Assess your oxygenation with pulse oximetry and if below 90% then use regular oxygen for 18 hours/day at a rate of 1.5lt/mt have preventive vaccination against flu and pneumococcal pneumonia. Join a pulmonary rehabilitation programme. Continue medicine tiomate mdi 2 puff once/day. Better keep in touch with resp. Phy.

Nice to receive a question from u.
It is a maintenence medicine. You can use. Need not worry.
But better you need vom0lete workup then new prescription of medicine is preferable.

You must go for peumoccocal vaccination and flu vaccination. pneumo only one shot and flu every year.Are you a smoker. Stop smoking.Are you confirmed case of ch. bronchitis byPFT,then your FEV1,which will quide treatment.Join some repiratory rehabilitation programme,which can be of immense benifit.You can try tiomate transhaler 2 puff once/day by trans spacer.

Age 65 with h/o chain smoking,most likely diagnosisi is COPD. Get spirometry done.Try tiomate inhalation 2 puff /once day through spacer.Consult Pulmonologist.

You are more likly to have copd, considering your smoking history. Kindly get a spirometry done and post bronchodialator spirometry also to decide reversibility of airway obstruction, its severity, its diagnosis, asthma/copd. If copd change to tiomate 2puff once day with spacer. Also check your spo2 concentration and its fall on exersion. Get an holter done to r/o any arrythmia. Better consult a local pulmonologist for better planning your treatment.

All your complaints getting worse bcoz sideeffects of medicine. See side effects of steroids also whatever u take please see its side effects. U will be alright after proper homeopathic care. So please go for our medication. Take care. Thanks.

Yes. Treatment depends on copd stage. Start with tiomate 2puff once a day with spacer and duolin inhalation 2 puff sos for mild copd.

This information is not sufficient to differentiate between asthma & copd. Both have different treatment, you are taking a mixture of both treatments. Send your spirometry report and chest xray report so that I can help.

Stop smoking. Treatment depends upon staging of copd. Get a spirometry done. Join sone respiratory rehabilatation/physiotherapy center. Decrease corbohydrate intake. Try tiomate inhalation 2 puff/once /day with spacer. Consult a pulmonologist.

Kindly get spirometry done to do copd staging and planning treatment according to staging. Can start tiomate 2 puff once/day with spacer. Better consult a pulmonologist.