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Anoro inhaler question

Posted by Stella Tucson @fraytv, Mar 31, 2023

I saw a different pulmonologist today due to my current one going elsewhere. This dr wants me to stop using Breo Ellipta (have been using for last 8 years) & start using Anoro. He said it is because Breo is a broncodialator with steroids & steroids are not good for the lungs. I have bronchiectasis & right now still dealing with pneumonia & pseudomonas. Would appreciate any comments regarding these 2 inhalers.

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annagh | @annagh | Mar 31, 2023

I just posted a link to this study on another thread, but it seems even more relevant here.
"The risk of mycobacterial infections associated with inhaled corticosteroid use"
https://erj.ersjournals.com/content/50/3/1700037
I saw a video in which Dr. Kevin Winthrop, ID who has done lots of studies on NTM, said he tries to get patients off steroids if possible. I think because it suppresses immune function, which is addressed in this study.
Wishing you well.
Anna

REPLY
2 replies
liz440 | @liz440 | Mar 31, 2023

I think if you are going to use a LABA (long acting bronchodilator) you are not supposed to use it without a steroid because that can be dangerous. I could be wrong but that is what I was told by a pulmonary doctor years ago when I lived in Europe.

REPLY
2 replies
Stella Tucson | @fraytv | Mar 31, 2023
In reply to @annagh "I just posted a link to this study on another thread, but it seems even more..." + (show)
@annagh

I just posted a link to this study on another thread, but it seems even more relevant here.
"The risk of mycobacterial infections associated with inhaled corticosteroid use"
https://erj.ersjournals.com/content/50/3/1700037
I saw a video in which Dr. Kevin Winthrop, ID who has done lots of studies on NTM, said he tries to get patients off steroids if possible. I think because it suppresses immune function, which is addressed in this study.
Wishing you well.
Anna

Jump to this post

Thank you so much for responding & posting this link. I will watch it.

REPLY
Stella Tucson | @fraytv | Mar 31, 2023
In reply to @liz440 "I think if you are going to use a LABA (long acting bronchodilator) you are not..." + (show)
@liz440

I think if you are going to use a LABA (long acting bronchodilator) you are not supposed to use it without a steroid because that can be dangerous. I could be wrong but that is what I was told by a pulmonary doctor years ago when I lived in Europe.

Jump to this post

Thank you so much, will do some more research.

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Mentor
Sue, Volunteer Mentor | @sueinmn | Mar 31, 2023
In reply to @liz440 "I think if you are going to use a LABA (long acting bronchodilator) you are not..." + (show)
@liz440

I think if you are going to use a LABA (long acting bronchodilator) you are not supposed to use it without a steroid because that can be dangerous. I could be wrong but that is what I was told by a pulmonary doctor years ago when I lived in Europe.

Jump to this post

That is the common wisdom. However it bumps up against reality for some people - my asthma defies control without the inhaled steroid. Last year we (my pulmo & I) decided to try the combination. For me it has been a game changer, and I'm approaching 10 months with one single exacerbation and no lung infection, and only rare use of a rescue inhaler. We'll see how it progresses.
Sue

REPLY
1 reply
liz440 | @liz440 | Mar 31, 2023

On this topic, I was also told not to use an anticholinergic (sp?) with bronchiectasis because that can dry up the mucus and make it much harder to expel. I believe one of the components of Anoro is an anticholinergic - Umeclidinium. Now again I could be wrong about this but I have always avoided antihistamines that are known anticholinergics for this reason. Maybe the thinking has changed. But I am interested if others were told something similar.

REPLY
annagh | @annagh | Mar 31, 2023
In reply to @sueinmn "That is the common wisdom. However it bumps up against reality for some people - my..." + (show)
@sueinmn

That is the common wisdom. However it bumps up against reality for some people - my asthma defies control without the inhaled steroid. Last year we (my pulmo & I) decided to try the combination. For me it has been a game changer, and I'm approaching 10 months with one single exacerbation and no lung infection, and only rare use of a rescue inhaler. We'll see how it progresses.
Sue

Jump to this post

It's balancing act, isn't it? I hope it continues to go well for you.
Anna

REPLY
regen99 | @regen99 | Apr 21, 2023

Got switched to Anoro three months ago! Love it!
once a day, with a dose of the old inhaler IF NEEDED,
but it's seldom

REPLY
harrynsc | @harrynsc | Apr 22, 2023
In reply to @annagh "I just posted a link to this study on another thread, but it seems even more..." + (show)
@annagh

I just posted a link to this study on another thread, but it seems even more relevant here.
"The risk of mycobacterial infections associated with inhaled corticosteroid use"
https://erj.ersjournals.com/content/50/3/1700037
I saw a video in which Dr. Kevin Winthrop, ID who has done lots of studies on NTM, said he tries to get patients off steroids if possible. I think because it suppresses immune function, which is addressed in this study.
Wishing you well.
Anna

Jump to this post

I got pneumonia in Jan, and MAC in March. Thanks for the paper.
I'll print it out and give it to my Pulmo on Monday.
Harry

REPLY
ead | @ead | Apr 28, 2023

Question about anoro inhaler. Soon after inhaling I cough and bring up mucous. I am wondering if I am getting the full dose or if some of it is coming up with the mucous.

REPLY
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