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Re: Addition of another inhaled steroid

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YES! YES! YES! I've done this now for almost two years. Sometimes I

don't have to start pred if I start the 2nd inhaled steroid early

enough.

Addy

Group co-owner

--- In , " royalashtonvp " <Oneroyal@...>

wrote:

>

> I've been on prednisone for a month and can't seem to get off it. My

> pulmo suggested adding another inhaled steroid instead of staying on

> the prednisone. Does anyone do that? I already take maximum dose of

> Pulmicort and pulmo suggested adding 4 puffs QVAR 80 per day. Is

there

> another ICS that I could add instead of QVAR? Adding more pulmicort

> doesn't help.

>

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Yes, I have an extra inhaler.  But now with Xolair I am also one of the almost 5

yr. anniversary.

 

Sr.

From: royalashtonvp <Oneroyal@...>

Subject: [ ] Addition of another inhaled steroid

Date: Friday, September 26, 2008, 8:20 AM

I've been on prednisone for a month and can't seem to get off it. My

pulmo suggested adding another inhaled steroid instead of staying on

the prednisone. Does anyone do that? I already take maximum dose of

Pulmicort and pulmo suggested adding 4 puffs QVAR 80 per day. Is there

another ICS that I could add instead of QVAR? Adding more pulmicort

doesn't help.

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For what it's worth, a year ago I went to an Opthamologist who

specialized in retinal steroid damage. I am taking 20 mg a day of oral

steroids and a couple of inhalers. I was trying to find out how much

steroids and cumulative damage the two inhalers could be doing. The

Dr was very emphatic that the inhalers have no where near the impact

on your system as the oral meds. He indicated that the " delivered "

steroids of the inhalers was relatively low and they did not concern

him. Of course that is one man's opinion and I never followed up on it

because my eyes were " healthy " . I would opt for the inhalers every

time if they did the trick.

On Sep 26, 2008, at 8:41 AM, pyle456 wrote:

> YES! YES! YES! I've done this now for almost two years. Sometimes I

> don't have to start pred if I start the 2nd inhaled steroid early

> enough.

>

> Addy

> Group co-owner

>

>

> >

> > I've been on prednisone for a month and can't seem to get off it. My

> > pulmo suggested adding another inhaled steroid instead of staying on

> > the prednisone. Does anyone do that? I already take maximum dose of

> > Pulmicort and pulmo suggested adding 4 puffs QVAR 80 per day. Is

> there

> > another ICS that I could add instead of QVAR? Adding more pulmicort

> > doesn't help.

> >

>

>

>

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Dear Addy and others: Thank you for your answers. What inhaled steroid do

you add and what are you on now? I am on 1600 of Pulmicort and doctor

suggested adding QVAR 4 times daily. Would any other one, (not as expensive as

QVAR

)help?

**************Looking for simple solutions to your real-life financial

challenges? Check out WalletPop for the latest news and information, tips and

calculators. (http://www.walletpop.com/?NCID=emlcntuswall00000001)

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On a good day I take advair 50/100 2xday. On the bad ones, I'm

supposed to pump up to Advair 50/500. If that doesn't work, I can

add up to 3 puffs of pulmocort 2x day. Once when I couldn't step

down off pred, he had me add one puff of Asthmanex 2xday on top of

the advair and pulmocort. I do not know what QVAR is or how any of

these show up on your RX schedule. I have scripts for the Advair and

get samples of the others for use when I have bad spells.

Good luck and feel better!

Addy

Group co-owner

>

> Dear Addy and others: Thank you for your answers. What inhaled

steroid do

> you add and what are you on now? I am on 1600 of Pulmicort and

doctor

> suggested adding QVAR 4 times daily. Would any other one, (not as

expensive as QVAR

> )help?

>

>

>

> **************Looking for simple solutions to your real-life

financial

> challenges? Check out WalletPop for the latest news and

information, tips and

> calculators. (http://www.walletpop.com/?

NCID=emlcntuswall00000001)

>

>

>

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They've got me on Pulmicort, Foradil and Omnaris (a relatively new snorted

steroid) plus Combivent. Seems to be working OK, but we're planning on a

cleaning out (suction & flush) and packing with antibiotics of my nasty sinuses.

Sort of a kill or cure approach. But less severe than the D & C they did at Duke

four years ago. The idea being that if they can clear the sinuses, the asthma

will follow, and then maybe I can get off Xolair. If that works, I'll have

antibiotics available at home to take at the first hint of a cold or other

infection. The idea being that a few cipros at the outset of a cold or other

problem will keep me from getting more sinus infections that are a massive

problem to cure after they're deeply rooted. Moreover, I'd love nothing more

than to be able to get rid of the maintenance dosage of pred. i've been taking

for two years, now.

Ohldepharte

----- Original Message -----

From: royalashtonvp

Sent: Friday, September 26, 2008 9:20 AM

Subject: [ ] Addition of another inhaled steroid

I've been on prednisone for a month and can't seem to get off it. My

pulmo suggested adding another inhaled steroid instead of staying on

the prednisone. Does anyone do that? I already take maximum dose of

Pulmicort and pulmo suggested adding 4 puffs QVAR 80 per day. Is there

another ICS that I could add instead of QVAR? Adding more pulmicort

doesn't help.

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AM

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same here! i was on advair (500/50) and as i started to flare, i'd

add an extra 2-4 puffs of flovent 220 twice a day. about 6 months ago,

i switched to symbicort - but we stil add flovent in times of need.

its definately helped me avoid prednisone a few times!

hope the extra push of ICS helps you out!

heather

-- In , " royalashtonvp " <Oneroyal@...>

wrote:

>

> I've been on prednisone for a month and can't seem to get off it.

My

> pulmo suggested adding another inhaled steroid instead of staying on

> the prednisone. Does anyone do that? I already take maximum dose of

> Pulmicort and pulmo suggested adding 4 puffs QVAR 80 per day. Is

there

> another ICS that I could add instead of QVAR? Adding more pulmicort

> doesn't help.

>

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