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bronchodilators and a-fib

Jonathan_C profile image
20 Replies

At the pharmacy this weekend i asked about taking a bronchodilator (like a cough syrup) as a preventative measure for my exercise induced asthma. I want to know if there is any risk in taking a cough medicine two or three times a week (it helps with the asthma). She didn't have any problem with taking it, but the pharmacist cautioned me about using it with my a-fib. This the first i have heard this and it never crossed my mind before.

Anyone being advised similarly?

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Jonathan_C profile image
Jonathan_C
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20 Replies
BobD profile image
BobDVolunteer

Many cough medicines are contra indicated for ANYBODY with ANY heart issues. You need to read the warning slips with these products. Carvonia for example is VERY bad if you have AF.

Jonathan_C profile image
Jonathan_C in reply toBobD

Thanks

I am using Bisolvin Linctus, which fortunately doesn't have carvonia in it. I am going to speak to my GP about this.

Buffafly profile image
Buffafly

My first episode of tachycardia was after taking a decongestant with pseudoephedrine in it. If your asthma is not well controlled you should have a review asap.

Buffafly profile image
Buffafly in reply toBuffafly

PS just read the leaflet online, contraindicated for afibbers.

doodle68 profile image
doodle68 in reply toBuffafly

I agree with Buffafly, if you have Asthma and it is not controlled a visit to the GP is called for, cough linctus is not the answer....

Jonathan_C profile image
Jonathan_C in reply todoodle68

Thanks for these comments. Just to clarify. I have exercised induced asthma/bronchospasm and i use an inhaler before i exercise.

So what sort of cough syrup should us a-fibbers take?

I will admit that i felt pretty crap yesterday after taking bisolvin linctus, but I am not sure how psychosomatic that was!

irene75359 profile image
irene75359

If you use a Salbutamol inhaler those aren’t advised either, I’m afraid. Look in the search facility.

Jonathan_C profile image
Jonathan_C in reply toirene75359

Thanks, I use ipvent (ipatromium bromide ... or something like that) - but I asked my EP about this and he says he doesn't think there is any risk in taking salbutomol. Although it increases the heart rate he doesn't think it triggers a-fib.

my cardiologist also didn't have a strong opinion on this either.

Bagrat profile image
Bagrat

Cough syrup. You can buy simple linctus which does nothing or try melting manuka honey and blackcurrant jam in a little hot water. Anything that acts as a bronchodilator is likely to be theoretically contraindicated in AF but some get away with it. All you can do is trust your cardio/EP and suck it and see.

Jonathan_C profile image
Jonathan_C in reply toBagrat

I like these organic suggestions, thanks.

I have never come across manuka honey before, but thats probably because its ridiculously expensive here (South Africa)!

Will normal pukker organic honey do the same trick?

angell1950 profile image
angell1950 in reply toJonathan_C

Yeah any good quality organic honey in warm water/ I use fresh lemon- juice in mine and take co- codamol : it always works

Bagrat profile image
Bagrat

Agree with angell1950

Buffafly profile image
Buffafly

asthma.org.uk/advice/trigge...

exbcmc profile image
exbcmc

I have a STRONG feeling NyQuil brought my Afib back. No evidence, but mighty suspicious.

Jonathan_C profile image
Jonathan_C

Thanks all for the comments here. I am seeing my EP for a check up next week (holding thumbs) and will ask him what he thinks about this. I seldom use cough medicine so was very interested to see the responses to the questions.

@Buffafly I have seen a pulmonologist and the only thing of value he did was recommend Ipvent over salbutomal. I think my asthma issues (that i still get symptoms despite using a pump) are caused by the beta blockers I am taking.

Jonathan_C profile image
Jonathan_C

Have anyone of you tried or heard of this prospan.de/en/about-prospan

I can't see any reason why taking that would be a problem for a-fib?

doodle68 profile image
doodle68 in reply toJonathan_C

Hi Jonathan :-)

''Prospan® Special-Ivy-Extract EA 575®''

As someone who has asthma and AF I would not risk taking some obscure cough mixture, I would save my money and have my asthma medication reviewed by a doctor.

It is your decision of course :-)

Jonathan_C profile image
Jonathan_C in reply todoodle68

Thanks. I have been to a pulmonologist and he put me onto Ipvent and that is mostly effective.

I really want to know from you as what seems to be the only other person on the planet with a-fib and asthma: Have you ever been on beta blockers? And what effect did they have on your asthma?

doodle68 profile image
doodle68 in reply toJonathan_C

Hi Jonathan :-) there are a number of members here with both conditions.

Yes I take a beta blocker Nebivolol which I was told is the one best tolerated by asthmatics. I seem ok with my asthma which is well controlled.

I also take a Seretide 'preventer' inhaler twice daily and Ventolin as and when needed which is rarely.

Jonathan_C profile image
Jonathan_C

Feedback on two issues raised in this thread, from my EP. Cough mixtures - yes, there is a risk, but you are safe to take as much as you NEED to get better (i.e. don't exceed the daily recommended dose).

On salbutomal his view is that the strain that asthma puts on your heart is much more likely to trigger a-fib than a few puffs of salbutomal. He did say don't take too much, like Mr Froome did, but definitely rather use salbutomal to avoid asthma than avoid the use of salbutomal.

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