Salmeterol Inhaler
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Q: Salmeterol(serevent) Possible overdose? ……Please advise?
Hi I had an asthma attack this morning and forgot my blue inhaler and only had serevent with me I used that, at least 20 puffs at 25mcg each a total of 500 mcg. I didn’t realize that it would not help an attack ,fortunately my friend was there and he ran and got his. I am now ok but I am shaking , almost tingling all over and have a sore head. Please advise. Thanks to all who answer
A: Yes, call the poison control center in your area. If not that then go to the ER. Salmeterol overdose can cause rapid heart rate, hypertension, agitation, etc….
They may need to monitor your vital signs for the next few hours, and administer beta blockers in a controlled setting if necessary. Also, make sure you understand which inhalers are for rescue and which are for maintenance. Maintenance inhalers aren’t useful for acute attacks and only lead to overdose as a patient keeps trying to get them to work quickly.
Salmeterol is long-acting by design so the effect are going to be there for a number of hours. So, don’t ignore it.
Q: I am 62. Last January my Asthama/COPD culminated into Broncho-pneumonia and later pneumothorax.?
I had to be in the ICCU for a fortnight.Right now I take regularly Salmeterol & Fluticasone Propionate inhaler(Seroflo 250) twice a day and Montek plus in the evening. I have developed Dry Skin and itching problem in the lower leg which Montek LC used to relieve but Montek plus does not.Since one month I do not have breathing problem but the Doctor asks to take medicine regularly. Secondly I get exhausted easily after the ICCU episode. Please enlighten.
A: when i got asthma symptoms i went straight for Ayurvedic treatment and now cured.
Q: For People Who Are On ADVAIR DISKUS?
Hi,
(1.) Have u been on any other prevetive asthma attack medince before u went on Advair???
(2.) If so what???
(3.) And did u talk to your doctor about this :
ADVAIR contains salmeterol. In patients with asthma, medicines like salmeterol may increase the chance of asthma-related death. So ADVAIR is not for people whose asthma is well controlled on another controller medicine.
(4.) If so what did he or she say about it???
I’m afraid to take it because of that but my doctor really wants me to.I wasn’t tested for asthma but I took prednoise pills for it & it helped so my doctor said thats what I have.
(5.) Did u get a test done to see if u had asthma???
(6.) What are ALL your asthma symptoms???
(7.) What inhaler do u use for asthma???
Please reply soon.
Thanks
A: 1, 2. Yes, I am on the pill Singulair. I know I was on some kind of steroid inhaler before, but the name escapes me.
3, 4 Yes, and technically I shouldn’t answer this question because I *used to* be on Advair. It didn’t do much for me, and because of the hypothetical risks, and cost, we dropped it. My Brother The Doctor (family practice) only recommends Advair if other stuff doesn’t work.
5. There is no real test for asthma. If someone has the symptoms, you treat it like asthma, if you get better, Bingo!
6. Shortness of breath and wheezing, usually induced by: (a) exercise and (b) certain allergies (dust, pollen, something blooming every spring).
It can progress to a persistent (like for months) cough, when that gets bad I can’t sleep at night unless propped up.
The symptoms get worse when I lie down, better with warm, moist air.
Since I monitor myself, I’ve never had to have a full fledged attack, where I couldn’t breath and have to get taken to the hospital.
7. I have Albuterol for treating the symptoms/when things get bad. I take Singular daily as prevention. As a side note, I also drink lots of water when I am symptomatic. It seems to help loosen things up in my chest.
Also – my pulmonologist said to avoid cough suppressants whenever possible. He said they just make it harder to get the stuff out of your lungs (my simplification). I do take expectorant when I’m coughing, it does help.
There is a lot of information on how to live well with your asthma, the National Institute of Health link below could be a good starting point.
Q: why are my ankles and feet swelling up?
Recently discharged from the hospital w/COPD emphysema exacerbation and a minor bout with pneumonia.
Discharge meds were cefuroxime(Ceftin)-antibiotic500mg
simvastatin(Zocor)-cholesterol10mg
prednisone(Deltasone)draw down medication over 8days30/20/10/5mg 2days @
clonazapam(Klonopin0.5mganti anxiety/sleep aid/relaxant
Salmeterol Discus(Advair)/Combivent Inhaler(albuterol ipratroprium)
& a multivitamin
Now-still taking the prednisone(5th day)w/3 to go. While in the hospital(10 days “I had no problem with swollen ankles or feet at all”.
Now that I am home 7days my feet and ankles are really swollen-not really tender but will retain an impression if I press on them. Also, I have been experiencing burning stabbing pains intermittently in the upper front portion of my right leg from the crotch joint to the knee.Several times these pains were serious enough to be debilitating.
I should mention that if I squeeze my foot or ankles on the right led I can create the burning stabbing painful sensation in my upper leg.
I am also on 2 ltr oxy 24/7 and am relatively sedentary(couch potato) and housebound.
Is it possible that Some of the medications that I am on could be causing the problem?
My appetite is voracious and my attitude is extremely positive except for the fact that I have fat feet! I am very slim-weighed 98lbs when I entered the hospital and gained 11 lbs there and am still picking up weight but I feel now that some of it might be water retention. oh-I should mention that I have no known allergies and am male/64 years old 5′11″
Has anyone had similar experiences as mine? I most likely will be speaking with my PCP soon so please don’t suggest that I call my MD- just wondering if I might be reacting to some of the medications. Thanks for considering replying to my question… Tony Zalvis III (me)
A: It is possible that the swelling is related to the prednisone, though this effect is usually only seen after prolonged use (for a COPD exacerbation I’m guessing you haven’t been on it for months; your dose also isn’t that high). Keep monitoring your weights daily, and as you state you are likely speaking with your PCP, just mention the swelling to him or her. Most likely you’ll either be told to wait and see if it subsides or be given a short bout of furosemide (a diuretic / water pill). The sedentary lifestyle also does not help, though I understand your COPD may make physical activity difficult, and there are many other potential causes of the swelling (your physician will help work through these when you see him or her).
