Heart rate and Relvar/fostair

[happyvaccine]

Happy New Year!

Hope this year is a better one.

Could I have advice please on heart rate.

I am taking fostair on a daily basis now and my heart rate sits at 100 at rest.

Can this happen with LABA use or is high heart rate a sign that asthma is uncontrolled ?Is anyone else’s heart rate persistently up.

Also I read about Relvar good as only once a day what’s your experience with fostair vs Relvar

Many thanks

[twinkly29]

It's absolutely a factor linked to steroid and combi inhalers. If it's reassuring at all though, the British Heart Foundation says normal resting heart rate is 60-100 BPM. And that's just heart rate, not including a slight increase due to medication. So it's still in the normal range really.

[happyvaccine in reply to twinkly29]

Thanks so much for reply that’s reassuring Have a lovely eve

[Jolu29]

Hi I was on Relvar fonnd it didn't work for me. I've gone back to Fostair, it does give you shakes and heart rate up abit, I always have to take 2 puffs at a time use it alot throughout the day with ventlin. I'm waiting to hear from consultant for advise for better inhaler there all busy and no clinics in area at the moment.

[happyvaccine in reply to Jolu29]

So sorry to hear this. It’s so frustrating.Hope they are able to speak with you very soon.How long did you try Relvar and was it the lower 92 dose or higher 184 dose?

What was your experience with it?What side effects occurred ?

[Jolu29 in reply to happyvaccine]

Hi it was the 184 dose asthma nurse said to try it as had been on 3 lots of steroids. Just found that it didn't control my asthma but wasnt on it that long didn't like it. You could try it ask asthma nurse some people can get on with it with extra inhaler I wasn't given.

[twinkly29 in reply to Jolu29]

No new inhaler will work properly for about 8 weeks so therefore control is unlikely in that time - it's common for people to need extra ventolin during that time (which logics suggests would lessen the more the preventer inhaler kicks in) or even a short course of steroids if things are particularly problematic. It's for this reason (the time for the preventer to kick in) that, ideally, new meds shouldn't be started until a flare has been dealt with - otherwise one has the flare and also the lack of a well-embedded preventer. That may not have been the case for you but something to bear in mind for future meds changes.

[happyvaccine in reply to twinkly29]

Hi thanks ..do you know why it takes so long to see effects of a new inhaler. I thought that Long acting beta antagonist works fairly quickly... is it that the steroid component in the inhaler takes a while?

[twinkly29 in reply to happyvaccine]

Erm.....no 😅 Not in a way I can explain....but EmmaF91 probably does!

The LABA bit might well kick in more quickly but that treats the symptoms rather than the underlying inflammation - it's the inflammation bit that needs sorting out to achieve control (so the steroid bit of the inhaler).

[happyvaccine in reply to twinkly29]

Ok many thanks for guidance 😊

[Jolu29 in reply to twinkly29]

Hi thanks for reply, the asthma nurse said it would take month to work, I'm now back on Fostair with spiriva and have been put onto shielding. Prob as my asthma has been uncontrolled for 3 months just calming down now, until I went back work today in cold wheather.

[teddyd]

Relvar/fostairFostair did not work for me. Since I started Relvar thing have been much better. I never check my heart rate so dont know if its high. I am on the high does 184. I have not found any side affect. But I know from experience that itis trial and error with new inhalers and medications.

[happyvaccine in reply to teddyd]

So glad you got on with this. How quickly did Relvar take to work for you . Have you been on the high dose for some time ?

[teddyd in reply to happyvaccine]

I think i started it about 18 months ago I have always been on the higher dose . I think it was a few weeks to feel the benefits. I have had some bad times that have required other treatments as well. I also have bronchietasis The consultant is happy with my treatment. I am on a concoction of inhalers and tablets. Its just finding the right mix for you. Xx

[happyvaccine in reply to teddyd]

Thanks for sharing your experience.. it really helps. Hope all good with you Xx

[Bella-Bestia]

Hi, when I was taking fostair my resting heart rate was over 100. Since discontinuing it, due to a combination of side effects I experienced, my heart rate has returned to its previous level.

[happyvaccine in reply to Bella-Bestia]

Yes does seem that fostair causes shakes probably due to causing high heart rate.. thanks for letting me know x

[Dogruff]

Since starting fostair 2 years ago my resting heart rate is higher. I do find my sleeping heart rate a really good indicate of how well controlled it is though. Between my heart rate increasing and my dog making me go to bed during the day, those are the best advanced notice of a deterioration pending.

[happyvaccine in reply to Dogruff]

Yes heard heat rate good indicator. Your lovely dog sounds very clever! 😇

[Dogruff in reply to happyvaccine]

She really is! While it can be annoying if I am in the middle of a work meeting she really is good at making such a noise and commotion that I have no option but work from bed. She has been on the ball each time she has done this as after a few days I start needing inhalers a lot more.