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Suggest treatment for bronchial asthma

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Posted on Wed, 26 Jul 2017
Question: Good morning, I am a 51 year old woman who has had bronchial asthma since early childhood if not birth, I was conceived and born in Los Angeles California and have always had a cough and allergies including grass,flowers,insects,cats and so on. Unfortunately I started smoking cigarettes at 13 years old and now I have been diagnosed with COPD. Have been fine for the last 9 months or so this last week I had a bad flare up I live in Florida and it has been extremely hot with little to no rain. Had some shortness of breath and cough got really bad. Got a prescription of prednisone 50mg for 5 days and cough subsided. Next day cough back again and worse went to clinic and was diagnosed with COPD with acute lower respiratory infection. Was prescribed 5 more days of prednisone 50mg a day and 100 mg of Doxycycline twice a day for infection. Vital's were BP 90/60, Pulse 115 temp 97.9 Respirations 12 weight 120 BMI 19.97 and oxygen saturation 96%. In addition I lost my husband a little over a year ago to dementia and have been under a great amount of stress at the same time I started going through menopause. I have a ton of energy and always have rarely ever get sick with the exception of bronchitis but that is something that I have always lived with so I deal with it. I also take dulera inhaler which doesn't seem to do much and I take OTC allergy meds when needed. My big concern is the pulse of 115. I have and apt to see pulmonary specialist on July 14th. And I am stopping smoking I was told I cannot take a prescribed product for quitting smoking until I am off antibiotics because they react badly. So I am cutting down as of today. Any suggestions you have for me would be very much appreciated.
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Answered by Dr. Kaushal Bhavsar (1 hour later)
Brief Answer:
Better to start LAMA.

Detailed Answer:
Thanks for your question on Healthcare Magic.
I can understand your concern.
Best treatment of COPD is
1. Smoking cessation.
2. Pulmonary rehabilitation.
3. Inhaled treatment in the form of long acting beta 2 agonist (LABA), Long Acting Muscarinic antagonist (LAMA) and ICS (inhaled corticosteroid).
4. Adult pulmonary vaccine.
Dulera is having formoterol (LABA) and mometasone (ICS).
So it is better to add LAMA (tiotropium).
Also discuss about Pulmonary rehabilitation and adult Pulmonary vaccines with your pulmonologist.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14938 Questions

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Suggest treatment for bronchial asthma

Brief Answer: Better to start LAMA. Detailed Answer: Thanks for your question on Healthcare Magic. I can understand your concern. Best treatment of COPD is 1. Smoking cessation. 2. Pulmonary rehabilitation. 3. Inhaled treatment in the form of long acting beta 2 agonist (LABA), Long Acting Muscarinic antagonist (LAMA) and ICS (inhaled corticosteroid). 4. Adult pulmonary vaccine. Dulera is having formoterol (LABA) and mometasone (ICS). So it is better to add LAMA (tiotropium). Also discuss about Pulmonary rehabilitation and adult Pulmonary vaccines with your pulmonologist. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.