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Does Advair Cause Leg Cramps?
Question: 3 weeks ago, I replaced Pro Air with Advair long acting inhaler which seemed to help with night time breathing but for the past few nights I have been experiencing severe night time leg cramps. I have seasonal allergies and asthma. This fall has been the worst allergy season in many years.
Brief Answer:
Explained
Detailed Answer:
Hello and Welcome
I appreciate your concern.
Advair has fluticasone in addition to salmetrol , Advair is a better choice than Proair.
Considering your age I would recommend anticholinergic agent such as ipratropium as that doesn't have the beta agonist effect of salmeterol and is safer w.r.t any cardiac issue or in elderly patients.
The main goal of treatment should be prevention of acute exacerbations , Leukotriene receptor antagonists such as oral montelukast should be started to prevent acute episodes.
You may also add desloratidine and replace zyretec with levocetirizine, to cope with the seasonal allergies in a better way.
The leg cramps needs further workup to see for any biochemical disturbances that may be responsible for the cramps.
Investigations should include
CBC, ELECTROLYTES, RBS, LFTS,RFTS, ESR.
In acute episodes oxygen saturation , ECG and later on echocardiogram should be done to see for any associated cardiac abnormality such as acute LVF ( left ventricular failure).
Please consult your doctor before modifying any medication.
Let me know if you have any query
wishing you best of health
Thanks
Explained
Detailed Answer:
Hello and Welcome
I appreciate your concern.
Advair has fluticasone in addition to salmetrol , Advair is a better choice than Proair.
Considering your age I would recommend anticholinergic agent such as ipratropium as that doesn't have the beta agonist effect of salmeterol and is safer w.r.t any cardiac issue or in elderly patients.
The main goal of treatment should be prevention of acute exacerbations , Leukotriene receptor antagonists such as oral montelukast should be started to prevent acute episodes.
You may also add desloratidine and replace zyretec with levocetirizine, to cope with the seasonal allergies in a better way.
The leg cramps needs further workup to see for any biochemical disturbances that may be responsible for the cramps.
Investigations should include
CBC, ELECTROLYTES, RBS, LFTS,RFTS, ESR.
In acute episodes oxygen saturation , ECG and later on echocardiogram should be done to see for any associated cardiac abnormality such as acute LVF ( left ventricular failure).
Please consult your doctor before modifying any medication.
Let me know if you have any query
wishing you best of health
Thanks
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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