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Change Of Meds
A MyCOPDTeam Member asked a question 💭

Dr the other day has put me on Dulera..been on Ventolin inhaler and nebulizer with albuterol and ipratropium bromide. He said I'll probably find l won't need the nebulizer or inhaler anymore or not as much. He tried putting me on Symbicort or Breo but insurance won't pay for them. When I looked up Dulera it says it's for asthma which I don't have but I do have chronic bronchitis. He also said it was the same as the Symbicort and the Breo...so is this going to help me and why wouldn't l need… read more

posted October 11, 2017
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A MyCOPDTeam Member

I was on Dulera for 2 years. No side effects. All drugs have side effects,try not to read into all the side effects , does not mean you will have any of them. Listen to what the Doctor says. All drugs have side effects but that does not mean you will have them.
I trust my Doctor completely. Over the last 5 years I was in and out of the hospital so many times I can't count.
Almost was gone 2 of those times. I do my breathing excercise, to get the air out of my air pockets that form.
I use a nebulizer and Oxygen at night due to sleep Apnea . Listen to your own body and it will tell you when something is wrong. Hope you do not feel this is harsh. I hard a very hard time dealing and now since I let it go doing much better.

posted October 14, 2017
A MyCOPDTeam Member

Dulera is a combination of a Long Acting Beta Agonist (LABA) and an inhaled corticosteroid (ICS). It can be used for COPD as well as asthma. What you're on right now with the Ventolin (albuterol rescue inhaler) and your nebulizer (Short acting anticholinergic (SAMA and albuterol) are two short acting inhalers, one with an anticholinergic (like Spiriva) in it. So your doc has added a bronchodilator (the LABA) and an inhaled steroid. He's also told you that you won't need the nebulizer as often but he's not given you anything to replace it with. I don't know why he thinks you wouldn't need it. He's not looking at meds in the same classes. Breo, Dulera and Symbicort are all in the same classes, but you're not currently taking anything in either of the combinations that make them up. So I don't know what he thinks he's doing.

Typical meds for most people with COPD in the moderate to very severe category would be a LABA, a LAMA and an ICS with a rescue inhaler. Usually you would combine two or the three, so you'd have three inhalers: one a combination, one single and a rescue.

posted October 11, 2017
A MyCOPDTeam Member

Hope not to harsh... if you trust your doc but have been out of the hospital too many times isn't it time to find a new doc? My initial docs loaded me up with Prednisone and I just got worse (pulmonologists too!). I found a couple of pulmonologists who agreed to cut down and out with Prednisone. Fell better though still on a low-dose Prednisone. Lots of my problems are the cause of anxiety... solved to the most extent by relaxing and common sense. Get a second opinion just to set your mind at ease! Cheers, Carl

posted October 16, 2017
A MyCOPDTeam Member

Good evening Janann. My mother is, and bless her, 94. She lives alone but I am only few blocks away.let her stay do her own bills, cook, clean etc just to keep her active. In good shape for her age. Shoot she's better than me. No cops or any or that. Don't you love how I rabble to get to a point. Ok the point. I pick up her medication af the RX. When I do I have to take the paper with the side effects away so she don't see them. Our she will get every side effect on the paper. Honest. Point is stop looking at the side effects or you won't even takea aspirin. True some may be really ina small fraction but not the majority. If I tell you you look like you are alittle paler, to stop byaking something u you trade saying may cause skin discomfort. Lol stop looking at them. The gain would outweigh the negative if you want too believe there is one. PHew. May God Bless. :)

posted October 13, 2017
A MyCOPDTeam Member

If you are sure that your doctor actually said that, Hum, interesting. I have had copd for like 15 years. right now my dr. has me on Dulera, Advair and Spiriva. My doctor is sort of rotating me between Dulera and Advair to see which one I believe makes me feel better. I believe Jean is correct on the information that I know (I do look everything up before using) Your Ventolin is a rescue inhaler and not meant to be taken on any time frame basis, only as needed in shortness of breathe cases. As Jean stated to you, and Jean I am trying to reinforce what you have already told her. There are a lot in the same class and just called by a different name. I by choice would use Symbicort, but not covered by my insurance. My doctor who I had since my copd gives me sample all the time to try. Go with what Jean is telling you and do not always believe what you hear. Ask and research. P.S. I am not a doctor or even in the medical field just going on experience. Perhaps he has a reason we may not know about. May God Bless.

posted October 12, 2017

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