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Advice:
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Hi,

I've currently got a cold/flu and a chesty cough and struggling with my asthma with it.

Doing the usual - taking a chesty cough syrup to keep the mucus from settling on the chest and creating an infection, plus increasing my inhalers.

using my reactive plus preventative 4 times a day, plus reactive inbetween as well, but still struggling

Any other suggestions, apart from seeing the doctor and going on steroids or anti-biotics welcome.
Posted on 12/12/07, 05:09 pm
23 Replies | Most Recent Add Your Advice
Reminder: This is a support group for Asthma. We trust you will do your best to remain positive and helpful. For more information, see our rules of the road.

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Advice:
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Reply #1 - 12/13/07  9:18am
" Cat-

Yes. Add in Mucinex DM - this will help break up the mucous and relieve the congestion.

Also add a warm steam vaporizer at night. This will help moisten airways and make it easier to breath and get rid of the mucuous.

Also see about a nebulizer and nebulized albuterol fluid (such as Duoneb or Xenopex). This will also help open your airways.

Use your rescue inhaler first to open your airways and then your preventative/maintenance medications. However, most preventatives/maintenance are only to be used 2x/day, not 4x/day as your are doing, (unless this is a steroid drug such as Flovent in which case this is OK). At any rate ask you doctor about this as over use of certain drugs, such as Advair, could potentially be fatal.

I'll post more tricks of the trade later. At work and inbetween disasters right now :-)

Please post how it's going and it this is helpful. "
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Reply #2 - 02/07/08  7:48pm
" mucinex is great advice but is costly this otc med active ingrediant is guaifenesin which is found as an expectorant on the label in the cough and cold section. it works for me when I suffer with colds "
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Reply #3 - 02/09/08  5:51pm
" although good advice has been given already. i would hold of getting a nebulisee. it is just as effective to use your reliever inhaler through a speaver having ten puffs as a nebuliser is. try having ten ouffs throgh aspacer and see how it helps. by using a spacer you dont lose as much of the active ingredients to the outside as you ddo when you put the inhlaer straight in your mouth..
steam inkhkations are a good idea or have a hot showerthis oipens the airways and sooths the irritation.
hope something works for you
olive "
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Reply #4 - 02/09/08  6:03pm
" Note of caring caution to all...
As already stated by Orsonwelz, using asthma medications more frequently than prescribed or taking more doses than prescribed can be very detrimental to your health, and in some cases even fatal.

This warning applies to rescue inhalers and fast-acting inhalers including those with Albuterol, Epinephrine, and other varieties. Taking ten puffs when you're only to take two to four can cause a rapid increase in heart rate and other heart problems which can lead to a cardiac medical emergency in addition to your problematic asthma.

If in doubt about how much medicine you should take, contact your doctor, but never increase or change your dosing amount or schedule based on information provided by anyone except your doctor or other qualified medical professional.

Love to you all!! (I'm wheezing a coughing along with you!)

TGG "
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Reply #5 - 02/09/08  6:18pm
" i didnt make it vlear in my message. if you are thinking of using a nebuliser you can get the same re;lief from 10puffs of a reliever as you can from a nebuliser and it is as effective.

you need massive amount so of reliever for it to cause cariac problems. yes it does increase your haert rate but not to a fatl level. brinchodilators ahve been desiged so you can use alot to gain reilf from them in an emergency without doing detrimental damge to your other votal organs at the same time.

i use the equivilant of 15 inhaler aday through an infusion going constantly and apart from an increase in haertrate there are not other cardiac problems associated with using this amount.

obviosuly you need to speak to your dr. but information such as what has been gien can be found on websites advising on what to do when asthma becomes uncnrtolled.

olive "
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Reply #6 - 02/11/08  11:49am
" Olive-

Just to be clear, you do not need to use a "massive amount" from a relievr inhaler in order to wind up in cardiac arrest. Over using it, taking more than two puffs at a time in quick succession can be enough to put someone into an arrythmia and then arrest. Over use of bronchodialtors can cause the same result.

Yes, a nebulizer, or an infusion, as you are doing, are safer ways of delivering a larger amount of medication quickly. However, even these methods can lead to cardiac problems and close medical supervision is needed, espceially in the case of using an infusion.

This is all based on an individual's tolerance to the medications. What's good for one person can be fatal to another. "
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Reply #7 - 02/12/08  7:38am
" My internist says NO to Muscinex on asthma. A nebuliser treatment will give you added moisture plus 6x more meds than we get with an inhaler. Remember mucous color..dark yellow or green & you need a doc immediately !! "
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Reply #8 - 02/12/08  9:50am
" Ohana-

Despite your internist's beliefs, most pulmonologists specializing in asthma prescribe Mucinex to get rid of excess mucous before it becomes infected. Yes, moisture from a nebulizer will help expel mucous, but unless an expectorant is part of the treatment, just adding moisture is usually not enough in the case of asthma. "
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Reply #9 - 02/14/08  3:33am
" Itís important to use medications as directed. The level of importance is evident simply because it is a controlled substance.
Each person responds differently to medications. Using additional Albuteral can easily cause tachycardia. There is another issue with excessive use of Albuteral separate from tachycardia (rapid heart rate, usually 100 beat or more per minute, heart attack, heart failure, stroke due to increased blood pressure. Albuteral and many other drugs back fire and do exactly the opposite for the intended uses. Straight to the point is that more is not always better and too much will cause constriction rather than dilatation.

Another concern is an enlarged heart do to the heart working to hard. This condition is known as Congestive heart failure (CHF).

The purpose of using a vaporizer is for continuous mist to help maintain moisture in the lungs. When a person is struggling with Asthma; itís common to do a lot of mouth breathing and therefore dehydrate the lungs or dehydration in general. Either of these dehydrations are risk factors. Increasing fluids during this time is important.

Guaifenesin (expectorant) is a very helpful drug. It is used to help coughs caused by colds or similar illnesses clear mucus or phlegm (pronounced flem) from the chest. It works by thinning the mucus or phlegm in the lungs. This can be prescribed so your insurance will cover the cost.

Some people can safely use a vibrator on the ribs, upper chest and the entire ribs area of the back. My personal experience has been reducing the effects of asthma, bronchial spasms, loosens phlegm, freer breathing and fewer and shorter times of distress.

Nebulizer treatments are more effective than an inhaler. If this were not true, it would not be used in the emergency room. The emergency room does not use inhalers because itís not as effective as the nebulizer. There are several different ways the nebulizer is used in the emergency room. Some use a mask, mouth piece for continuous misting meditacion. A specialized mouth piece delivering medication only when inhaling or mask for a 1 hour continuous misting medication. Usually, the ER uses Duoneb also known as 2 medications being Albuteral and Atrovent.

When a patients regular meds are not containing symptoms, some patience are directed to use additional med prescribed to use with specific directions for safety. When this is not successful; itís time to see oneís doc or go to the ER.


I hope this helps. "
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Reply #10 - 02/10/10  9:25pm
" I just got out of the hospital today. I went in to ER with a severe cough, and I was thinking it was asthma and maybe a cold. My heart rate was 156. So they rushed me back and did all kinds of fun tests. I ended up staying over night. Now i'm on my normal albuterol and daily flovent, along with prednisone, and hyrdocodone for chest pain. My heart rate is back down to at least 106. Now that i'm on all these meds does anyone have suggestions for more help with my cough? I don't want to over medicate myself. Especially after the heart scare.
Thanks "

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