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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Asthma. Have Exposure To Cold. On Asthalin Inhaler. What Is Causing Headaches?

I am a 25 yr old male. I have asthma . And when I travel, because of the exposure to cold and change it climate, it triggers more of it. I have to sometimes use Asthalin inhaler 10 -15 times a day. My doctor had suggested Deriphyllin 150 retard, but it has been causing me headaches after regular initial usage. Is it normal ? Is inhaling that many times normal ?
Wed, 26 Sep 2012
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Allergist and Immunologist 's  Response
IF YOU GO TO ALLERGIST THE POSITION IS DIFFERENCE
THESE ARE IF TREATED ACCORDING TO ALLERGY
WE ADVISE TO GET ALLERGY TEST DONE GET BLOOD SERUM TEST FOR SPECIFIC ANTIBODIES FOR FOOD MILK,WHEAT,RICE,CHANA,EGG
AND DUST AND COMMON POLLENS AND DO SLIT FOR CURE
MEANTIME STOP ALL MILK AND DIARY PRODUCTS
START TAB SINGULAR 10 MGM TDS
TAB ALLEGRA 120 MGM OD
SYP VENTROLIN 1/2 TSF BD
APPLY NEOSPORIN H EYE OINTMENT IN NOSE TWICE A DAY
SEA WATER IN FORM OF 2 DROPSAT NIGHT ON EACH NOSTRIL
YOU CAN CONTINUE FOR LONG TILL YOU GETRESULTS AND GO FOR SLIT
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Allergist and Immunologist Dr. Sujoy Khan's  Response
Hello,
Your asthma is uncontrolled simply because you are needing to use the asthalin (emergency reliever) so often (10-15 times a day). If you need to use the asthalin more than 3 times a week and 8-10 puffs each time, you need to see your Chest physician to optimise your asthma control.
You may have sensitivities to aeroallergens like house dust mite, animal dander etc and along with temperature change/viral infections especially rhinovirus asthma can quickly get out of control.
A combination inhaler (long acting beta 2 agonists plus steroid) is reqd at this stage plus or minus leukotriene receptor antagonist like montelukast 10mg at night.
Regular use or excessive use of asthalin will cause headaches so will deriphyllin retard that prolongs the beta 2 agonist action. Occasionally it will lead to shakes or palpitations so do get in touch with your Chest Physician and sort this out as soon as possible.

Thanks.
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Have Asthma. Have Exposure To Cold. On Asthalin Inhaler. What Is Causing Headaches?

IF YOU GO TO ALLERGIST THE POSITION IS DIFFERENCE THESE ARE IF TREATED ACCORDING TO ALLERGY WE ADVISE TO GET ALLERGY TEST DONE GET BLOOD SERUM TEST FOR SPECIFIC ANTIBODIES FOR FOOD MILK,WHEAT,RICE,CHANA,EGG AND DUST AND COMMON POLLENS AND DO SLIT FOR CURE MEANTIME STOP ALL MILK AND DIARY PRODUCTS START TAB SINGULAR 10 MGM TDS TAB ALLEGRA 120 MGM OD SYP VENTROLIN 1/2 TSF BD APPLY NEOSPORIN H EYE OINTMENT IN NOSE TWICE A DAY SEA WATER IN FORM OF 2 DROPSAT NIGHT ON EACH NOSTRIL YOU CAN CONTINUE FOR LONG TILL YOU GETRESULTS AND GO FOR SLIT