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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Chewing Tobacco With Severe Asthma Cause Any Side Effects?

We have a 17 year old son who is on Xolair Injections every 2 weeks for his severe Asthma. Also, daily maintenance meds of Symbicort, Allegra D and Zyflo. Has been on Xolair for close to 9 months. His symptoms appear no better - His doctor has been literally "scratching his head" as to why his treatments are not working - even ordered echocardiogram which came back normal. Here is probably the problem..... Right after that about 2 weeks ago, we found that he has been chewing tobacco the whole time. Would this cause adverse reactions to cause the medicines not to work. We are doing everything we can to get him off of it, but he defies his father by saying he will not quit. We are grasping at anything that will "scare" him to know how bad this is. Please help us if you can. There is no way that the nicotine cannot be harmful to his lungs which are already weak -- and I don't have to tell you how much we are spending on the Xolair to keep his lungs "healthy" - and looks like it is being wasted.



Thank you in advance for your reply. e-mail: YYYY@YYYY
Thu, 18 Jan 2018
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Yes, tobacco chewing is definitely harmful not only for lungs but for whole body.
And with chronic lung condition like asthma, it is even more harmful.
In my opinion, habit of tobacco chewing is the only option reason for his uncontrolled asthma.
Nicotine in tobacco directly affects lungs. It also interacts with drugs and made them less effective.
So better to take him to deaddiction center for tobacco cessation.
He needs counseling, nicotine replacement therapy (NRT), motivation therapy etc.
Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.
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Can Chewing Tobacco With Severe Asthma Cause Any Side Effects?

Thanks for your question on Healthcare Magic. I can understand your concern. Yes, tobacco chewing is definitely harmful not only for lungs but for whole body. And with chronic lung condition like asthma, it is even more harmful. In my opinion, habit of tobacco chewing is the only option reason for his uncontrolled asthma. Nicotine in tobacco directly affects lungs. It also interacts with drugs and made them less effective. So better to take him to deaddiction center for tobacco cessation. He needs counseling, nicotine replacement therapy (NRT), motivation therapy etc. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.