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Old 05-01-2012, 02:11 PM
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mrsD mrsD is offline
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mrsD mrsD is offline
Wisest Elder Ever
mrsD's Avatar
 
Join Date: Aug 2006
Location: Great Lakes
Posts: 33,508
15 yr Member
Lightbulb

As Echos states, you should use only a rescue inhaler for a short time and see if you get results from it alone.
Xopenex or albuterol.

Both Advair and Symbicort have long acting versions of the
non steroidal part (called beta agonist)... and those over time can cause irritation of the airway, leading to more constriction.
This is a recent warning on combo products:
http://www.msnbc.msn.com/id/35463947.../#.T6A0xVLPzPM

Symbicort has formoterol in it and if used more than recommended can cause serious things to happen, including
rebound constriction.

Advair has salmeterol in it which has caused serious rebound events for years, some resulting in death.

Both products are for LONG term control and not for rescue or immediate effects.

Xopenex or albuterol used carefully may work for you, without the steroid. But they too if used improperly (like 4 puffs at a time or often) can do the same thing as the two long acting ones above. Abuse of rescue inhalers can also cause death if overused, and that was the theory behind making Advair and Symbicort. (those long acting beta agonists are now showing problems of their own)

Another option is Singulair...which is oral and works on inflammation another way. But very long term use of this is implicated in depression. But it works well, in most people and children. This is a B4 leukotriene inhibitor which blocks a specific inflammatory cytokine from constricting the bronchi.
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