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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Foracort And Furamist Nasal Spray Safe For COPD?

I am 32 year old female suffering from COPD since 2015. Previously I was taking seroflo 250 twice a day and tiova once daily, two puffs each time. now I am prescribed by another doctor that I should take foracort 400 twice daily and furamist AZ nasal spray once daily. I am just wondering what should I do??
Tue, 3 Oct 2017
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Pulmonologist,  's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Seroflo is having salmeterol and fluticasone.
Foracort is having formoterol and budesonide.
Both are having same group of drugs, only difference is with dosing. Foracort 400 will have higher dose of budesonide.
Now in COPD treatment, no role of increasing dose of inhaled corticosteroid (ICS) (budesonide or fluticasone).
So need to take foracort 400.
COPD treatment guidelines suggests that LAMA (long acting Muscarinic antagonist) like tiotropium, glycopyronium are good for COPD patients. So continue with Tiova inhaler.
So in my opinion, you should continue with Seroflo and Tiova.
If you are having nasal symptoms like sneezing, running nose or blocked nose then start furamist nasal spray.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Is Foracort And Furamist Nasal Spray Safe For COPD?

Thanks for your question on Healthcare Magic. I can understand your concern. Seroflo is having salmeterol and fluticasone. Foracort is having formoterol and budesonide. Both are having same group of drugs, only difference is with dosing. Foracort 400 will have higher dose of budesonide. Now in COPD treatment, no role of increasing dose of inhaled corticosteroid (ICS) (budesonide or fluticasone). So need to take foracort 400. COPD treatment guidelines suggests that LAMA (long acting Muscarinic antagonist) like tiotropium, glycopyronium are good for COPD patients. So continue with Tiova inhaler. So in my opinion, you should continue with Seroflo and Tiova. If you are having nasal symptoms like sneezing, running nose or blocked nose then start furamist nasal spray. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.