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Can Prolonged Use Of Salbutamol Lead To Psychosis?

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Posted on Fri, 9 Jan 2015
Question: Can I have developed a psychosis after taking during 10 years salbutamol, salmeterol fluticasonpropionate and tiotropium.
doctor
Answered by Dr. Srikanth Reddy (24 minutes later)
Brief Answer:
yes it is possible

Detailed Answer:
Hello,

Thanks for choosing health care magic for posting your query.

I have gone through your question in detail and I can understand what you are going through.

Yes you are right in your suspicion. Among your asthma medications, fluticasone proprionate can produce psychosis. Sometimes it occurs during short course while in certain cases, it can happen after a long term treatment.
First line would be to gradually taper of fluticasone and then to start on an antipsychotic. The good part is that the psychosis is very much reversible and you will be fine soon.
Do discuss with your physician about witdrawing the fluticasone if you have developed psychotic symptoms.

Hope I am able to answer your concerns.

If you have any further query, I would be glad to help you.

If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback.

In future if you wish to contact me directly, you can use the below mentioned link:

bit.ly/dr-srikanth-reddy



Wish you good health,

Kind regards

Dr. Srikanth Reddy M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Srikanth Reddy (5 hours later)
For the psychosis I take now Abilify 20mg per day after I had a 6weeks stay in a psychiatric clinic. There no reflection was made about my medicines for COPD.
I also take daily salbutamol (Ventolin) and tiotropium (Spiriva). Do these also produce psychotic episodes?
Thank you, Dr XXXXXXX
Kind regards,
XXXXXXX Peeters
doctor
Answered by Dr. Srikanth Reddy (8 hours later)
Brief Answer:
No

Detailed Answer:
Hello
The medicines that you are on "salbutamol (Ventolin) and tiotropium (Spiriva)" will not cause psychosis. You can take them comfortably and also abilify will help you with the psychosis.
Kind regards
Dr. Srikanth Reddy
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Srikanth Reddy

Psychiatrist

Practicing since :2007

Answered : 2770 Questions

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Can Prolonged Use Of Salbutamol Lead To Psychosis?

Brief Answer: yes it is possible Detailed Answer: Hello, Thanks for choosing health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. Yes you are right in your suspicion. Among your asthma medications, fluticasone proprionate can produce psychosis. Sometimes it occurs during short course while in certain cases, it can happen after a long term treatment. First line would be to gradually taper of fluticasone and then to start on an antipsychotic. The good part is that the psychosis is very much reversible and you will be fine soon. Do discuss with your physician about witdrawing the fluticasone if you have developed psychotic symptoms. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. If not, you may close the discussion and if possible you may rate the answer for me, so that I get a good feedback. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.