UTI or urinary retention and inhalers

Posted by mchristmas @mchristmas, Dec 5, 2020

Anyone experience having re occurring utis due to starting inhalers. I was diagnosed with asthma this year and I’ve tried 3 different inhalers with long breaks in between and each time I get an awful uti or urinary retention symptoms. At this point my utis are becoming antibiotic resistant. On research studies it says it happens with inhalers containing ipratropium and salbutamol. My pharmacist believes it’s because of the steroid in the inhaler but my urologist and allergist haven’t run into this problem before. Does anyone know of names of inhalers that I could use that won’t cause this problem?

Interested in more discussions like this? Go to the Asthma & Allergy Support Group.

Profile picture for km6 @km6

I am prone to frequent UTI's. I have serious issues with antibiotics due to a history of Cdiff. My functional med doc put me on a mannose supplement and I also use cranberry pills and of course LOTS of water.
I used to get 5 a year, down to 1 or 2 now.

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HI, If you are a woman and are into menopause it may not be UTI's, years back I thought I was getting a lot of UTI's and my Urologist prescribed Estradiol 0.01 vaginally and that took care of it. If you are into menopause then our skin starts getting thinner and we start having female problem. This is just a suggestion. But it worked for me.

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Profile picture for klancee47 @klancee47

HI, If you are a woman and are into menopause it may not be UTI's, years back I thought I was getting a lot of UTI's and my Urologist prescribed Estradiol 0.01 vaginally and that took care of it. If you are into menopause then our skin starts getting thinner and we start having female problem. This is just a suggestion. But it worked for me.

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I'm on that as well! Yes.
My doc always does a culture for that very reason.
Old age is tricky!

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I was introduced to hiprex for chronic uti. I tried 1 gram twice a day and after 3 days I had problems with urine flow that drastically decreased.
I went to take half a capsule twice a day and the same side effects.
Is there an alternative?
Antibiotics fo not help me.

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Profile picture for rozi280751 @rozi280751

I was introduced to hiprex for chronic uti. I tried 1 gram twice a day and after 3 days I had problems with urine flow that drastically decreased.
I went to take half a capsule twice a day and the same side effects.
Is there an alternative?
Antibiotics fo not help me.

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@rozi280751 I have had a urine flow problem for years, and sometimes there is not flow. I have never found anything that works to take care of it but the estradiol does help it. I am finally having a scope done next week to see if I have something to explain why my flow is bad. Hoping for the best.

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Profile picture for Amanda Roe @amandajro

Hello @mchristmas and welcome to Mayo Clinic Connect. I understand you have been experiencing a frustrating side effect of UTIs as a result of your inhaler use and would like to learn if others have had a similar experience.

Because of this, I've also included your question in the Lung Health group to increase the number of members with experiences with inhalers. Members like @sueinmn @windwalker @thumperguy have experience with inhalers as part of their lung health and may have information to share with you regarding your concern.

Are you currently still using an inhaler and do you currently have a UTI that you are dealing with?

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@amandajro I too am going through this..Hello, my name is Nae, I'm just now joining this Site(Thanx by the way) & I'm very interesting in this Conversation which pretty much Pertains to me. It start'd on my Granddaughters 7th B/D, while I was sitting outside celebrating it when all of a sudden it came out like a "Water Fall" kind of freaked me out, made me think of my last Period (cuz thats what happen back then) It's going on 3 years for me & the Dr. can't figure it out. {they blame it on my smoking} This site will give me a better understanding & hopefully heal my Prayers.

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Profile picture for naenae2025 @naenae2025

@amandajro I too am going through this..Hello, my name is Nae, I'm just now joining this Site(Thanx by the way) & I'm very interesting in this Conversation which pretty much Pertains to me. It start'd on my Granddaughters 7th B/D, while I was sitting outside celebrating it when all of a sudden it came out like a "Water Fall" kind of freaked me out, made me think of my last Period (cuz thats what happen back then) It's going on 3 years for me & the Dr. can't figure it out. {they blame it on my smoking} This site will give me a better understanding & hopefully heal my Prayers.

