Q. Even after taking inhalers, why do I continue to wheeze?
Hi doctor,
I have taken Albuterol and Advair twice a day for about a month now without any relief of my wheezing. Even right after I take my inhalers, it is like I took nothing. Allergy pills do not seem to help much either, like Claritin or Zyrtec. They even did an x-ray of my chest and said everything looked fine. So my question is, why do I always feel short of breath? Why do I continue to wheeze so much? I have always had asthma, but never this severe.
Hello,
Welcome to icliniq.com.
- Asthma, as you would be knowing, forms a part of airway hyper-reactive disorders. The latter is a spectrum of diseases genetically determined.
- Your attack of asthma seems to be severe now. I want to know the dosage and frequency of the medicines you are using for asthma now.
- I would suggest to my patient to use Albuterol 100 mcg per dose, taken four times daily. It has to be followed by Advair 500/50 (combination of Fluticasone and Salmeterol) after 10 to 15 minutes.
- Advair also to be taken four times initially and gradually tapered over 15 days, followed by Advair 250/50 again gradually tapered over 15 days.
- Montelukast, which is available as single preparation and also in combination with anti-allergics, is very helpful in reducing asthma. It may be taken one tablet daily till your symptoms recede.
- A short course of oral steroid like preparation, Deflazacort 6 mg taken twice daily and tapered over a week also helps tremendously in removing the airway inflammation.
- If however, you have tried all the above and still do not find respite, you must subject yourself to some blood tests and take nebulized forms of the medicines.
- Nebulisation at a hospital (or at home) is more effective than inhalers which you may be using. A short course of antibiotic can also remove any offending organism in your respiratory passages that may be causing the lingering wheeze.
- It goes without saying; you must avoid or stop alcohol and smoke till you get completely better.
For further information consult an allergy specialist online --> https://www.icliniq.com/ask-a-doctor-online/allergy-specialist
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