Q: Cipro with other medications??
My doctor just prescribed me cipro because my surgery area might be infected. anybody know if i can continue taking my pain med Ultram 50mg, or ibuprofen 600mg. i also take wellbutrin for cigarette smoking and albuterol inhaler. i also take salmeterol.
A: eat em all…..like a trail mix
Q: Will missing my regular doses of asthma prevention medication undo the long-term effects of the medicine?
As in it preventing the severity of asthma symptons. Lately when my inhaler runs out its never convinient to get a refill before im due to take my next dose, this happened recently (due to my lack of preperation). Cud this be part of the reason my asthma symptons improve for a couple of weeks then get gradually worse for a few weeks and so on?
My preventer inhaler is Seritide Accuhaler 250, ingrediants include salmeterol (long-acting bronchodilator) and fluticasone (corticisteroid), i take 2 doses twice a day
A: That is a decent dose of Seretide and being a steroid MUST NOT be stopped suddenly. Not only does this put you at risk of an asthma episode but, since your body is used to quite high dose synthetic steroid it does not respond normally and produce its own steroids so well when they are required.
Q: Asthma nurse changing my medication? Is she allowed?
I live in the U.K. and have had chronic asthma for as long as I can remember (I am now 38). I have ALWAYS had salbutamol inhalers (usually ventolin). Anyway my docs surgery rings me every few months and asks that I make an appointment to see the asthma nurse, which I do. She asked me if I still use my becotide inhalers (steroidal 2 puffs morning and night) and I answered honestly that i didnt all the time because sometimes I forget. So she took it upon herself to change my medication and now i get seretide 125 which is ’salmeterol/fluticasone propionate’ (instead of salbutomol and becotide). I was told to take this 2 times in morn and 2 times at night. I CANNOT now get my salbutomol inhalers because the surgery says I have these new inhalers instead. BUT being chronic asthmatic I get tight chest throughout the day so I have to use the new seretide 125 inhalers more than 10 times a day (luckily they have same effect of stopping my breathlesness). I usually get 2 inhalers on repeat prescription (salbutomol has 200 metered doses *2) but the new inhalers have only 120 metered doses each so effectivelly the nurse has almost halved the amount of medication I get with each scrip. I ask for a repeat scrip when im on my last inhaler and now the surgery is saying im ordering my scrips too early and yesterday only prescribed me 1.
Thanks for reading and here come the questions;
Is the nurse allowed to change my medication?
Have I overdosed on my new medication?
Do you think the nurse or doctor has made an error?
I have made an appointment to see the doc (10am tomorrow) and what do u think the chances are that he will be honest and say hes made a mistake? These inhalers are very important as without them I WOULD die!!
Any answers from asthma nurses would be grately appreciated. Thank you.
A: There is a worrying collection of problems in your long question, I will try and give some simple, general answers.
Firstly if you GP gives his nurse the OK, she can change medication, ideally in line with protocols he has constructed, BUT he must sign the prescriptions and he retains overall responsibility for her actions.
Secondly, there is a move to put increasing numbers of symptomatic asthmatics on combi steroid/long acting beta 2 inhalers to improve control and compliance. ( I prefer Symbicort to Seretide.) There is also a licence for Symbicort, rather than Seretide to be used twice daily and if required if the patient is symptomatic. I am unhappy about this arrangement as it allows rather uncontrolled use of quite potent steroids. ( Particularly Fluticasone, which in high dose, has even been associated with death due to adrenal suppression!) Also there is no reason why a patient on a combi inhaler cannot also be on a reliever such as Ventolin/salbutamol as well.
Q: Asthma related question about ADVAIR?
I have what is called “mild” asthma, and I have only taken Ventolin for it…throughout my life I’ve only had to an inhaler when I was littler and once for a short period as an adult. I have recently been having some difficulty with my breathing because my brother moved in and brought his dog and I am allergic to dogs.
My doctor prescribed ADVAIR along with ventolin…but upon reading the instructions I was somewhat alarmed by the “Warnings and Precautions” section that read:
“A large US clinical trail showed an increased risk of asthma-related death and other serious respiratory-related outcomes in patients who used salmeterol (AVAIR) in addition to their usual asthma therapy (ventolin)”
I feel very frustrated and am not sure what I should do. I just go the inhalers today and am not sure whether I should take them. I called my doctor and he said it was fine, even after I told him what it said.
Does anyone know anything about this who could help me?
I don’t want to increase the risk of my asthma getting worse by taking this…also, it seems scary that people have died as a result of taking it.
A: Yeah am I nurse in the hospital field and field questions like this all time. The drug companies have to release information like this in the interest of full disclosure. This is a medication and the results of something going wrong are there. In the reality it’s like a 1 in million or so chance that something can happen to you, but with even that slim margin and the lawyers we have to do they want to tell you up front. It’s like a blood transfusion at the hospital. Yes there is a small, very small, chance that you could contract aids, hepatitis, or even die from the transfusion. But on the other hand the is a very good chance that you will die if you don’t get the transfusion. Medicine is almost the same way.
While yes there is a small, very small, chance that you could suffer from a serious respiratory illness. It’s a much greater chance that with out you will also suffer a respiratory illness.
It’s like my blood pressure medication. Yeah there is a small chance it could make me bottom my blood pressure. But there is a much greater chance of my having a stroke without it.
I have given Advair several times and have not seen any of the adverse reactions that they list in the papers.
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