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@naenae2025 - welcome to Mayo Clinic Connect. When you talked about sitting outside celebrating and all of a sudden it came out like a waterfall, this was a urinary tract infection? One related to use of an inhaler for asthma?

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If you are taking a steroid inhaler - anything is possible regarding getting a UTI or other infection. Please remember that steroids - no matter what form, cause a decrease in inflammation (which is why it helps in decreasing inflammation of the lungs). However, there are a many side effects - one of which is increased risk of infection. There are numerous non-steroid treatments for asthma - though a steroid inhaler is now one of the first line medications used for asthma maintenance. The person to speak with is your pulmonary provider. There are numerous biologics (injections) which are used. There are new nebulizer medications that are also available. I am not recommending anything specific regarding treatments - as you need to discuss this with your provider. Hope this is helpful.

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Profile picture for anna17 @anna17

'm 85 years old and have had UTI's for many, many years. I cannot use Bactrim because I'm on warfarin for DVT"s. So far Amoxicilin has worked for me. I would start another UTI around a month after the last one. (sometimes sooner) FINALLY I came across a senior forum about UTI's and D-MANNOSE (i use AZO brand) and since starting it, I haven't had a UTI this year which has never happened before. People swear by this and now I do too. I also have Asthma and COPD and on Symbicort twice a day and Albuterol for flare ups. Once in a while I have a problem with a sore mouth (thrush) and then I rinse with baking soda and water and it goes away after two rinses. I did notice an increase in UTI after starting Albuterol some years ago but D-Mannose has taken care of that. I also have a rinse bottle I use every time I go potty. I put a squirt of peroxide in a pint bottle of water. I'm saving up to have a Bidet installed. I did get tired of being asked if I wipe front to back though.

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@anna17 I have urinary retention and now a long long uti. I was on 4 doses of generic Microbid antibiotic for uti and no help. Then Doxycycline, told to stop or I would get C-diff infection from too much antibiotics. I have so many RX allergies, (Penicillin, Sulpha, etc. etc.) so Drs. don't know what to do with me. The urologist put me on Fosfomycin Tromethamine granules you mix with water and drink. It worked for a day or two, then my tongue swole up and throat closing. I took albuterol and lots of Benedryl. Had my epipen ready, but kept drinking coffee & was on the ready to go to ER.
So tired of side effects of inhalers. I can no longer take Simbicort, Bevespi caused HORRIBE reactions, swollen glands and thyroid gland. I had to ice my throat at night in order to take swelling/pain down to sleep.
I began D-Mannose and cranberry pills in hopes it will help. Thank you for your story, I'm glad to know I'm not the only one with uti caused by inhalers.

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Profile picture for klancee47 @klancee47

HI, If you are a woman and are into menopause it may not be UTI's, years back I thought I was getting a lot of UTI's and my Urologist prescribed Estradiol 0.01 vaginally and that took care of it. If you are into menopause then our skin starts getting thinner and we start having female problem. This is just a suggestion. But it worked for me.

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@klancee47 i have those issues as well, many suggestions from Gynocologists. Coconut oil helps tremendously with vaginal pain and dryness. I'm afraid to use estrogen creams.
Thank you for your story.

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Profile picture for tvane27 @tvane27

@klancee47 i have those issues as well, many suggestions from Gynocologists. Coconut oil helps tremendously with vaginal pain and dryness. I'm afraid to use estrogen creams.
Thank you for your story.

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@tvane27 I understand about the estradiol. Women were told that it caused cancer. I remember growing up with them saying that estrogen caused cancer to grow in women. That is a old way of thinking and has been out dated. We need estrogen for our health as we age into menopause and beyond. These hormones help in the aging process and loose them as we age we need them for normal female aging process. I listen to podcast by women doctors for information. We were raised in a male dominated medical age, we were not truely represented (women) properly. Women are now learning that things we were told and taught is no longer or or was never really true in the first place. I listen to two different podcaster (Mindy Pelz, and Cynthia Thurlow) who are female doctors and are trying to teach us how to live in a way that supports our bodies as we age.

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