For anyone keeping track, I continue to take Singulair every morning, 10
mg, and Nasonex just before bed.

=S=
NorthShoreCEO - 07 Sep 2004 18:20 GMT
> I have found that allergies are a big part of asthma for me, and the
> switch from Allegra 60 2x/day to Allegra 180 1x/day really helps - just
> more medicine, I guess, but I don't seem to need the evening dose of
> either Allegra or Advair now. >

Steve, why does it surprise you that switching to Allegra 180,
which is to be taken once daily, allows you to skip a second
dose?  And I'm not sure a dose of 180 mgs versus your previous
two doses that totaled 120 mgs should be included in the "taking
less medicine" category.
Steve Freides - 07 Sep 2004 19:41 GMT
>> I have found that allergies are a big part of asthma for me,
> and the
[quoted text clipped - 9 lines]
> two doses that totaled 120 mgs should be included in the "taking
> less medicine" category.

Perhaps I wasn't clear.  The "taking less medicine" refers to the fact
that I'm taking Advair only 1x/day now.

The Allegra change is somewhat surprising to me - when I initially
started on Allegra, I found it didn't matter whether I had 60 or 180 in
the morning, I still needed another dose in the evening, so I went with
60 2x/day.  I don't what's changed of late, if anything, that 180
once/day works better for me - but that all is, as you rightly observe,
a different matter.  I mention it in the interest of completeness -
because the Allegra change seems to control my allergies better, it is
by no means clear-cut that anything, other than the Allegra change, is
responsible for my feeling better and needing less Advair.  I am taking
_more_ Allegra and _less_ Advair.  Since Allegra isn't, strictly
speaking, asthma medicine, and Advair is, it seems reasonable to say
that, overall, I'm taking less asthma medicine than I used to.

-S-
 
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