I am 58 years old, male, with asthma.
I use Salmeterol and Budecort inhalers regularly. But sometimes, I get an attack without warning signs. Then I use Albutamol tablets 1-1-1. This gives relief. I also take Nimulid 1-1-1 to counter chest pain. I also use an antihistamine cetrizine 10 mg 1-0-1 during an attack to lessen the suffering since it has got an anti-congestion effect.
But during an attack, I sweat and feel a sense of warmth (not fever) and hence feel the cozy of a fan even during chill weather. . Is it due to the fact that enough oxygen is not being pumped into the body?
Can I use the above inhalers two or three times a day and is it safe?
Should I continue with Nimulid and cetirizine during those times? Is the above combination which I use safe?
Please confirm and give specific answers to these questions.
Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
27 years experience
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the best thing in treatment for asthma is to identify offending or culprit agent which causes acute attack. Animal hair, strong perfumes, dust, agarbattis or incense sticks etcetera are to be avoided. The medications you mentioned salmeterol and budesonide are right drugs for controlling asthma but despite that if you're getting sudden attacks then proper evaluation through pulmonary function tests (pft), allergy testing may help. Before going through tests it'll be prudent to adjust the dose of inhaled pumps, treating nasal allergies through nasal steroids spray and avoiding mental stress and acidity.
32 years experience
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your inhalers are appropriate.
You probably need training in the best technique of inhaler.
Nimusulide for pain be not used frequently.
Sweating etc are body physiologic responses when you have asthma attacks.
During attacks using a symptom relieving short acting inhaler namely levolin or salbutamol is a standard recommendation. Please consult a pulmonologist with all these questions for physiologic assessment.
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