Which order should I take my drugs in?

[andyk1]

Sorry if anything similar has been posted before.

I use Atrovent, Serevent and Ciclosenide. Any ideas on the order I should be taking them to achieve the best result?

Thanks and keep going.

Andyk

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Do you use salbutamol/Bricanyl too? I was told to have two puffs of that 1st to open up the airways so the other srugs get deeper into the lungs..

hth

Emma x

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I take mine atrovent, serevent, flixotide... though if peak flow is low I take salbutamol first to open the airways up first.

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We used to be told to take our reliever inhaler (eg salbutamol, terbutaline) first to open up the airways so that the preventer inhaler would penetrate more deeply into the lungs. In fact, I don't think there's any evidence that it makes any difference what order you take them in.

Of course, if you are very tight-chested, it's going to make taking any of your inhalers difficult, so you should use your reliever as directed to relieve the acute attack first.

Em H

[yaf_user681_25830]

Reliever first, and then preventer - was what I was always told (going back many years now............ *blush*).

Maz

xxxx

[andyk1]

Thank you very much for all your replies. There's food for thought in them. My doctor told me to take the salbutamol first, followed by atrovent, then serevent, then the steroid. I was on a site the other night that suggested serevent first, followed by atrovent, then the steroid and topped off by salbutamol, so that got me wondering if there was any protocol about it or if it was trial and error. Will try different combinations and see.

[Hidden]

I guess that lots of people have been given different guidance. The way it was explained to me was that salbutamol, atrovent and serevent open the airways up and help to get the steroid deeper into the lungs where it is needed! I'm not really sure it makes any difference which order the atrovent and serevent are taken in. I can't really see the need to take salbutamol last either unless you need it!

[Hidden]

I think the reason why different people have been given different guidance is because there is no evidence that any one way is better than the others! Like many people, I used to be told that using your reliever first would ensure that the preventer got deeper into the lungs - however, I believe that studies haven't actually shown any difference.

It probably doesn't much matter, but if you have been told a specific order to use them, or you have got comfortable with using them in a specific order, then there's no reason to change.

Em H