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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can COPD Along With Cough Be Treated?

My husband has COPD and is on Stiolto Resprimat. When he uses this, as the mist hits the area at back of throat, he immediately starts coughing. He therefore does not get the full use of the medication. Is this normal or is he using it incorrectly? Is there another way to try this?
Sat, 11 Aug 2018
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query about your husband and here are my thoughts.

COPD is chronic obstructive pulmonary disease and it is necessary to know the stage by doing CT scan of the chest which decided the treatment.
Stiolto respimat is a bronchodilator and once inhaled can cause the problems of coughing.
I think he is doing this incorrectly considering the the way the coughing is presented the moment the spray hits his back of throat.
I would advise him to get a correct way to inhale by consulting a Registered Nurse or a Doctor wherein he has to coordinate inhalation that is deep breathing in and pushing the inhaler at the same time. This may take time but once mastered the coughing problem will go away.
In some cases it may be needed to change over to another brand if there is a specific sensitivity to the one he is inhaling.
Also needed is a proper evaluation by a Pumlmonologist, investigations like PFT that is pulmonary function tests, CT scan, culture and sensitivity of the sputum and so on to get an exact idea of the stage and thus plan management as needed.
Chest physiotherapy is part of the management.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. T Chandrakant
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How Can COPD Along With Cough Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query about your husband and here are my thoughts. COPD is chronic obstructive pulmonary disease and it is necessary to know the stage by doing CT scan of the chest which decided the treatment. Stiolto respimat is a bronchodilator and once inhaled can cause the problems of coughing. I think he is doing this incorrectly considering the the way the coughing is presented the moment the spray hits his back of throat. I would advise him to get a correct way to inhale by consulting a Registered Nurse or a Doctor wherein he has to coordinate inhalation that is deep breathing in and pushing the inhaler at the same time. This may take time but once mastered the coughing problem will go away. In some cases it may be needed to change over to another brand if there is a specific sensitivity to the one he is inhaling. Also needed is a proper evaluation by a Pumlmonologist, investigations like PFT that is pulmonary function tests, CT scan, culture and sensitivity of the sputum and so on to get an exact idea of the stage and thus plan management as needed. Chest physiotherapy is part of the management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant