I'm currently taking Advair 250 disc inhaler. My GP suggested I take two puffs in the morning and two puffs at night, instead of one puff in the morning and one at night, because I'm having trouble controlling my asthma on the one puff twice a day. I asked him if he would just prescribe me Advair 500 instead, as I didn't want to pay twice as much
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Also, Advair really messed me up too after I'd been taking it for a couple of years. It just stopped feeling at all effective. I was using my rescue inhaler about four times a week. Once I got put on Flovent every other day, I haven't used my rescue in a year. Maybe it's time to experiment with a different medicine altogether?
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I personally think it depends on the individual (there's plenty of people running around with 24/7 bronchospasm and a long-acting bronchodilator is far better than a short-acting one) and control shouldn't just focus on drugs -- lifestyle factors play a huge part, most notably trigger avoidance and lifestyle adjustments.
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I agree that so much of it is lifestyle too, or at least it is in some people's cases. At my worst, I was on a ton of different medicines for asthma and allergies and stomach bloating and this that and the other -- weaning myself off all those (I'm just on Flovent now, and that's not even every day) has cut down on my breathing and bloating problems a LOT. So who knows how much of my asthma is/was a product of over-medication. :\
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I hadn't thought of it.
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In another way, my bloating also affects my asthma. Every once in a while (if I, tmi, get constipated for a few days) I'll bloat up, and can immediately notice that it's difficult for me to take deep breaths, because I suppose my stomach's swelling and (because I have a very small frame) limiting the space my lungs have to expand. So it all kind of works together, the bloating exacerbating the asthma and the asthma medicines exacerbating the bloating, but once I went off a lot of medicines and found an inhaler that worked for me, my bloating went down a LOT.
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