Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Chest Congestion And Wheezing While Treating COPD
Brief Answer:
COPD treatment
Detailed Answer:
Thank you for contacting HCM with your health care concerns
You have severe COPD and been having trouble with your COPD at night . For the treatment of COPD you need a controller drug and a rescue drug. For controller drug we usually recommend a steroid inhaler. Most commonly as advair, symbicort, flovent or qvar. There is another controller medication called spiriva which is once daily that will also help the wheezing and reduce the sputum production. If your prescription plan does not approve of spirva they usually substitute Combivent. You should be using these medication daily to prevent wheezing. If you are using your rescue inhaler more than 1-2 times per week then your controller medication is not effective and needs doses increased.
If all these measures don't work then you may need a nebulizer or oral steroids for a short while.
In summary
1. controller medications
2. Advair or symbicort as controller medications
3. Spiriva or combivent for reduce secretions and prevent wheezing
4. Steroids short term for flairs
5. Nebulizers
I hope I answered your question. Please contact us again if you have any additional questions
COPD treatment
Detailed Answer:
Thank you for contacting HCM with your health care concerns
You have severe COPD and been having trouble with your COPD at night . For the treatment of COPD you need a controller drug and a rescue drug. For controller drug we usually recommend a steroid inhaler. Most commonly as advair, symbicort, flovent or qvar. There is another controller medication called spiriva which is once daily that will also help the wheezing and reduce the sputum production. If your prescription plan does not approve of spirva they usually substitute Combivent. You should be using these medication daily to prevent wheezing. If you are using your rescue inhaler more than 1-2 times per week then your controller medication is not effective and needs doses increased.
If all these measures don't work then you may need a nebulizer or oral steroids for a short while.
In summary
1. controller medications
2. Advair or symbicort as controller medications
3. Spiriva or combivent for reduce secretions and prevent wheezing
4. Steroids short term for flairs
5. Nebulizers
I hope I answered your question. Please contact us again if you have any additional questions
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for the inhaler info. Up until mid XXXXXXX I was using Symbicort and Atrovent. Rarely had any problems. (could sleep 10 hours). Within less than 2 weeks, after changing inhalers to Combivent, I went to emergency hospital (unable to breath). After 3 days, I was sent home with a new prescription.
Advair 125 and Spirva.
I now sleep 3-6 hours. I would prefer to sleep up to 10 hours as I did before, while using Symbicort and Atrovent.
I do have doctors appointment tomorrow morning, but any other comments would be appreciated.
Blaine
Advair 125 and Spirva.
I now sleep 3-6 hours. I would prefer to sleep up to 10 hours as I did before, while using Symbicort and Atrovent.
I do have doctors appointment tomorrow morning, but any other comments would be appreciated.
Blaine
Brief Answer:
Increase advair
Detailed Answer:
Your advair dose is low. I would recommend increasing it to 250 twice daily
Increase advair
Detailed Answer:
Your advair dose is low. I would recommend increasing it to 250 twice daily
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
