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Replies to "@lilianna and @rstel7272 - Spiriva Respimat is tiotropium bromide a LAMA (bronchodilator) with no inhaled corticosteroid..."
MAC & Bronchiectasis | Last Active: May 26 11:59am | Replies (28)
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@lilianna and @rstel7272 - Spiriva Respimat is tiotropium bromide a LAMA (bronchodilator) with no inhaled corticosteroid (ICS).
The article actually talked about Symbicort and similar inhalers, which combine a bronchodilator with an ICS. The point of the article is that a single-drug inhaler is preferred to the combination ones, but many docs use the combos.
It sure give me something to discuss with my new pulmonologist as I currently use Symbicort.
Sue
Replies to "@lilianna and @rstel7272 - Spiriva Respimat is tiotropium bromide a LAMA (bronchodilator) with no inhaled corticosteroid..."
At least in my case, 3 years of Symbicort turned into aspergillus as described in this paper ..
https://www.mdpi.com/2309-608X/6/4/346
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Hello Sue. When I had problems with tight chest, palpitations and high pulse symbicort, annuity Ellipta and spiriva respimat were eliminated one by one after trying and nothing helped. So I tried on my own half a vile of albuterol for a few days ( by advice of an immunologist) and noticed there was some improvement. So eventually it was switched to levalbuterol and it did help a lot. So now I will have a discussion may be I will switch to something without steroids instead of nebulizing Budesonide. I know how doctors at NJH try to avoid inhaled steroids during the Mac treatment. Sometimes I think how much we have to be our own advocate and constantly ask.