She uses the Advair Diskus - this allows her to inhale in a crushed pill.
Each dosage contains 100 mcg fluticasone propionate and 50 mcg salmeterol.
She takes this once a day. She did attempt to take this just before training
and did say it helped.
Marty Kelly
> >I enjoy running a few miles 2-3 times a week. My wife would like to
> >join me,
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> -S-
> http://www.kbnj.com
>>>I enjoy running a few miles 2-3 times a week. My wife would like to
>>>join me,
[quoted text clipped - 4 lines]
>>>developed
>>>for asthmatics?
Yes, check out exercises for chest muscles and respiratory apparatus
that specifically targets asthmatics and not only does not cause
attacks but can actually stop an ongoing attack:
http://sudy_zhenja.tripod.com/strelnikova_exercises.htm
Regards,
Evgenij

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> She uses the Advair Diskus - this allows her to inhale in a crushed
> pill.
[quoted text clipped - 3 lines]
> training
> and did say it helped.
The usual recommendation for Advair is twice a day or approximately once
every 12 hours - she might want to ask her doctor about that. The
medications in Advair are not quick-acting. I'm not a doctor but my
layman's understanding is that the first medicine, the steroid, needs to
be taken consistently for several weeks to become effective, while the
bronchial dilator salmeterol is a long-acting medicine that, for
different reasons, also doesn't work right away. Your wife might
experiment with taking Advair sooner, perhaps 45-90 minutes before
running, and she might also ask her doctor about Albuterol (or similar),
a quick-acting bronchial dilator that _is_ suitable to for taking a few
minutes before exercise. If taking a quick-acting dilator like
Albuterol 15-20 minutes before exercise brings noticeable relief, a
review of her overall medicine program may be in order, e.g., Advair
100/50 twice a day is worth experimenting with, and her doctor might
even want her to try the 250/50 or 500/50 version. Then again, he may
tell her that he prefers her to take a puff of Albuterol before running
and dispense with the Advair altogether - or one of any number of other
possible changes. Indeed, consulting a second physician is always worth
considering as well. I have, e.g., gotten better advice from my general
physician over the years for my asthma than I have gotten from any of
the breathing specialists I've seen.
I'll plug the medicine Singulair while I'm here - I have seen it work
wonders for many people, including me. I take it every day and it makes
a big difference in the quality of my life. Singulair has very few
sides effects - none whatsoever for me - and, if I was forced to get rid
of all my medicines but one, this would be the one I'd keep. Your wife
might want to ask her doctor to try it. Singulair, from what I know of
it, is also something that must be taken for a few weeks before it
really works, at least that's how it seems to me and to others in my
family. In particular, my mother got into the habit of trying it only
when she felt bad and always said it never did anything for her, but
when we convinced her to take it every day, her symptoms improved
noticeably.
Allow me to remind you both again that exercise takes weeks to adapt to,
and in many ways months and years and not just weeks. Please be sure
that she eases into things and allows her body time to adapt to the
stresses of exercise.
> Marty Kelly
>
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>> -S-
>> http://www.kbnj.com
Lou Pecora - 06 Oct 2004 17:38 GMT
> I'll plug the medicine Singulair while I'm here - I have seen it work
> wonders for many people, including me. I take it every day and it makes
[quoted text clipped - 8 lines]
> when we convinced her to take it every day, her symptoms improved
> noticeably.
I'll second this. I started taking Singulair several years ago. I
could not run in the mornings at all anymore (many years before I got
asthmatic I typically ran 4 or 5 miles at a good pace). Then after
asthma set after half mile I had to stop to gasp for air. After
singulair (only on it a few days) I started running a few miles and
eventually built up to 3 to 4 miles of running (not jogging). At 57 I'm
hardly going to match the pace I used to keep in my 30's, but I can run,
bike, work hard without problems. It's worth a try. I have no side
effects.
-- Lou Pecora (my views are my own)
> She uses the Advair Diskus - this allows her to inhale in
> a crushed
[quoted text clipped - 3 lines]
> take this
> just before training and did say it helped.
The training schedule for an asthmatic shouldn't be a whole
heck of a lot different then for other people who have not
been all that active for a while. The main difference is how
you handle the asthma (as opposed to the training). The
asthma does add a safety dimension to the normal advice to
start slow and slowly build but the advice basically remains
the same.
If she gets symptoms while exersizing then the first step
would probably be to add a fast acting bronchodilator (like
albuterol) before the exercize. If that does not do it then
increasing the preventative meds is probably needed. The
100ug size of Advair is usually considered a pediatric dose
and she is ony taking half of that. It would probably help
to move up to the 25ug or 500ug size. Also, if she does not
seem to need it on a daily basis then she may be able to
drop the Serevent part and just go with an inhaled steroid.
Keep in mind that cold air and weather changes are also
triggers for a lot of asthmatics so she many need to vary
her routine depending on the weather.

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