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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Mild Asthma

I have mild asthma. I have used Alvesco inhaler since my diagnosis 8 years ago, but my insurance no longer covers it. My PCP prescribed Symbicort but it says it is not for people whose asthma is well controlled by inhaled corticosteroids. It also says it increases risk of death...I am very nervous about using this Rx. Is there something else more appropriate?
Thu, 17 Aug 2017
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Alvesco is having ciclesonide. It is inhaled corticosteroid (ICS).
It is good that your asthma is controlled by only ICS.
Symbicort is having Salbutamol and fluticasone. Salmeterol is inhaled bronchodilator. Fluticasone is ICS. So no need for additional salmeterol when you are controlled with single ICS. So no need to take symbicort.
In my opinion, you will be good with plain plain budesonide. Budesonide is also an ICS.
And it is covered under insurance.
So start plain budesonide 200micrograms twice daily.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Suggest Treatment For Mild Asthma

Thanks for your question on Healthcare Magic. I can understand your concern. Alvesco is having ciclesonide. It is inhaled corticosteroid (ICS). It is good that your asthma is controlled by only ICS. Symbicort is having Salbutamol and fluticasone. Salmeterol is inhaled bronchodilator. Fluticasone is ICS. So no need for additional salmeterol when you are controlled with single ICS. So no need to take symbicort. In my opinion, you will be good with plain plain budesonide. Budesonide is also an ICS. And it is covered under insurance. So start plain budesonide 200micrograms twice daily. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.